Title Page
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Department
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Month
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Date
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Prepared By
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Location
Fire Safety
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Fire Extinguishers/Alarms/Hose reels are not obstructed and demarcated
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Fire Extinguisher are checked and report up to date
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Photo of Fire Fighters Updated (Department)
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Fire Register Marked Daily (including managers)
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Exits/ pathway are open and not obstructed
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Running man stickers / exit directions adequate and not damaged
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All emergency equipment are demarcated
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Exit Board are lighting and Exit boards available
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At least two team members nominated as Fire Fighters/ Shift
First Aid
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First Aid Box available
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First Aid demarcation, signage and notice available
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At least two team members nominated as First Aiders/ Shift , Photos available
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First Aid Checklists updated
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Contents of First Aid Box displayed
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First Aid box completely filled
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No evidence of Expired Medicine
Personal Protective Equipment
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All employees are wearing relevant PPE
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Employee wear PPEs properly
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All PPEs are stored properly and required storage available
Electrical Safety
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Flexible cords and cables free of splices, frayed wiring or deteriorated insulation
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Electrical enclosures (i.e. switches, receptacles, junction boxes, etc.) are provided with tight fitting covers or plates
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Flexible cords are not arranged in a way which can result in tripping
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No extension cords used
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No cartons/ fabric stacked along plug points and panels
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Adequate signage of electrical hazards
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Rubber carpets available under electrical panels
Fall Protection
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Cartons stacked at max 6ft
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Cartons stacked in safe manner
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Provided ladders are safe to use
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All racks are floor mounted and secured
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All racks are visible with maximum load
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All mezzanine floors are visible with maximum load and signage / Handrailing / Toe Guard
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Helmets available and used when required
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All staircases are safe to use
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No sharp edges present
Machine Safety
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All Machine have adequate guarding
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All machine guards being used
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Required signages are displayed
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All employees trained on machine safety
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Machine handovering inspection has conducted (update)
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All stand machines are floor mounted
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All hoisting and lifting machines are safe to use and operators are trained (Fork Lift competency license)
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All machines safe to operate
Employee Awareness
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Employee aware of what to do during a fire
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Employee aware of operating emergency doors
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Employee aware of the ESH committee Member
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Employee aware of the nearest Fire alarm/ call point
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Employee aware of the fire fighters and first aiders
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Employee aware of the near-miss and incident reporting mechanism
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Employee aware of the machinery safety, work environment safety
Chemical Safety
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All chemicals are labelled with HMIS Tags and label
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Secondary container available with capacity marked
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Secondary container is clean and free from chemical residue
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Chemical inventory is maintained and updated and MSDS available
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Spill Kits filled and instruction displayed with checklist
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Chemical store in proper place
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Emergency eye washer available (No obstruct / Signage / Clean / Check List update)
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No eating drinking and Smoking board displayed
Other
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All new employees gone through Safety Training before getting assigned any job
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At least one Near Miss reported from the department
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At least one safety kaizen reported from the department
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Department Manager / representative conduct a monthly departmental audit
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Department manager participate to the weekly GEMBA walk and closed 5 Non-conformity - monthly
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No work hours violation - Weekly 60Hours/ Daily 12 Hours ( Female) / Monthly overtime - 60 Hours ( Female)
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Department team members participates ESH committee meeting
Additional Details
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General Comments/Recommendations
Completion
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Completed By : (Name & Signature)