Monthly HSSE Checklist

• Document No.

• Monthly HSSE Checklist

• Client / Site

• Conducted on

  Date

• Prepared by

Red Book Exercise

• Was the Red Book signed off by all staff ?

  Yes

  No

  N/A

Monthly HSSE Checklist

• Did you complete this and send it to office ?

  Yes

  No

  N/A

OST PACK

• Was this discussed with all staff ?

  Yes

  No

  N/A

Site's counter and panic alarms

• Was the alarms tested this month ? If so, add date please.

  Date:

First Aid and Spill Kits checked ?

• Were these checked ? Did you put in an order if any stock was needed ?

  Yes

  No

  N/A

HSSE Incident Reports

• Did you at least do 3 reports for the month ? If no, please use note to explain.

  Yes

  No

  N/A

$200 till limits in tills

• Did you do some random checks on tills ?

  Yes

  No

  N/A

• Were all staff members compliant to $200 till limits ? If not, use note and explain.

  Yes

  No

  N/A

Any outstanding HSSE issues at your site.

• Are all HSSE issues at your site been sorted ? If no, please use note and explain.

  Yes

  No

  N/A

Panic pendants

• Do your site have 3 panic pendants ? If no, please explain.

  Yes

  No

  N/A