Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Route description
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Personnel
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Contractors involved
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Nearby communities
Visit opportunities
Introduction
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It's the first visit to site?
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Has the last visit findings been reviewed?
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Are there outstanding actions?
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Are there any relevant points of concern?
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Brief introduction of campsite establishment, past owners, significant milestones...
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Purpose of the visit
Travel
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Was the travel safe?
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What was the major hazard?
- weather
- traffic
- road condition
- driver performance
- vehicle condition
- security
- wildlife
- other
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other:
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Please specify the travel itinerary:
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What was your transportation?
- pick up truck
- van
- bus
- train
- aircraft
- boat
- other
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Please specify:
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Rest stops were made every two hours?
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Please describe the reason (s):
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Travel information details were distributed before departure?
Campsite
Campsite general information
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Name of campsite:
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What's the year/month of construction?
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What is the altitude range of campsite?
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What type of facilities we have on campsite?
- office
- core shack
- dorms
- washrooms
- showers
- dinning hall (mess room)
- kitchen
- food storage
- warehouse
- clinic
- security cabin /shed
- water treatment units
- waste treatment units
- social / gathering area
- fences / gate
- others
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Please describe others:
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It's required health assessment on campsite entrance?
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What health parameters were assessed?
- blood pressure
- health conditions [e.g. pace makers, allergies,...]
- body temperature
- urine sampling
- breathing capacity
- alcohol test
- drugs test
- immunization records / card
- others
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Please describe others:
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It's required security control on campsite entrance?
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What type of security controls were placed?
- document control (passport/visa)
- visitor request
- company credentials
- equipment LOG register
- others
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Please describe others:
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It's required safety control on campsite entrance?
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What type of safety requirements/controls were placed?
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Please describe others:
Campsite buildings safety
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Signalization and information is clear?
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Floor surfaces even and uncluttered?
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Entry and walkways kept clear?
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Walkways adequately and clearly marked?
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Access paths and walkways are safe?
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Intersections kept clear of boxes etc?
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Stair and risers kept clear?
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Are liquid spills removed quickly?
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Are railings in good condition?
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Are fall preventive measures in place and used where gaps occur in railings?
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Are footpaths in good condition?
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Furniture in proper condition?
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Loading areas clean and tidy?
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Are there any major risks to consider around the buildings?
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Please describe if any:
Campsite general lighting
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Good natural lighting?
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Reflected light from walls & ceilings not causing glare to employees?
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Light fittings clean and in good condition?
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Emergency exit lighting operable?
Office
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Facilities clean?
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Condition of filing cabinets?
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Condition of chairs?
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Desks in good condition?
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Screen Based Equipment positioned to reduce glare from windows etc?
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Electric cables proper used and protect against falls slips and trips?
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Tasks designed to prevent Occupational Overuse Syndrome? [Breaks included]
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Air conditioning systems regularly maintained?
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Stable non-slip floor coverings in good condition?
Core shack
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HS information board is visible and updated?
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Clean and debris free?
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Materials stored in racks and bins wherever possible?
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General condition of racks and pallets?
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Storage designed to minimize lifting problems?
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Core boxes are in accessible and proper ergonomic condition
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Dangerous materials [e.g. Inflammable, toxic, corrosive ] proper stored and labeled? [anti spill platforms/trays, locked shelves on ventilated spaces]
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Tools not in use stored in a proper place?
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Damaged hand tools in use?
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Damaged power tools in use?
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Sharp edges?
Cutting tools and sampling preparation
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Are the floors around the machines kept clean?
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Guards in good condition?
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Starting and stopping devices within easy reach of operator? [including emergency stops].
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Waste/off cuts removed and stored safely?
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Anti spill trays [or other e.g. drip pans or absorbent] under machines to prevent spillage?
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Adequate work space?
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Is lighting adequate?
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Noise levels controlled?
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No bending or stooping required?
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Machine's intervention area is restricted only to authorized personal?
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Safety signs are clear, proper and visible?
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Operators trained/inducted into the operation of the machines?
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Is the training recorded?
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Do operators comply with the training? [e.g. safety procedures, PPE]
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Are lockout procedures implemented and followed?
Wharehouse
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Materials stored in racks and bins wherever possible?
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Storage designed to minimize lifting problems?
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Floors around racking clear of rubbish?
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General condition of racks and pallets?
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Dangerous materials [e.g. Inflammable, toxic, corrosive ] proper stored and labeled? [anti spill platforms/trays, locked shelves on ventilated spaces]
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Are all ladders Industrial strength? (Non Household rated, check label.)
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Used according to instructions?
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Are ladders in good condition?
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Tools inspection is in place?
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Tools inspection is been tracked?
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Tools not in use stored in a proper place?
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Damaged hand tools in use?
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Damaged power tools in use?
Electrical Safety
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Safety switches installed?
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Safety switches tested every 6 months and tests recorded?
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Double adapters in use?
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Portable equipment tested and tagged?
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Broken plugs, sockets or switches?
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Power cords across walkways?
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Damage power cords?
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Strained power cords?
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Portable power tools in good condition?
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Where required are emergency shut-down procedures in place?
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Lightning rods in place where required?
Fire Prevention
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Evacuation plan displayed and understood by all employees?
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Fire drill are perform regularly?
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Evacuation procedures discussed regularly on safety talks? [ e.g. 3 to 4 times a year]
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Adequate fire extinguishers in place, clearly marked for type/class of fire?
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Extinguishers recently serviced? [Check annual punch mark on certified tabs]
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Extinguishers clear of obstructions?
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Extinguisher installed no more than 1200 mm max height, the top handle & base not lower that 100 mm?
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Indicator signs [extinguishers points and evacuation routes] 2.1 m above floor level?
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Indicator signs [extinguishers points and evacuation routes] on the floor or 0,1 m above floor level?
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Adequate direction notices for fire exits?
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Exit doors easily opened from inside?
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Exits clear of obstructions?
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Fire alarm system functioning correctly?
Chemical Safety
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Hazardous Substance Register complete and available?
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Material Safety Data Sheets available for all chemicals?
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Risk assessments completed for hazardous substances?
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All containers labelled correctly?
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Unused substances disposed of?
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Do special storage conditions apply?
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If applicable are special storage conditions followed?
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Workers are trained in the use of hazardous substances?
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If required is PPE available?
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Is adequate ventilation provided?
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Are eye washes and showers easily accessed?
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Spill kits are available and ready to use?
Waste management
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Bins located at suitable points around site?
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Bins emptied regularly?
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Organic waste in covered bins?
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Waste separated by recycling / reuse criteria? [e.g. plastic & metal, paper, organic, print cartridges, wood splits]
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Waste water is treated on site?
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Solid waste is treated on site?
Machines & platform rigs
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Platform designation
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Work areas are clean and debris free?
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Are the floors around the machines kept clean?
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Guards in good condition?
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Starting and stopping devices within easy reach of operator? [including emergency stops].
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Waste/off cuts removed and stored safely?
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Anti spill trays [or other e.g. drip pans or absorbent] under machines to prevent spillage?
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Adequate work space?
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Is lighting adequate?
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Noise levels controlled?
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No bending or stooping required?
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Machine's intervention area is restricted only to authorized personal?
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Safety signs are clear, proper and visible?
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Operators trained/inducted into the operation of the machines?
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Do operators comply with the training? [e.g. safety procedures, PPE]
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Are lockout procedures implemented and followed?
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Bins located at suitable points around site?
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Bins emptied regularly?
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Waste separated by recycling / reuse criteria? [e.g. plastic & metal, paper, organic, print cartridges, wood splits]
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waste water is treated on rig site?
Vehicles Condition
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Schedule maintenance performed?
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Condition of tyres?
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Brake performance?
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Lights? (Check operation of brake, indicator and reversing lights)
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Condition of drivers seat?
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Condition of other seats?
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First aid kit supplied and adequate?
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Storage provisions? [recommended in off road travel: fuel, water and food]
Emergency response
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Are emergency numbers displayed?
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Are all workers aware of the procedures in case of an Emergency?
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Are we able to control a fire or a major emergency scenario?
Emergency plan
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Does the emergency plan content the following scenarios?
- industrial emergencies
- natural disasters
- accidental chemical spills
- loss/incapacity of key personnel
- kidnap & ransom
- illegal detention by authorities
- emergency evacuation
- civil unrest
- terrorist attack / major sabotage
- threats to kill / injure employees
- medical emergency
- missing person
- family liaison
- pandemic plan
- other:
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Please describe other:
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The ER plan is available to all workers?
First Aid response
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Are emergency kits and contents clean and orderly?
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Are contents regularly checked?
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No contents past their expiry date?
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Emergency kits clearly labelled?
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Is there easy access to emergency kits?
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Staff is aware of location of first aid kits?
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Staff have first aid training? [at least 50%, check for expiration dates of training]
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Are first aid officers/first aid trained staff accessible during work hours?
HSE culture and communication
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Safety induction is updated, clear and cover all the key points?
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HSE company standards are followed?
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Equipment manuals are availiabe?
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Incidents are discussed in safety meetings?
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Life saving rules:
- Implemented
- Available
- Been followed
- Other
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Describe others:
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Safety core rules:
- Implemented
- Available
- Been followed
- Other
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Describe others:
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HSE Bulletin board is used?
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If YES please describe the content:
- Policy
- ER contacts
- RMMS
- PerspectivE
- LM Campaigns
- Campsite rules
- Health prevention
- Social events
- Other
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Please describe other:
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Safety talks are implemented?
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If YES please describe the content of the safety shares?
- Meaningful message
- short and simple
- Direct to the point
- with a lesson learned or a recommendation
- Other
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Please describe other:
Conclusions
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Major corrective actions with high priority
Sign Off
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On site representative [s]
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Auditor's signature