HSI - 3.3.12 MTR Inspection by DNV-GL

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

The following questions apply to DNV GL inspections

• A1- Have all actions from over 2 months ago been actioned?

  Yes

  No

  N/A

• A2- Have all actions from 2 months ago been actioned?

  Yes

  No

  N/A

• A3 - Have all actions from 1 month ago been actioned?

  Yes

  No

  N/A

• 1a - Are access ways free from slip, trip, fall hazards?

  Yes

  No

  N/A

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• 1b - Are access ways clearly marked?

  Yes

  No

  N/A

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• 1c - Are floor openings suitably covered, secured and with clear signage or fenced off?

  Yes

  No

  N/A

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• 1d - Are sufficient rubbish bins provided and being used?

  Yes

  No

  N/A

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• 1e - Is site tidiness condition acceptable?

  Yes

  No

  N/A

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• 1f - Is material stacking and storage acceptable?

  Yes

  No

  N/A

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• 2a - Are sufficient fire extinguishers / hoses provided and in working order?

  Yes

  No

  N/A

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• 2b - Are muster points clearly marked and sufficient in size?

  Yes

  No

  N/A

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• 2c - Are evacuation routes clearly marked?

  Yes

  No

  N/A

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• 2d - Are the means of raising fire alarm clearly posted and working effectively?

  Yes

  No

  N/A

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• 2e - Is emergency lighting sufficient and working effectively?

  Yes

  No

  N/A

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• 3a - Is a permit to enter in place?

  Yes

  No

  N/A

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• 3b - Have possible sources of hazardous material or gas been isolated to prevent their entry into the confined space?

  Yes

  No

  N/A

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• 3c - Has a suitable atmospheric check been conducted?

  Yes

  No

  N/A

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• 3d - Is ventilation adequate?

  Yes

  No

  N/A

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• 3e - Is there an adequate communication procedure between those inside and outside the confined space?

  Yes

  No

  N/A

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• 3f - Is an adequate evacuation procedure in place?

  Yes

  No

  N/A

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• 3g - Is rescue equipment available and ready to use?

  Yes

  No

  N/A

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• 4a - Are openings through which a person could fall adequately guarded?

  Yes

  No

  N/A

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• 4b - Is the open side of stair case provided with substantial hand rail?

  Yes

  No

  N/A

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• 4c - Are fall prevention measures as detailed in safety plan/method statement and (if applicable) permit to work at height?

  Yes

  No

  N/A

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• 4d - Is a fall arrest system used to prevent falls fit for purpose?

  Yes

  No

  N/A

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• 4e - Are anchor points for clipping lanyard clearly marked and tested?

  Yes

  No

  N/A

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• 4f - Is it clear that ladders may only be used for access and not for working on?

  Yes

  No

  N/A

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• 4g - Are ladders of suitable material, adequate strength and secured to prevent undue movement?

  Yes

  No

  N/A

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• 4h - Is scaffold constructed in accordance to the design?

  Yes

  No

  N/A

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• 4i - Is scaffold form 5 indicating condition in order and signed by CP & in date?

  Yes

  No

  N/A

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• 4j - Are arrangements in place to prevent material falling from height?

  Yes

  No

  N/A

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• 4k - Does the Scaffold conform to CSSR – schedule III?

  Yes

  No

  N/A

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• 5a - Is there a lifting plan?

  Yes

  No

  N/A

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• 5b - Is lifting gear suitably colour coded?

  Yes

  No

  N/A

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• 5c - Are staff involved in lifting operations competent and authorised?

  Yes

  No

  N/A

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• 5d - Can it be demonstrated that the rigger checks for visible defects (such as deformation, cracks and broken strands) in lifting gear before each use?

  Yes

  No

  N/A

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• 5e - Are tag lines used?

  Yes

  No

  N/A

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• 5f - Are persons not involved in the lift kept at a safe distance?

  Yes

  No

  N/A

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• 5g - Has the path and final resting place of load been checked to ensure safety?

  Yes

  No

  N/A

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• 6a - Are electrical boxes locked to prevent access?

  Yes

  No

  N/A

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• 6b - Are electrical cables secured in such a way as to prevent damage?

  Yes

  No

  N/A

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• 6c - Is the general condition of electrical equipment good?

  Yes

  No

  N/A

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• 6d - Is the electrical distribution system safe and conforming to MTR standards?

  Yes

  No

  N/A

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• 6e - Is the person responsible for electrical distribution clearly identified and contact number?

  Yes

  No

  N/A

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• 6f - Are there sufficient 110V socket outlets available?

  Yes

  No

  N/A

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• 7a - Is plant adequately fenced off to prevent unauthorized access?

  Yes

  No

  N/A

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• 7b - Are emergency stop switches provided to electrical motors?

  Yes

  No

  N/A

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• 7c - Do signs adequately warn pedestrians not to enter plant operating areas?

  Yes

  No

  N/A

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• 7d - Is the plant operator competent?

  Yes

  No

  N/A

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• 7e - Is plant registered with a distinct number?

  Yes

  No

  N/A

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• 8a - Is a “permit to dig” system in place?

  Yes

  No

  N/A

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• 8b - Are under-ground utilities adequately identified?

  Yes

  No

  N/A

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• 8c - Do drawings indicate the location of underground utility services?

  Yes

  No

  N/A

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• 8d - Is the CP in attendance at ALL times during hand excavation – until discovery?

  Yes

  No

  N/A

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• 8e - Is adequate support provided to excavations deeper than 1.2m?

  Yes

  No

  N/A

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• 8f - Is adequate access / egress provided to excavations?

  Yes

  No

  N/A

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• 8g - Are barriers in place to prevent falls of people and plant?

  Yes

  No

  N/A

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• 8h - Are suitable and sufficient warning signs displayed?

  Yes

  No

  N/A

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• 8i - Has a form 4 been signed by a CP and is it in date?

  Yes

  No

  N/A

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• 9a - Is an approved method statement available at site?

  Yes

  No

  N/A

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• 9b - Is falsework compliant with method statement requirements?

  Yes

  No

  N/A

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• 9c - Has timber used in falsework been stress graded?

  Yes

  No

  N/A

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• 9d - Do adjustable struts or props comply with BS4074?

  Yes

  No

  N/A

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• 9e - Is the foundation protected against flooding or wash out by heavy rain?

  Yes

  No

  N/A

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• 9f - Is an effective permit-to-load & permit-to-unload system operating?

  Yes

  No

  N/A

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• 10a - Is adequate supervision available at site?

  Yes

  No

  N/A

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• 10b - Have workers been provided with a relevant pre-start safety briefing?

  Yes

  No

  N/A

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• 10c - Are workers wearing the PPE provided for their work and working environment?

  Yes

  No

  N/A

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• 10d - Are supervisors aware of the requirements of the relevant method statement?

  Yes

  No

  N/A

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• 11a - If a LOTO system is required, are affected workers aware of the LOTO system?

  Yes

  No

  N/A

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• 11b - Can workers identify all hazardous energy sources on the equipment concerned?

  Yes

  No

  N/A

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• 11c - Is the lock suitable and sufficient and is the controller’s name identified?

  Yes

  No

  N/A

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• 12a - Are electrical hand tools limited to 110V?

  Yes

  No

  N/A

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• 12b - Are portable lights limited to 110V?

  Yes

  No

  N/A

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• 12c - Are electrical tools identifiable by a number?

  Yes

  No

  N/A

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• 12d - Are electrical tools registered?

  Yes

  No

  N/A

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• 12e - Do records show issue & inspection dates?

  Yes

  No

  N/A

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• 12f - Are guards on fans in good condition and adequate to prevent finger injury?

  Yes

  No

  N/A

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• 13a - Is a boat and boatman nearby if there is a risk of falling into the sea?

  Yes

  No

  N/A

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• 13b - Are sufficient life buoys and recovery lines in place?

  Yes

  No

  N/A

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• 13c - Has a rescue plan been developed and tested?

  Yes

  No

  N/A

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• 13d - Do workers at risk of falling into water wear life vests?

  Yes

  No

  N/A

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• 13e - Are other water hazards covered by netting to protect against drowning?

  Yes

  No

  N/A

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• 14a - Are fire extinguishers, hose reals and first aid boxes spaced at every 100m?

  Yes

  No

  N/A

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• 14b - Are emergency phones spaced at every 60m?

  Yes

  No

  N/A

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• 14c - Is there suitable segregation of pedestrians from vehicles and plant?

  Yes

  No

  N/A

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• 14d - Is sufficient drinking water provided with cups?

  Yes

  No

  N/A

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• 14e - Are sufficient rescue respirators provided and readily accessible?

  Yes

  No

  N/A

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• 14f - Are walkways provided for pedestrians to within 100m of work face?

  Yes

  No

  N/A

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• 14g - Is there strict control of smoking and fire hazards to prevent fire in tunnel?

  Yes

  No

  N/A

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• 14h - Are vehicles and plant in the tunnel maintained to MTR standard?

  Yes

  No

  N/A

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• 15a - Have MTR requirements for working near railways been implemented?

  Yes

  No

  N/A

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• 15b - Is the person in charge suitably trained and qualified to MTR requirements?

  Yes

  No

  N/A

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• 15c - Are barriers and signs in place to warn of the danger of works near railways?

  Yes

  No

  N/A

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• 15d - Is the “Contractor’s CP (Track)”on site at all times?

  Yes

  No

  N/A

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• 15e - Is the “Contractor’s CP (non-track)” on site at all times?

  Yes

  No

  N/A

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• 16a - Are members of the public suitably warned of dangers at site entrances?

  Yes

  No

  N/A

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• 16b - Are members of the public protected from falling material? Netting – fans etc.

  Yes

  No

  N/A

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• 16c - Are members of the public protected from vehicles entering and leaving site?

  Yes

  No

  N/A

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• 16d - Are members of the public adequately protected by hoarding, lights, paths etc.?

  Yes

  No

  N/A

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• 17a - Are workers adequately protected from being struck by vehicles?

  Yes

  No

  N/A

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• 17b - Are sufficient banksmen used to ensure safe crossing of roads?

  Yes

  No

  N/A

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• 17c - Is entry / exit of vehicles adequately controlled?

  Yes

  No

  N/A

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• 18a - Are CPs for Supervision and PIC of air supply on site during Compressed Air work?

  Yes

  No

  N/A

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• Note : Refer to Cap 59M Regulation 5 and 6 (3) (b)

• 18b - Are there sufficient “Man lock attendants” on site?

  Yes

  No

  N/A

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• Note : according to Regulation 10, minimum 3 lock attendants are required

• 18c - Do workers receive medical examinations as required?

  Yes

  No

  N/A

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• 18d - Do workers who have been working in compressed air wear their “Labels”?

  Yes

  No

  N/A

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• 19a - Are hot-work permit conditions complied with?

  Yes

  No

  N/A

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• 19b - If required, is a “stand-by” person in attendance as specified?

  Yes

  No

  N/A

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• 19c - Are adequate precautions in place, such as welding screens, fire extinguishers?

  Yes

  No

  N/A

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• 19d - Are barriers and/or warning signs erected to prevent persons coming in contact with hot surfaces?

  Yes

  No

  N/A

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• 20a - Are arrangements (e.g. warning signs, barriers, look-out man) in place to ensure high risk erection / dismantling is controlled?

  Yes

  No

  N/A

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• 20b - Are erection / dismantling procedures displayed at point of use?

  Yes

  No

  N/A

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• 20c - Is it clear that erection / dismantling must be under control of authorised person?

  Yes

  No

  N/A

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• 20d - Is transportation, loading and unloading suitably controlled and supervised?

  Yes

  No

  N/A

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• 20e - Is there a suitable method statement and risk assessment for this work and is it complied with?

  Yes

  No

  N/A

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• 21a - Are hazards, risks and precautions identified and documentation available at site?

  Yes

  No

  N/A

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• 21b - Have those persons at risk been adequately briefed as to risks and precautions?

  Yes

  No

  N/A

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• 21c - Is specialist PPE and equipment available and used as required?

  Yes

  No

  N/A

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• 21d - Are other required precautions in place and complied with?

  Yes

  No

  N/A

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• 22a - Guarding of machinery – Are hazards identified and is guarding checked?

  Yes

  No

  N/A

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• 22b - Permit-to-move / Permit-to-operate – are hazards known and controlled?

  Yes

  No

  N/A

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• 22c - Speed limits – established and enforced?

  Yes

  No

  N/A

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• 22d - Does the ASLI work correctly? Is it checked weekly?

  Yes

  No

  N/A

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• 22e - Are lifting hooks fitted with a safety latch?

  Yes

  No

  N/A

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• 22f - Are safety “anti-collision” devices fitted when 2 or more tower cranes are close together?

  Yes

  No

  N/A

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• 23a - Has a “Hot weather” assessment been conducted?

  Yes

  No

  N/A

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• 23b - Have the recommended controls been implemented?

  Yes

  No

  N/A

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• 23c - Are workers informed of MTR hot weather requirements?

  Yes

  No

  N/A

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• 24a - Have Manual Handling hazards been identified?

  Yes

  No

  N/A

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• 24b - Are the weights of all items over 15kg displayed?

  Yes

  No

  N/A

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• 24c - Are Manual Handling “aids” provided and used effectively?

  Yes

  No

  N/A

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• 24d - Are items requiring “team lift” or “Do NOT lift by hand” clearly identified?

  Yes

  No

  N/A

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• a - Is a suitable method statement available for each task with significant risk?

  Yes

  No

  N/A

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• b - Is a copy of an approved method statement, readily available for supervisors and engineers responsible for the works?

  Yes

  No

  N/A

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• c - Is there evidence that the method statement has been briefed to supervisors, engineers and workers assigned to the works?

  Yes

  No

  N/A

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• d - Are the works being conducted in accordance with the method statement stipulated controls?

  Yes

  No

  N/A

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Closure

• All actions on this report have been completed on:

  Date

Sign off

• I confirm I have had the contents of this audit report explained to me.

• Project Manager

  Sign

• Person conducting this Audit.

  Sign

• Audit concluded at:

  Date

Corrective Actions

Audit Risk Level

• Risk rating for this Audit.

  Red

  Amber

  Green

Summary

Other