HSNO

• Conducted on

  Date

• Prepared by

Certified Handlers

• Are there substances in your area that require certified handler control <br> <br> <br>

  Yes

  No

  N/A

• Number of certified handlers to cover operational hours <br> <br>

  Yes

  No

  N/A

• Designated authority sign off (see training records signed off by Certified Handler in area) <br> <br> <br>

  Yes

  No

  N/A

• Certified handler keys <br> <br>

  Yes

  No

  N/A

• Compound area secured <br> <br>

  Yes

  No

  N/A

• Certified Handler certificates available <br> <br> <br>

  Yes

  No

  N/A

• Certified Handler 1 questions <br>What substances are you approved Handler for <br>Watch your responsibilities in an emergency. <br> <br> <br> <br>

  Yes

  No

  N/A

• Certified Handler 2 questions <br>What substances are you approved Handler for <br>Watch your responsibilities in an emergency.

  Yes

  No

  N/A

Stationary bulk Containers (Pipework section)

• Is the wording current and correct <br>

  Yes

  No

  N/A

• Is the label colour correct <br>

  Yes

  No

  N/A

• Are the directional arrows going the right way <br>

  Yes

  No

  N/A

• Read the labels from a safe distance approximately 10 m <br>

  Yes

  No

  N/A

• Labels on each side of wall penetrations <br>

  Yes

  No

  N/A

• Labels after valves <br>

  Yes

  No

  N/A

• If the pipe is hidden from view. Are labels Visible before it disappears and also were the pipe reappears. <br>

  Yes

  No

  N/A

• Are the labels no more than 8 m apart <br>

  Yes

  No

  N/A

• Are the labels visible from the ground <br>

  Yes

  No

  N/A

• Labels on chemical in-load caps <br>

  Yes

  No

  N/A

Stationary bulk Containers (Tank section)

• Does the signage on the tank match the product in the tank and can it be read from a safe distance

  Yes

  No

  N/A

• Is the tank signage correct including suppliers detail, emergency numbers UN numbers

  Yes

  No

  N/A

• Does the signage require replacing due to damage

  Yes

  No

  N/A

• Does the pictogram require replacing due to damage and are they the correct ones for the vessel

  Yes

  No

  N/A

• Can you read the safe fill level from inload point for tank

  Yes

  No

  N/A

• Does the tank have a current SBC certificate

  Yes

  No

  N/A

• Have PM routs been established and followed

  Yes

  No

  N/A

• Is the tank dossier current

  Yes

  No

  N/A

• Has there been any alterations, including pipework compare physical state to PID drawings

  Yes

  No

  N/A

• Is there safety showers in area (refer to emergency equipment and PPE Section)

  Yes

  No

  N/A

• Is there a PPE shed in the area (refer to emergency equipment and PPE Section)

  Yes

  No

  N/A

• Are there fire extinguishers are satiated with SBC

  Yes

  No

  N/A

Process vessels (Pipework section )

• Is the wording current and correct

  Yes

  No

  N/A

• Is the label colour correct

  Yes

  No

  N/A

• Are the directional arrows going the right way

  Yes

  No

  N/A

• Read the labels from a safe distance approximately 10 m

  Yes

  No

  N/A

• Labels on each side of wall penetrations

  Yes

  No

  N/A

• Labels after valves

  Yes

  No

  N/A

• If the pipe is hidden from view. Are labels Visible before it disappears and also were the pipe reappears.

  Yes

  No

  N/A

• Are the labels no more than 8 m apart

  Yes

  No

  N/A

• Are the labels visible from the ground

  Yes

  No

  N/A

Process vessels (Tank section)

• Does the signage on the tank match the product in the tank and can it be read from a safe distance

  Yes

  No

  N/A

• Does the signage require replacing due to damage

  Yes

  No

  N/A

• Can you read the safe fill level from in-load point for tank

  Yes

  No

  N/A

• Does the tank have a current SBC certificate

  Yes

  No

  N/A

• Have PM routs been established and followed

  Yes

  No

  N/A

• Is the tank dossier current

  Yes

  No

  N/A

• Has there been any alterations, including pipework compare physical state to PID drawings

  Yes

  No

  N/A

• Is there safety showers in area (refer to emergency equipment and PPE Section)

  Yes

  No

  N/A

• Is there a PPE available in the area (refer to emergency equipment and PPE Section)

  Yes

  No

  N/A

Class 2 Flammables Gas section

• Do the quantities in area trigger secure areas 2.1.1A = 100kg perm gas or 100m3 gas non perm <br>2.1.2A *Aerosol* = (3000L aggregate water capacity) <br>

  Yes

  No

  N/A

• Do quantities trigger haz substance location
  Inside quantities may need to be added depending on floor space and sep distance

• 2.1.1A and B = 100m3 gas or 100kg <br>2.1.2A *Aerosol* = (3000L aggregate water capacity) <br>

  Yes

  No

  N/A

• Do quantities trigger, atmosphere drawings & requirements
  Need to check drawings in dossier and maps to ensure they have the right reference for atmosphere zones

• 2.1.1A and B = 30m3 gas or 100kg <br>2.1.2A *Aerosol* = (3000L aggregate water capacity) <br>

  Yes

  No

  N/A

• Do quantities trigger level III plans
  All quantities require level I and level II plans on site
  Level I label information, level II. Safety data sheets

• 2.1.1A = 300kg or 200m3 gas <br>2.1.1B = 1000kg or 600m3 gas <br>2.1.2A(Aerosol) = 3000L aggregate water capacity <br>

  Yes

  No

  N/A

• Do quantities trigger fire extinguishers
  You do not have to add fire extinguishers quantities together
  For example 50L of 3.1A, and 250L of 3.1B is still only 2 extinguishers

• 2.1.1A (50kg or 30m3 gas) = 1 extinguisher <br>2.1.1B (200kg or 120m3 gas) = 2 extinguisher <br>2.1.2A (3000L aggregate water capacity) = 1 extinguisher <br>

  Yes

  No

  N/A

• Are there any incompatible is in storage area Class 1, 3, 4, 5 also check SDS for others *2.1.2 & 2.1.1 incompatible* <br>

  Yes

  No

  N/A

• Are there any ignition sources within atmosphere zones

  Yes

  No

  N/A

• Is area signed correctly (Information correct)

  Yes

  No

  N/A

• Are all labels and signs fit for purpose

  Yes

  No

  N/A

• Does the area match with chemical list if inside building check sq-foot area and how much is stored there <br>

  Yes

  No

  N/A

• If there are new chemicals in the area check A7 process

  Yes

  No

  N/A

Class 3 Flammables Liquids

• Do the quantities in area trigger secure areas

• 3.1A = 100 L (Petrol) *other 3.1A check HSNO Approval Any amount*

  Yes

  No

  N/A

• 3.1B = 250 in > 5L containers

  Yes

  No

  N/A

• 3.1B = 500 in < 5L containers

  Yes

  No

  N/A

• Do quantities trigger, atmosphere drawings & requirements Trigger for atmosphere zones 3.1A, 3.1B, 3.1C <br>100 L Closed <br>25L Decanting <br>5L open occasionally <br>1L open container for continuous use <br> <br>

  Yes

  No

  N/A

• There should be no more than 3 Flammable cabinets inside a building

  Yes

  No

  N/A

• Do quantities to trigger hazardous substance location. Inside a building quantities may need to be added together depending on floor space and separation distance

• 3.1A = 50L (Petrol) *other 3.1A 20Land check HSNO approval*

  Yes

  No

  N/A

• 3.1B in > 5L containers = 100L Closed containers or 50L use occurring

  Yes

  No

  N/A

• 3.1B in < 5L containers = 250L Closed containers or 50L use occurring

  Yes

  No

  N/A

• 3.1C in > 5L containers = 500L Closed containers or 250L use occuring

  Yes

  No

  N/A

• 3.1C in < 5L containers = 1500L Closed containers or 250L use occuring

  Yes

  No

  N/A

• Do quantities trigger level III plans
  All quantities require level I and level II plans on site
  Level I label information, level II. Safety data sheets
  

• Level III plans triggers <br>3.1A 100L <br>3.1B 1000L <br>

  Yes

  No

  N/A

• Do quantities trigger fire extinguishers
  You do not have to add fire extinguishers quantities together
  For example 50L of 3.1A, and 250L of 3.1B is still only 2 extinguishers

• 3.1A 50L = 1 extinguisher and 200L = 2 extinguishers <br>3.1B 250L = 2 extinguisher <br>3.1C & 3.1D 500L = 2 extinguisher <br>

  Yes

  No

  N/A

• Are there any incompatibles in the storage area Class 1, 2, 3.2, 4, 5 check SDS for others

  Yes

  No

  N/A

• Are there any ignition sources within atmosphere zones

  Yes

  No

  N/A

• Is area signed correctly (Information correct)

  Yes

  No

  N/A

• Are all labels and signs fit for purpose

  Yes

  No

  N/A

• Does the area match with chemical list (if inside building check sq-foot area and how much is store there) If there are new chemicals in the area check A7 process

  Yes

  No

  N/A

• If there are new chemicals in the area check A7 process <br>

  Yes

  No

  N/A

Class 5 Oxidiser section

• Do the quantities need to be secure when unattended

  Yes

  No

  N/A

• 5.1.1A = any amount

  Yes

  No

  N/A

• 5.1.1B = 500kg or 500L

  Yes

  No

  N/A

• 5.1.1C = 1000kg or 1000L

  Yes

  No

  N/A

• 5.1.2A = 250kg or 200m3 Example of 5.1.2A would be oxygen cylinders

  Yes

  No

  N/A

• Do quantities trigger control zone separation *incompatible*

• 5.1.1A = 0 to 1000kg or litres = 5m

  Yes

  No

  N/A

• 5.1.1A = 1000kg or litres to 10000kg or litres = 8m

  Yes

  No

  N/A

• 5.1.1A = 10000kg or litres and over = 10m

  Yes

  No

  N/A

• 5.1.1B = 0 to 1000kg or litres = 3m

  Yes

  No

  N/A

• 5.1.1B = 1000kg or litres to 10000kg or litres = 5m

  Yes

  No

  N/A

• 5.1.1B = 10000kg or litres and over = 8m

  Yes

  No

  N/A

• 5.1.1C = 1000kg or litres to 10000kg or litres = 3m

  Yes

  No

  N/A

• 5.1.1C = 10000kg or litres and over = 5m

  Yes

  No

  N/A

• 5.1.2A = 250kg or 200m3 = 3m

  Yes

  No

  N/A

• 5.1.2A = more than 250kg or 200m3 = 5m

  Yes

  No

  N/A

• Trigger points for hazardous substance location
  Storage is not opened and not going to be opened in that area. In use is has been opened or is going to be opened to be used

• 5.1.1A = 50kg or 50L in storage and 5kg or 5L in use

  Yes

  No

  N/A

• 5.1.1B = 500kg or 500L in storage and 50kg or 50L in use

  Yes

  No

  N/A

• 5.1.1C = 1000kg or 1000L in storage and 100kg or 100L in use

  Yes

  No

  N/A

• Separation distance ignition sources & other hazardous substances 5.1.1A, 5.1.1B & 5.1.1C = 5m closed & 8m open or in use
  5.1.2A = 3m closed & 5m open or in use
  

• 5.1.2A= 100kg or 200m3 in storage and 50kg or 50m3 in use

  Yes

  No

  N/A

IBC compound

• Are compounds secured

  Yes

  No

  N/A

• Is pipework label correctly to AS1345

  Yes

  No

  N/A

• Maintenance replacement program for flexible piping

  Yes

  No

  N/A

• Are the bays labelled correctly

  Yes

  No

  N/A

• Are the IBC's labels still fit the purpose

  Yes

  No

  N/A

• Is the PPE shed in the area (refer to PPE, check sheet ) Are the safety showers in the area (Refer to safety shower, check sheet)

  Yes

  No

  N/A

• Are there for flammable storage sheds in the area (Refer to flammable check sheet)

  Yes

  No

  N/A

• Are the containers Bunded correctly

  Yes

  No

  N/A

• Are the chemicals in the area on the chemical register

  Yes

  No

  N/A

• Are IBCs or drums secured in or on bund

  Yes

  No

  N/A

• Are spill kits available and does it match site Spill kit map

  Yes

  No

  N/A

• Are the SDS available in area and are they current

  Yes

  No

  N/A

Safety Shower and eye wash stations

• Have the daily/weekly, monthly checks being completed

  Yes

  No

  N/A

• Is the signage in place and in good condition

  Yes

  No

  N/A

• Are the units clean and in good working order

  Yes

  No

  N/A

• Is backflow prevention required and has it been checked

  Yes

  No

  N/A

• Is the safety shower within 10 seconds of hazard

  Yes

  No

  N/A

• Yearly flow test completed and verified to ANSI Z358.1 2009

  Yes

  No

  N/A

• Safety shower pipework labelled to AS1345

  Yes

  No

  N/A

• Physically test eyewash units and showerheads for flow and check water for visual signs of contamination If portable eyewash units check dates

  Yes

  No

  N/A

PPE

• Is there a PPE shed associated with the area

  Yes

  No

  N/A

• Check that the audits had been completed of the PPE shed

  Yes

  No

  N/A

• Carry out a audit of PPE equipment as per audit sheet

  Yes

  No

  N/A

• Check equipment is in good condition, clean and tidy

  Yes

  No

  N/A

• Signage on the shed in good order and appropriate

  Yes

  No

  N/A

• Safety data sheets compliant

  Yes

  No

  N/A

• Other areas with no PPE shed checks

  Yes

  No

  N/A

• Is there a PPE assessment process and is that been followed

  Yes

  No

  N/A

• Is the PPE in good order *Carry out visual check*

  Yes

  No

  N/A

• Is there a regular check on PPE equipment

  Yes

  No

  N/A

• Is the any specialised PPE requiring certification

  Yes

  No

  N/A

Flammable cupboards or cabinets

• Need to use the appropriate flammable check sheet

  Yes

  No

  N/A

• Are cupboards and cabinets in good condition

  Yes

  No

  N/A

• Signage is appropriate for contents

  Yes

  No

  N/A

• Check chemical register and contents

  Yes

  No

  N/A

• Check for incompatible substances or classes

  Yes

  No

  N/A

• Check dossier drawings and maps

  Yes

  No

  N/A

• Does quantity inside match cabinet compatibility

  Yes

  No

  N/A

Chlorine UN1017

• Use Certified handler check sheet (any amount)

  Yes

  No

  N/A

• Location test certificate

  Yes

  No

  N/A

• Tracking is treated at any amount check documents

  Yes

  No

  N/A

• Check specialise PPE equipment

  Yes

  No

  N/A

• Escape Hoods

  Yes

  No

  N/A

• Check SOP for changing cylinders

  Yes

  No

  N/A

• Check signage

  Yes

  No

  N/A

• Check emergency information and safety data sheets

  Yes

  No

  N/A

• There should also be checked around equipment used

  Yes

  No

  N/A

• 1 A person in charge of a class 6, 8.2, 8.3, or 9 substance must ensure that equipment used to handle the substance—

  Yes

  No

  N/A

• (a) retains the substance, without leakage, at all of the temperatures and pressures that it is used in; and

  Yes

  No

  N/A

• (b) dispenses or applies the substance, without leakage, at a rate and in a manner that the equipment is designed for.

  Yes

  No

  N/A

• 2The equipment must be accompanied by documentation containing information about the use and maintenance of the equipment to enable the equipment to be used and maintained in a manner that complies with subclause (1).

  Yes

  No

  N/A

Lab and can cupboards

• Is the lab and exempt lab?

  Yes

  No

  N/A

• Check dossier and drawings for fume cupboards

  Yes

  No

  N/A

• Are fume cupboard certified

  Yes

  No

  N/A

• Check quantities of substances inside fume cupboard

  Yes

  No

  N/A

• All storage areas identified and labelled accordingly

  Yes

  No

  N/A

• Check quantities and storage area against chemical register

  Yes

  No

  N/A

• Any specialised PPE required

  Yes

  No

  N/A

• Our staff trained in specialised PPE requirements

  Yes

  No

  N/A

• If flammable cabinets are in the area check quantities

  Yes

  No

  N/A

• Safety shower eyewash equipment in area

  Yes

  No

  N/A

• Are spill trays/drip trays in use where appropriate

  Yes

  No

  N/A

• All signage appropriate for area and in good order

  Yes

  No

  N/A

• Check how small quantities of flammables are stored in relationship to ignition sources (for example is there a designated area and how is it identified

Inventory

• Does the Site /Plant /area have an inventory of all Hazardous substances

  Yes

  No

  N/A

• Has it been reviewed in the last 12mths

  Yes

  No

  N/A

• Does it include hazardous waste

  Yes

  No

  N/A