GSH USA 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 - Emergency Evacuation Plan current and available for the site and communicated to all staff and visiting contractors?

  Yes

  No

  N/A

• 2.2 - Written Fire Prevention Plan is current and in place and communicated to all staff?

  Yes

  No

  N/A

• 2.3 - Fire evacuation drills planned six monthly?

  Yes

  No

  N/A

• 2.4 - Adequate Fire Wardens to assist with any emergency evacuation appointed for the site, is their training up to date and are they fully aware of their roles and responsibilities?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 2.6.- Fire Alarm system maintained and certificated on an annual basis?

  Yes

  No

  N/A

3.0 - Electrical Safety

• 3.1 - When electrical equipment is serviced or maintained is there a system in place to ensure that circuits and switches are Locked Out and Tagged Out?

  Yes

  No

  N/A

• 3.2 - Electrical testing of fixed electrical installation completed and records available?

  Yes

  No

  N/A

• 3.3 - Is there a process in place to ensure that staff carry out a check before use of electrical equipment and report any faults?

  Yes

  No

  N/A

4.0 - Chemical Safety (COSHH)

• 4.1 - Written Hazard Communication Plan is current and in place on site?

  Yes

  No

  N/A

• 4.2 - 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

• 4.3 - Does the chemical inventory / list correspond to the actual chemicals present on site?

  Yes

  No

  N/A

• 4.4 - 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 - Is there a current Emergency Medical Plan in place on the site?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 5.3 - Are up to date details of First Aiders including emergency telephone numbers 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 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 notifiable accidents e.g. Inpatient Hospitalisation, amputation or Loss of an eye , been reported to OSHA , as required? (This to be in conjunction with the EHS Manager.)

  Yes

  No

  N/A

• 6.5 - Are adequate records of the OSHA 200 forms and First Report of Injury form 101 being maintained and OSHA 300 form posted as required?

  Yes

  No

  N/A

7.0 -Training

• 7.1 - Have all new starters received Environmental Health & Safety 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 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 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 and Management Plan (If applicable to the site.) available?

  Yes

  No

  N/A

• 8.4 - Are known asbestos hazards passed onto contractors and staff who may be affected as part of the asbestos management plan?

  Yes

  No

  N/A

• 8.4 - Have all Video Display Terminal assessments for staff been reviewed in the past 12 months? (To include adjustment of equipment, work postures, sufficient breaks etc.)

  Yes

  No

  N/A

• 8.5 - Health and Safety committee in place with regular meetings with all key stakeholders and are minutes available?

  Yes

  No

  N/A

• 8.6 - Water quality risk assessment available for clients demise and have all control measures been implemented? (E.g. Tap/Faucet outlet temperatures, hot water storage temperatures, cleaning of Cold Water Storage Tanks etc.)

  Yes

  No

  N/A

• 8.6 - 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

• 8.7 - Is there a current Injury & Illness Prevention Program (IIPP) or equivalent Safety Management System in place on site and is this being followed by all staff?

  Yes

  No

  N/A

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

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