• Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Alat Pelindung Diri

  • Menggunakan alat pelindung diri dengan benar

  • APD dirawat

  • APD: Tangab, tubuh, mata/wajah, kepala, kaki, pernapasan, pelindung jatuh, pelindung pendengaran.

Posisi Kerja

  • Posisi tubuh

  • Kondisi lingkungan tempat bekerja

  • Posisi kerja: postur yang burut, memaksakan diri, rendah dibawah lutut, twisting, terjepit duantara, terbentul oleh, bekerja diketinggian lebih dari 1.8 m, lantai atau dinding terbuka, dipinggiran yang tidak terlindung.

Alat dan perlengkapan kerja

  • Menggunakan alat dan perlengkapan yang sesuai

  • Alat dan perlengkapan digunakan sesuai denga kegunaanya

  • Alat dan peralatan dalan kondisi baik

  • Peralatan: tangga, power or hand tools dll

Safety procedures

  • Safety permit: LOTO, hotwork, comfined space, working at height, penggalian

  • Tindakan perbaikan yang dilakukan

  • Rencana tindak lanjut

  • Tanda tangan observer.

  • Nama yang diobservasi

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