HSE Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Site Access

• Access is clean , level Ground

  Yes

  No

  N/A

• Adequate stairs and Ramps

  Yes

  No

  N/A

Housekeeping

• Clear walkways

  Yes

  No

  N/A

• Clear work areas

  Yes

  No

  N/A

• Yes

  No

  N/A

• Clear emergency exit staircase

  Yes

  No

  N/A

Personal protective equipment (PPE)

• Head protection

  Yes

  No

  N/A

• Foot protection

  Yes

  No

  N/A

• Eye protection

  Yes

  No

  N/A

• Hearing protection

  Yes

  No

  N/A

• Respiratory protection

  Yes

  No

  N/A

• Safety belt / safety harness

  Yes

  No

  N/A

Ladders

• Secured

  Yes

  No

  N/A

• Proper size and type

  Yes

  No

  N/A

• Safe / usable condition

  Yes

  No

  N/A

• Non slip bases

  Yes

  No

  N/A

• Proper handrails and landing<br>

  Yes

  No

  N/A

Scaffolds

• Properly erected (all parts used)

  Yes

  No

  N/A

• Properly secured

  Yes

  No

  N/A

• Properly planked

  Yes

  No

  N/A

• Proper guard rails and toe boards

  Yes

  No

  N/A

• Proper ladder access to platform

  Yes

  No

  N/A

Power tools, Equipments

• General condition

  Yes

  No

  N/A

• Proper guards, cords, PPE

  Yes

  No

  N/A

• Tagging or labelled as defective

  Yes

  No

  N/A

Staircase

• No crack/damage to staircase

  Yes

  No

  N/A

• Adequate lighting on staircase

  Yes

  No

  N/A

• Proper handrails or guardrails

  Yes

  No

  N/A

Cradle

• 3rd party certificate

  Yes

  No

  N/A

• Operators are trained

  Yes

  No

  N/A

• Is cradle check list filled

  Yes

  No

  N/A

• Are all slings ok

  Yes

  No

  N/A

• Are all operators using PPE

  Yes

  No

  N/A

Gas cylinders

• Properly located and secured

  Yes

  No

  N/A

• Properly moved or lifted

  Yes

  No

  N/A

• Properly stored

  Yes

  No

  N/A

First aid requirements

• First aider available on site

  Yes

  No

  N/A

• First aid kit available

  Yes

  No

  N/A

• Adequate contents inside first aid kit

  Yes

  No

  N/A

Material Storage

• Properly located

  Yes

  No

  N/A

• Safely piled, stacked, bundled

  Yes

  No

  N/A

• Properly moved or lifted

  Yes

  No

  N/A

• Properly labelled

  Yes

  No

  N/A

Signs

• Assembly points

  Yes

  No

  N/A

• Site HSE board

  Yes

  No

  N/A

• Emergency phone list

  Yes

  No

  N/A

• Warning signs at site

  Yes

  No

  N/A

Worker education

• HSE Induction Training

  Yes

  No

  N/A

• How to report hazards and injuries interview)

  Yes

  No

  N/A

• Personal Health and safety responsibilities (interview)

  Yes

  No

  N/A

• Weekly toolbox talk

  Yes

  No

  N/A

Hygiene and Welfare facilities

• Washroom facilities available

  Yes

  No

  N/A

• Cleanliness of facilities

  Yes

  No

  N/A

• Drinking water available

  Yes

  No

  N/A

Fire protection

• Fire extinguishers present where required

  Yes

  No

  N/A

• Fully charged, serviced and inspected

  Yes

  No

  N/A

• Fire alarm panel showing faults

  Yes

  No

  N/A

• HSE Officer

  Sign

• Site In-Charge

  Sign