Information
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Inspection Number
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Inspection Title
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Date Conducted
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Business Unit / Site
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Address
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Report Prepared by
Checklist Notes And Instructions
Notes
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This checklist is based on the common hazards found in premises and facilities. The questions in the checklist are arranged in sections enabling HSE inspectors to identify risk areas in an efficient manner.
Instructions
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The Inspector shall record the inspection finding for each item in the checklist by marking the corresponding check box as follows:
Safe
At Risk*
Not applicable**
When complete the Inspector shall sign off and date the inspection at the end of the final section.
* Description of any risk area shall be provided. Any checklist criterion marked “At Risk" will require a Corrective Action
** Criteria not observed or not applicable to a specific situation, premises or facility. The inspector's comments shall include the reason(s) that the criteria could not be observed or is considered not applicable.
General
Area
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Floor area (per floor in sq. metres):
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Number of personnel in area:
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Type of premises or facility:
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Type of activities carried out:
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Name of area in charge:
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Comments:
Occupants
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Comments:
1. Premises
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Walls, windows, doors and furniture are in good condition.
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Chairs and desks in good condition.
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Area is clean, tidy and well kept.
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Floors are in good condition with openings and edges protected.
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Passageways and walkways are free of obstructions and hazards such as electrical leads.
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There are special provisions for slip resistance in wet areas.
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Handrails and slip resistance are provided on ramps and stairs.
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Warning and Safety signage are in good condition.
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Stairs, passageways and store rooms are well lit.
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Lighting is adequate.
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Adequate ventilation.
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Temperature is comfortable.
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Area is free from odors.
2. Control of Work in the Premises
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Risk assessments suitable and sufficient for the activities and people in the facility?
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Are work activities adequately planned?
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Adequate supervision available?
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Personnel working in the area aware of the hazards, risks and control measures?
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Work activities by subcontractors controlled?
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Personnel in area including subcontractors and visitors are inducted?
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Daily toolbox talks carried out?
3. Welfare and Sanitation
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Drinking water is available with clean drinking cups.
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Water dispensers are regularly inspected, are clean and in good order.
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Water containers are clean and clearly marked of the contents and are dated.
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Toilet facilities are adequate and reasonably clean.
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Washing facilities are clean and functional.
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Locker rooms and PPE store available well maintained and are in good order.
4. Electrical Safety
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Correct electrical sockets and plugs used?
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Electrical sockets and electrical systems well maintained and used correctly?
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Portable equipment are regularly tested and have current test tags.
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Residual current devices (RCD) are installed at switchboards or fixed into sockets. (It should be clearly marked on socket).
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Portable RCD device is available and has been tested.
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Flexable cord, plugs ad extension leads are in good condition and have either moulded or transparent type plugs.
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Power points are suitable for the location and are positioned safely.
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Power boards are used. (not double adapters).
5. Storage
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Adequate storage available?
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Storage areas labelled and appropriately organized.
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Storage areas have safe access?
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Materials stored or stacked safely.
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Racking securely fixed to the floor or wall.
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Safe working load (SWL) signs displayed on storage racks.
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Outdoor storage is secure from wind hazards?
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Quarantine area available, is appropriately labelled and is of suitable size?
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Sufficient red tags, for quarantined equipment available at point of use?
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Faulty equipment in quarantine area is red tagged?
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Faulty equipment in quarantine area are logged into red tag register?
6. Hazardous Substances
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There is an up to date, easy to find and read list/register of all chemicals used.
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MSDS (not older older than 5 years) are available for workers reference and included in the hazardous substances or chemical register.
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Decanted containers are labeled with name, risk and safety instructions.
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Original containers have the manufacturer's label.
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Chemicals stored according to compatibility and bundled i.e. in flammable or corrosive cabinets.
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Are minimal amounts of corrosives stored, and/or used?
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Only flammables stored in flammable liquid cabinet?
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Are the warning signs on the cabinet legible? (e.g. DG Class 3 diamond, no smoking, no ignition sources).
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Personnel in inspection area are inducted and trained in Chemical Handling and are following applicable SOPs (Safe Operating Procedures).
7. Manual Handling
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Personnel in inspection area are trained in manual handling?
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Proper number of personnel for each manual handling operation?
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Personnel are using the proper lifting techniques?
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Trolleys or mechanical hoists are available and are being considered for heavy items or loads.
8. Lifting
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Colour coding system in place with current colour code displayed at prominent locations?
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Lifting equipment have the current colour code?
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Lifting equipment and accessories have valid certification by a competent 3rd party?
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Chains and slings inspected and tagged as required?
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Chains, slings and lifting accessories are stored correctly?
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Emergency stop button for lifting cranes operable?
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During lifting operations, personnel are away from under suspended load?
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Safe Working Loads (SWL) is clearly indicated on all lifting equipment?
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Forklifts are inspected using check sheets and are free from system and mechanical faults?
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Forklifts have the minimum safety equipment defined in Rapid Solutions procedure?
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Forklift routes are identifiable by signs, signals or markings and where possible segregated from pedestrians?
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Forklift routes are free from obstacles and blind spots, and are on a level, non-slippery surface?
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There is there is adequate clearance for the forklift and load, including overhead obstacles?
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Pallets are in good condition?
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Forklifts and Lifting cranes operators have valid training?
9. Working at Height
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Personnel in inspection area are trained in working at height?
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Correct fall protection identified and used?
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Safety harnesses, lanyards and inertia reels have valid certification?
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Safety harnesses, lanyards and inertia reels are in good condition (i.e. webbing is not damaged, no cracks on inertial reel)?
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Safety harnesses, lanyards and inertia reels are stored correctly?
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Ladders have rating labels indicating the rating based on weight and use?
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Wooden and aluminium ladders are not in use?
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Access ladders and step ladders are in good condition (i.e. no missing feet or not cracked, split or broken rungs)?
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Access ladders are secured to prevent slipping, sliding or falling?
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Ladders used correctly with 3 point contact maintained?
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2nd person holding step ladder during working at height activity?
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Step ladders used in fully open position?
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Ladders and step ladders are stored correctly?
10. Scaffolding
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Guard rails, intermediate rails, toe boards and screens in place?
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Planking is sound and sturdy?
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Tied to structure as required?
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Proper access is provided?
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Employees below are protected from falling objects?
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Scaffolding is erected on a sound and rigid floor?
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Scaffolding is inspected and tagged?
11. Machinery and Plant
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Pressure gauges are calibrated?
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Records are kept of maintenance, alterations and inspections.
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Safe work method statements/warning signs clearly visible?
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Manufacturer's manuals and operator instructions are readily available.
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Inspection records are made and kept in relation to plant.
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Work area is organized for the safety of the mobile plant operator and pedestrians. (Safe walkways on floor?)
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Pre-start safety check of mobile plant is carried out in accordance to Manufactures instructions
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Mobile plant is in good working order. (Seat, lights, steering, controls, horn, tyres, gas cylinder, warning signs, brakes, mast, chains, hoses, counterweight, control labels).
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Emergency stops tested and are working.
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Rotating parts guarded?
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Guarding and fencing arrangements adequate and maintained?
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Operators and maintenance personnel properly trained, familiar with the operation and set up of machinery and able to demonstrate safety features.
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Where fixed guards are provided, they prevent operation of the machinery when open, the guards are prevented from opening while the machinery is in operation.
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Guards protect against hazards to the rear and sides of machinery.
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Pre-operational checks are conducted to ensure safety features are in working order.
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Warning signs and decals clearly visible.
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Where it is not practical to provide guarding and people are required to operate or pass close to dangerous moving parts, a safe system of work in place to reduce risk.
12. Welding and Burning
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Welding is carried out in designated areas away from hazards?
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Are there appropriate warning signs in welding areas?
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Is there adequate ventilation for welding tasks?
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Are ventilation systems working adequately?
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Appropriate fire extinguishers available?
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Hoses in good condition?
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Welding operators provided with the appropriate PPE (I.e. Goggles and shields)?
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Welding screens available, used, maintained and in good condition.
13. Compressed Gas
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Cylinders contents are identified and appropriately secured.
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Cylinders are stored according to dangerous goods class and empty cylinders are separated from full ones.
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Cylinders are stored in appropriate racks away from hazards?
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Gas lines are free of leaks, kinks, wear & tear.
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Compress air system in good condition?
14. Hand and Power Tools
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Hand and power tools in good condition?
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Correct tools used for the task at hand?
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Guards in place on power tools?
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Handmade tools found on premises?
15. Personal Protective Equipment
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Correct PPE identified?
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Appropriate PPE signs visible, correctly located and in good condition, (Inside and outside).
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Signage of PPE requirements displayed on equipment.
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Required PPE available and in good condition.
16. Fire Safety
16.1 Fire Prevention Arrangements
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Combustible materials and flammable liquids and gases are stored safely and are isolated from ignition sources?
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Radiant heaters are fitted with suitable guards and fixed in a position from combustible sources?
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Workplace free from rubbish and combustible waste materials?
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Suitable arrangements are in place for smokers and cigarette ends are discarded in proper bins that are not a fire hazard?
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Hot works are carried out with adequate fire precautions?
16.2 Fire Protection Arrangements
16.2.1 Means of Detection and Warning
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Automatic fire detection system is in place (smoke / heat detectors)?
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Fire detection system is regularly tested with records maintained?
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Call points for raising the alarm in the event of a fire are clearly visible and are available in prominent locations?
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Alarm is audible in all parts of the building?
16.2.2 Means of Escape
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Please refer to section 17 on Emergency management.
16.2.3 Means of fighting a fire
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Sufficient number of and appropriate type of fire extinguishers available at each floor and by each final exit door?
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Portable fire extinguishers are properly located, clearly visible and are mounted (off the floor)?
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Suitable signs placed above all fire extinguishers denoting their type and application?
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Fire extinguishers are inspected within the last 12 months and are tagged?
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Fire Board have the necessary fire fighting equipment (i.e. sand, axe, boat-hook, shovel, bucket, fire blanket)? <br>
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Are fire blankets available at kitchen where applicable?
17. Emergency Management
17.1 Emergency Procedures
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Emergency plans have escape routes, exits and muster point clearly shown?
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Emergency plans and instructions displayed at prominent locations?
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Escape routes and emergency doors are clear from obstructions and storage of combustible materials?
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Emergency doors are clearly marked with appropriate signs and are capable of opening with ease from the inside?
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Where appropriate emergency lighting is available to allow for safe evacuation?
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Adequate number of first aiders and fire wardens assigned?
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Emergency contact numbers of relevant personnel including first aiders and fire wardens displayed at prominent locations?
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First aiders and fire wardens given sufficient training to enable them to perform their duties?
17.2 First Aid and Spill Kits
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Names and contacts of first aiders displayed and are up to date.
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Sufficient number of trained first adders are available.
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There are appropriate first aid and emergency facilities in the near vicinity and workers' are aware of them.
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First aid stations (including eye wash) are clearly signed, stocked and contents are in-date.
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Sufficient number of and appropriate type of spill kits available?
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Spill kits have the right amount of contents (i.e. absorbents, containment dikes, bags to collect and hold spills)?
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Suitable signs placed above spill kits denoting their type and application?
18. Waste Management
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Sufficient was bins and/or waste container?
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Correct labels and colour code for waste bins or waste containers?
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Waste items discarded in correctly waste bins or containers?
19. Other Hazards and Risk Areas
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Hazards and/or Comments:
20. Recommendations and Comments
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Comments
Acceptance and Endorsement
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The findings and corrective actions in this report are understood and confirmed by the person in charge. All necessary actions will be taken by the due date.
QHSE Representative
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Name of QHSE Representative
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Signature
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Date
Person in Charge
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Name of Person in Charge
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Signature
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Date
