Title Page

  • Doc No.

  • Audit Title

  • Client / SIte

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Displayed an environmental, safety & Health statistic scoreboard at the entrance of site office

  • Security check at entrance (green card, permit, etc.)

  • Separate entrance for workers and vehicles

  • Safety and health notice board

  • Signage for Personal Protective Equipment

  • Green zone available

  • Life Saving Rules poster displayed

  • Machineries e.g. excavator not left unattended with key / running

  • Machinery registration number (PMA/PMT)

  • Rotating parts are adequately guarded

  • PPE usage for working at height (harness, double lanyard, etc.)

  • PPE usage for normal work (safety shoes, helmet, gloves)

  • Electrical wiring suspended and not on floor / ground

  • Electrical switchboard proper

  • Electrical wiring properly insulated

  • Permit to work available displayed at site for on-going activity

  • Safety and Health Officer (SHO) present

  • Site Safety Supervisor (SSS) present

  • Site are free from exposed sharp objects (e.g. starter bar)

  • Ground / Floor opening is adequately protected (covered, barricade, signage)

  • Edge protection installed at elevated platform / flooring

  • The air at site is not dusty and clear

  • Safe access and egress to and from work area

  • Scaffold with valid tag

  • Scaffold with proper working platform (steel platform with hook)

  • Scaffold with proper steps

  • Scaffold base with base plate

  • Scaffold erected on sound / solid surface

  • Scaffold tie to sound building surface / structure

  • Scaffold netting to capture debris

  • Elevator shaft locked and secured

  • Crane movement within site boundaries

  • Safe work practice during heavy lifting

  • CIDB Green card availability

  • Housekeeping at optimum level (site)

  • Emergency alarm working

  • First aid kit available

  • Dedicated rest area available (other than cafeteria / canteen)

  • All chemical containers used properly labelled

  • Safety Data Sheet (SDS) / waste card prominently displayed at storage area

  • Proper designated area for chemical provided

  • Storage area are bunded containment to be 110% of the largest container stored in the storage area.

  • Proper warning signs or instruction board available

  • Chemical / oil spill kit available at the storage area

  • Housekeeping at optimum level (workers quarters)

  • Workers quarters is free from rearing animals activity

  • Insulation for exposed wiring at workers quarters

  • Dedicated cooking area at workers quarters

  • Proper stairs with handrail at workers quarters

  • Sufficient fire extinguishers at workers quarters

  • No presence of children at workers quarters

  • Availability of dry riser shall be provided in every building exceeds 18.3 metres in height

  • Availability of wet riser shall be provided in every building exceeds 30 metres in height

  • Breeching inlet should conspicuously located where it is accessible by fire brigade and clear from obstruction at all times

  • All road safety component is available as per approved TMP (signage, hump, speed limit, etc.)

Remarks

Completion

  • Checked by

  • Acknowledged by

  • Accepted by

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