Title Page
-
Document No.
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
Site Access
-
Access is clean, level ground
-
Adequate stairs and Ramps
Housekeeping
-
Clear walkways
-
Clear office or work area
-
Clean common area
-
Clear emergency exit staircase
Personal Protective Equipment (PPE)
-
Foot protection
-
Hands protection
-
Head protection
-
Eye protection
-
Hearing protection
-
Respiratory protection
-
Safety harness / Safety belt
Ladders
-
Secured
-
Proper size and type
-
Safe / usable condition
-
Non slip bases
-
Proper handrails and landing
Scaffold
-
Properly erected (all parts used)
-
Properly secured
-
Properly planked
-
Proper guard rails and toe board
-
Proper ladder access to platform
Power tools & Equipments
-
General condition
-
Proper guards, cords & PPE
-
Equipments and Machines PAT Tested
-
Tagging or labelled as defective
-
Other
Emergency Exit Staircase & Door
-
Adequate lighting on staircase
-
No crack and damage to stircse
-
Proper handrail and guards
-
Emergency exit Door is accessible (not locked or obstructed)
Cradle
-
3rd party certificate valid
-
Operators are trained with valid certificate
-
Is cradle check list filled
-
Are all slings ok?
-
Are all operators using PPE
Gas Cylinders
-
Properly located and secured
-
Properly moved and lifted
-
Properly stored
First Aid Kit
-
First aid kit available
-
First aider available
-
Adequate contents inside first aid kit
Material Storage room
-
Properly located
-
Safely piled, stacked , bundled or organized
-
Properly moved or lifted
-
Store room locked or authorized access only
-
Heavy items stored below
-
Chemicals stored as per COSHH standards
-
Properly labelled
Signs
-
Assembly points
-
Site HSE board
-
Emergency phone list
-
Warning signs at site
Workers education & uniform
-
HSE Induction training
-
How to report hazards and injuries (interview)
-
Personal health and safety responsibilities (interview)
-
Employees wearing appropriate uniform
-
Weekly toolbox talk
Hygiene and welfare facilities
-
Washroom facilities Available
-
Cleanliness of facilities
-
Drinking water available
Fire protection
-
Fire extinguishers present where required
-
Fully charged serviced and inspected
-
Fire alarm panel without faults
Signatures
-
HSEQ Officer
-
Site Incharge