GSH Belgium Quarterly Workplace EHS Compliance Checklist - Version 02

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1.0 - Location Being Inspected

• Office

• Zone (If Applicable)

• 1.1 - Have you reviewed the last three months Monthly Workplace EHS Compliance Checklists?

  Yes

  No

  N/A

• 1.2 - Have you reviewed your last Quarterly EHS Compliance Checklist?

  Yes

  No

  N/A

• 1.3 - Have EHS Compliance checklists been discussed at EHS meetings and action plans agreed?

  Yes

  No

  N/A

• 1.4 - Are there NO outstanding actions?

  Yes

  No

  N/A

2.0 - Fire Prevention

• 2.1 - Fire Evacuation Plan current and available for the site?

  Yes

  No

  N/A

• 2.2 - Fire Risk Assessment and prevention plan implemented on site?

  Yes

  No

  N/A

• 2.3 - Fire evacuation drills planned annually?

  Yes

  No

  N/A

• 2.4 - Adequate Fire Wardens appointed for the site?

  Yes

  No

  N/A

• 2.5.- Fire Extinguisher maintenance current and in date?

  Yes

  No

  N/A

• 2.6.- Fire Alarm system maintained and tested by an REOB recognised and qualified company?

  Yes

  No

  N/A

3.0 - Electrical Safety

• 3.1 - Electrical testing of fixed installation completed and record available? (4 yearly)

  Yes

  No

  N/A

4.0 - Chemical Safety

• 4.1 - Material Safety Data Sheets (MSDS) available for all chemicals on site? (Have you checked the chemicals present against the inventory / list of chemicals on site?)

  Yes

  No

  N/A

• 4.2 - Does the chemical inventory / list correspond to the actual chemicals present on site and taken into account in the risico inventory and evaluation (RIA)?

  Yes

  No

  N/A

• 4.3 - Are there adequate records of the issue of PPE being maintained on site and is the equipment suitable, in good condition, clean and stored properly?

  Yes

  No

  N/A

5.0 - First Aid Facilities

• 5.1 - Are there sufficient numbers of first Aiders on site and is their training current and up to date?

  Yes

  No

  N/A

• 5.2 - Are up to date details of First Aiders posted around the site?

  Yes

  No

  N/A

6.0 - Accident Reporting

• 6.1 - Have the last three months accident reports been submitted to the EHS Manager on a monthly basis?

  Yes

  No

  N/A

• 6.2 - Have all accidents over 4 days been investigated properly and action plans and lessons been learned?

  Yes

  No

  N/A

• 6.3 - Were there NO problems with the monthly accident information, reported by the EHS Manager?

  Yes

  No

  N/A

• 6.4 - Have all accidents been recorded on new style declaration form and notified to the local authority, as required? (This to be in conjunction with the EHS Manager.)

  Yes

  No

  N/A

7.0 -Training

• 7.1 - Have all new starters received EHS Induction training and are records available?

  Yes

  No

  N/A

• 7.2 - All training, including skills based and job specific, current and up to date and records available?

  Yes

  No

  N/A

• 7.3 - Are inexperienced staff deployed with experienced competent staff during initial work periods?

  Yes

  No

  N/A

• 7.4 -Are toolbox talks being completed on a monthly basis, where required and records available?

  Yes

  No

  N/A

8.0 - EHS Documentation

• 8.1 - Is the site GSH Log Book present on site and is this being completed and used properly?

  Yes

  No

  N/A

• 8.2 - Are risk assessments and Last Minute Risk Assessments (LMRA) being completed for activities on site and has a sample been reviewed within the monthly EHS Compliance Checklists?

  Yes

  No

  N/A

• 8.3 - Asbestos Inventory available for site?

  Yes

  No

  N/A

• 8.4 - Process in place for implementation of works council, trade union delegation or CPBW committee?

  Yes

  No

  N/A

• 8.4 - Have all Display Screen Equipment (DSE) assessments for staff been reviewed in the past 12 months?

  Yes

  No

  N/A

• 8.5 - Risico Inventory and Evaluation (RIE) completed for all operations and hazards controlled?

  Yes

  No

  N/A

• 8.6 - Copy Risico Inventory supplied to any works council or equivalent?

  Yes

  No

  N/A

• 8.7 - Occupational Health service provided if required by the Risico Inventory?

  Yes

  No

  N/A

• 8.8 - Are all Statutory Compliance checks and maintenance up to date? (To include UPS, Fire Suppression, Lifts, Air Conditioning systems, Boilers and Pressure systems, Fire Alarm system, as appropriate to the site.)

  Yes

  No

  N/A

9.0 - Other EHS issues? (Include reports, other documents, photos or drawings)

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