HSE Advisor - Weekly HSE Engagement Tour

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Area of operation

  Select RoRo LoLo Central Services Warehousing Automotive Workshop Security Office

  • RoRo
  • LoLo
  • Central Services
  • Warehousing
  • Automotive
  • Workshop
  • Security
  • Office

General Safety

• Are risk assessment control measures being implemented?

  Yes

  No

  N/A

• Are safe systems of work measures being implemented?

  Yes

  No

  N/A

• Are the required PPE garments being worn correctly?

  Yes

  No

  N/A

• Are third parties adhering to the site rules?

  Yes

  No

  N/A

• General safety engagement tour findings and comments

• Engagement tour safety performance rating

General Environment

• Are there any chemical hazards present?

  Yes

  No

  N/A

• Are there any biological hazards present?

  Yes

  No

  N/A

• Are there any air quality hazards present?

  Yes

  No

  N/A

• Is housekeeping adequate?

  Yes

  No

  N/A

• General environmental engagement tour findings and comments

• Engagement tour environmental performance rating

• Name & Signature - HSE Advisor

  Sign

• Name, Position & Signature

  Sign

• Name, Position & Signature

  Sign

• Name, Position & Signature

  Sign

• Name, Position & Signature

  Sign