Metso India - Site Safety Assessment Program

• Site

• Regional Manager Name

• Site Engineer Name

• Date

  Date

• Prepared by

• Location
  Address

PART A - General

• 1. HSE policy displayed at site

  Yes

  No

  N/A

• 2. Emergency contact number displayed at site

  Yes

  No

  N/A

• 3. Assembly point

  Yes

  No

  N/A

• 4. Toolbox talk records available at site

  Yes

  No

  N/A

• 5. Visitor Safety induction record

  Yes

  No

  N/A

• 6. Availability of fire extinguisher at site

  Yes

  No

  N/A

• 7. Availability of first aid box at site

  Yes

  No

  N/A

PART B - Minimum Standards

• 1. Implemented LOTO (Lockout & tagout) at site

  Yes

  No

  N/A

• 2. Working at height - Availability of Harness at site

  Yes

  No

  N/A

• 3. Lifting - Avaibility of lifting tool at site

  Yes

  No

  N/A

• 4. Operating tools and tackles - Physical condition of hand tools

  Yes

  No

  N/A

• 5. Working with hazardous substance - display of MSDS at site

  Yes

  No

  N/A

• 56. PPE - Availability of PPE for METSO personnel

  Yes

  No

  N/A

• 7. Maintaining good order - House keeping at site

  Yes

  No

  N/A

• 8. Maintaining good order - Stacking of wear parts

  Yes

  No

  N/A

PART C - Mechanical

• 1. Hopper - (Wheel stopper/ warning board/ Edge barrigation/ free from non standard connections/ Alarm)

  Yes

  No

  N/A

• 2. Jaw Crusher - (Physical Condition of Guards/ Operator cabin/ ladder - presence of hand rails/ Non standard connections/ visual defects)

  Yes

  No

  N/A

• 3. Cone Crusher - (Physical Condition of Operator cabin/ ladder - Hand rails/ Non standard connections/ visual defects/ Condition of chute)

  Yes

  No

  N/A

• 4. Barmac Crusher (VSI) - (physical condition of guards/ ladder - hand rails/ Non standard connections/ Visual defects/ Condition of Chute)

  Yes

  No

  N/A

• 5. Vibrating Screen - (Physical condition of guards/ housekeeping - walkway free from debris/ Visual defects/ sufficent clearance between structure and screen body/ Obstrucles in walkway)

  Yes

  No

  N/A

• 6. Conveyor - (Physical condition of Pull chord cable/ Motor guard/ rollers/ side frame/ Non standard connections)

  Yes

  No

  N/A

PART D - Electrical

• 1. Hopper- (Adequate Lighting/ Non- standard electrical connections/ Overhead power lines secured)

  Yes

  No

  N/A

• 2. Jaw crusher - (Emergency switch working status/ Earth pit condition/ Panel - No additional connections/ operating panel - rubber mat/ Panel - Secured connections, insulation & gland provided).

  Yes

  No

  N/A

• 3. Cone crusher - (Emergency switch working status/ Earth pit condition/ Panel - No additional connections/ operating panel - rubber mat/ Panel - Secured connections, insulation & gland provided).

  Yes

  No

  N/A

• 4. Barmac Crusher (VSI) - (Emergency switch working status/ Earth pit condition/ Panel - No additional connections/ operating panel - rubber mat/ Panel - Secured connections, insulation & gland provided).

  Yes

  No

  N/A

• 5. Conveyor - ( Non- standard electrical connections/ No Sprinkler line & electrical line connected/ Adequate lighting)

  Yes

  No

  N/A

• 6. Metal detector - (ladder - two sided)

  Yes

  No

  N/A

• 7. Lighting arrestor - (earth pit/ Insulation/ gland/ separate cable/ Visual defects)

  Yes

  No

  N/A

PART E -Welding & Gas Cutting set

• 1. Welding machine - (physical condition of machine/ cable/ gland secured/ Elcb/ holder condition)

  Yes

  No

  N/A

• 2. Gas cutting set - (flashback arrestor/ hose condition/ trolley arrangement/ positioning of cylinders/ fire blanket)

  Yes

  No

  N/A

PART F - Inventory Management

• 1 Identified scrap and material storage area

  Yes

  No

  N/A

• 2 Tag system for all Inventory items/ New & repaired items need to be segregated seperately.

  Yes

  No

  N/A

• 3 Storage of Lub drums in proper manner without any leakage

  Yes

  No

  N/A

• 4 Electrical items inside the box and secured & separate box for small items

  Yes

  No

  N/A

PART G - Good Practices

• Points For Good Practice 1

  5

  0

• Points For Good Practice 2

  5

  0

• Points For Good Practice 3

  5

  0

Completion

• Sign Off

  Sign