HEALTH AND SAFETY INSPECTION REPORT - duplicate

• Document No.

• Audit Title

• Department

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Conducted on

  Date

• Conducted By

  Select Erika Erasmus Lloyd Jacobs Nicole Uys Bongani Conjwa Maritza Meyer Johan van Rensburg Jacob Dibakwane Hendrik Deetlefs Rudolph Lombaard

  • Erika Erasmus
  • Lloyd Jacobs
  • Nicole Uys
  • Bongani Conjwa
  • Maritza Meyer
  • Johan van Rensburg
  • Jacob Dibakwane
  • Hendrik Deetlefs
  • Rudolph Lombaard
• Location
  Address

1. PREMISES/AREA/DEPARTMENT AND HOUSEKEEPING

Premises/Area/Department

• Clean and in good state of repair

  Yes

  No

  N/A

• Take photo of any defects and send report to Building Maintanance

  Media

Lighting

• Good lighting: Natural and artificial

  Yes

  No

  N/A

• All Fluorescent tubes in good order

  Yes

  No

  N/A

• All light fittings in good order

  Yes

  No

  N/A

• Is fluorescent tubes disposed in correct manner

  Yes

  No

  N/A

• Take photo of any defective lighting and send report to Building Maintanance

  Media

Ventilation

• Is ventilation good natural and artificial

  Yes

  No

  N/A

• Is aircon filters serviced on a regular base

  Yes

  No

  N/A

• Is aircon outlets cleaned

  Yes

  No

  N/A

Audio and Noise

• Is noise levels sufficiently reduced

  Yes

  No

  N/A

Pollution

• Adequate disposal and collection of waste

  Yes

  No

  N/A

Aisles,Storage & Work Area

• Demarcated ( items,racks,areas)

  Yes

  No

  N/A

• Marked /Color coded

  Yes

  No

  N/A

• Uncluttered / Unobstructed

  Yes

  No

  N/A

Stocking and Storage

• Safe, tidy, identified

  Yes

  No

  N/A

Factory, Yard / Premises

• Redundant material stored/removed

  Yes

  No

  N/A

• Tidy and Safe

  Yes

  No

  N/A

Scrap Removal System

• Well functioning removal system with proper record keeping

  Yes

  No

  N/A

Kitchen

• Freezer compartment of freezer defrosted and cleaned

  Yes

  No

  N/A

Machinery and Equipment

• Adequately guarded

  Yes

  No

  N/A

Lock-out Systems/ Usage

• Interlocks or dual switches used

  Is used

  Not being used

• Locks fitted - access control

  Is used

  Not being used

Ergonomics / Switches / Controls

• Properly marked / identified

  Yes

  No

  N/A

• Valves, Switches, Levers accessible

  Yes

  No

  N/A

• Seats in good condition

  Yes

  No

  N/A

Electrical Installations

• Adequate earth leakage protection

  Yes

  No

  N/A

• Serviceable, Safe and Maintained

  Yes

  No

  N/A

• Earthing checked

  Yes

  No

  N/A

Compressed Air

• Pressure vessel register

  Yes

  No

  N/A

• Safety valve locked / sealed / red line on pressure gauge and dated

  Yes

  No

  N/A

• Gas cylinders correctly stored / secured / pressure gauge

  Yes

  No

  N/A

Portable Electrical Equipment

• Identified and on register

  Yes

  No

  N/A

• Serviceable, safe and maintained

  Yes

  No

  N/A

• Correctly earthed and polarity

  Yes

  No

  N/A

Chemical Liquids

• All items identified and dated

  Yes

  No

  N/A

• Adequate, safe, lockable storage

  Yes

  No

  N/A

• Purchase procedure adequate

  Yes

  No

  N/A

• Employees trained to use specific chemicals

  Yes

  No

  N/A

Transport

• Vehicles checked and maintained

  Yes

  No

  N/A

• Is drivers licensed

  Yes

  No

  N/A

Hand Tools

• Is hand tools routinely checked and defected tools replaced

  Yes

  No

  N/A

Protective Clothing

• Have the correct protective clothing for the area been identified

  Yes

  No

  N/A

• Is protective clothing adequate

  Yes

  No

  N/A

• Is protective clothing worn/ used

  Yes

  No

  N/A

• Is protective clothing clean and serviceable

  Yes

  No

  N/A

• Is there any record / control over the issuing of personal protective clothing

  Yes

  No

  N/A

• Is training provided regarding the correct use of personal protective clothing

  Yes

  No

  N/A

Safety Signs

• Are safety signs displayed in area

  Yes

  No

  N/A

• Is it relevant to your line of work

  Yes

  No

  N/A

2. MACHINERY AND EQUIPMENT

• Have employees been trained to use machinery correctly

  Yes

  No

  N/A

• Have they been trained in the safety rules of the equipment

  Yes

  No

  N/A

• Machinery properly maintained serviceable

  Yes

  No

  N/A

3. HOIST, HOOK AND FITTINGS

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

4. WELDING EQUIPMENT

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

5. ELECTRICAL DISTRUBUTION BOXES

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

6. FIRE PROTECTION AND PREVENTION

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

7. FIRST AID

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

8. ACCIDENTS AND INCIDENTS

• Yes

  No

  N/A

• Yes

  No

  N/A

COMMENTS

• This report was submitted to the Health and Safety Commitee Chairperson and the steps taken or intended to be taken have been noted by him

  Date

• HSE Chairperson

  Sign