HSE Representative monthly premise inspection

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

2.2 Lighting

• Is the lighting sufficient? <br>Are any lights cracked or dirty?<br>Sample of lights out %

  Yes

  No

  N/A

2.3 Plant hygiene facilities

• Toilets, wash facilities, crib rooms, food prep areas.<br>Are they clean, adequate, equipment well maintained - microwave, ice machine etc?

  Yes

  No

  N/A

2.4 aisles/storage demarcation

• Floors demarcated and clear for fire equipment?<br>Floor clean, free from obstruction and slip hazards?

  Yes

  No

  N/A

2.5 stacking and storage

• Same stacking area for safe storage<br>heavy items correctly stored?<br>Hydrocarbon and chemical stored within an appropriate bund or chemical cupboard

  Yes

  No

  N/A

2.6 waste removal system

• Sufficient bins and lids?<br>Is waste being segregated?<br>Are bins adequately labelled?<br>Are bins regularly emptied?

  Yes

  No

  N/A

Plant, pipelines and control lights

• Color coding on labels and lights<br>is there evidence of pipes leaking, including gas and air lines?<br>Drains free from sediment and blockages?

  Yes

  No

  N/A

3.1 Machine guarding

• Tool rests are set correctly on bench grinder?<br>Electrical cabinets locked?<br>Guards on rotating equipment?<br>Gen sets and portable machines out the workshop are on spill trays or bunds<br>conveyors have sufficient guarding in place and secure

  Yes

  No

  N/A

3.2 tag/lockout system/usage

• Equipment correctly tagged if out of service?<br>Isolations on work in area are correct?

  Yes

  No

  N/A

3.3 labeling of switches, isolators and valves

• Sample equipment in area for correct labels - electrical switches, ball valves etc

  Yes

  No

  N/A

3.4 ladders, stairs and scaffolds

• Are ladders/handrails in good condition, kick boards, rails etc.<br>Scaffold tagged ?<br>Sample equipment for quarterly inspection tags?

  Yes

  No

  N/A

3.5 lifting gear

• Sample safety harnesses at the workshop for inspection tags and condition<br>sample lifting gear for inspection tags and condition

  Yes

  No

  N/A

3.6 compressed gases

• Same oxy/acetylene equipment for quarterly inspection tags and condition<br>cylinders correctly stored/chained

  Yes

  No

  N/A

3.8 mobile equipment - operation and competency

• Sample daily checks in area, all available equipment, LV and HV <br>condition of vehicles including first aid kit and spill kits

  Yes

  No

  N/A

3.10/15 electrical equipment

• Sample condition of electrical appliances and for test tags<br>electrical switches intact<br>switches, isolators and valves marked<br>welders have VRDs fitted

  Yes

  No

  N/A

3.16 hand and dangerous tools

• Sample tools found in area for condition and suitability<br>compressed air lines and tools have couplings connection with hose clips

  Yes

  No

  N/A

3.18 confined spaces

• Spaces clearly labelled, signs ok?<br>Areas not signposted with possible confined space risks

  Yes

  No

  N/A

3.21 notices and signs

• Signs to standard<br>PPE requirements sign, hazard and warning signs visible<br>suitability of signs. Does it work? Too many, too few?<br>Have signs faded<br>

  Yes

  No

  N/A

3.23-3.31 PPE

• Are hand, hearing and eye protection readily available? Restock if required.<br>Lens cleaning station stocked<br>

  Yes

  No

  N/A

4.1 emergency planning

• Emergency plans displayed or required <br>are names of fire wardens, HSE reps and emergency numbers displayed<br>are muster points clear and accessible

  Yes

  No

  N/A

4.2 first aid facilities

• Are first aid kits available?<br>Access to box clear and easily accessible?<br>Contents checked and restocked if required?<br>Defibrilators - green light tick present<br>oxygen cylinders >3/4 full<br>

  Yes

  No

  N/A

4.4 fire fighting equipment

• Randomly sample equipment in the area<br>extinguishers clearly labelled<br>inspection tags current<br>list those checked

  Yes

  No

  N/A

• Identifications and access<br><br>Extinguishers and hydrants clear from obstructions <br>plastic protective bags fitted?<br>Flooring and walls color coded with red and white stripes to display fire extinguisher location

  Yes

  No

  N/A

5.5 hazardous substances/chemicals (including hydrocarbons)

• Hazardous lockers - are containers in good condition, doors self closing, chemicals stored correctly, labelled correctly<br>storage area free from spills and leaks<br>no unmarked containers<br>no pollution or spills<br>MSDS available at storage location<br><br>

  Yes

  No

  N/A

• Flush safety showers for 30 secs<br>check temperature, color of water and water pressure

  Yes

  No

  N/A