MyHSE Safety Protocol Audit

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Aerial Lifts

• Is there a written Aerial Lifts program? If the CBRE Corporate Program is used, has it been modified to meet the location operation needs & exposures?

  Yes

  No

  N/A

• Do employees operate, work in, on, or near aerial work platforms (AWP) or lifts (e.g. cherry picker, scissor lift, or boom lift)?

  Yes

  No

  N/A

• Have operators completed a general training course including inspection, application, and the recognition and avoidance of hazards associated with the Aerial Lifts?

  Yes

  No

  N/A

• Do operators receive AWP model-specific familiarization on the particular model he/she will be operating?

  Yes

  No

  N/A

• When “Fall Protection” is required for AWP operations, is the operator properly trained and equipped?

  Yes

  No

  N/A

Management

• Availability of CBRE Management Standards, policies and procedures readily accessible and understood<br>

  Yes

  No

  N/A

• Evidence that all national legal and regulatory requirements been identified, recorded and attained

  Yes

  No

  N/A

• Evidence that all accidents, incidents and near misses have been reported

  Yes

  No

  N/A

• Evidence that Ia HS&E Legal Register available

  Yes

  No

  N/A

• Evidence that CBRE, contractor and client H&S roles and responsibilities have been clearly defined, agreed to and attained. Reviewed annually.

  Yes

  No

  N/A

• Evidence that all high-risk activities (inc. non-routine) and plant have been identified and risked assessed

  Yes

  No

  N/A

• Evidence that ProcessMap software is available and used by the management team

  Yes

  No

  N/A

• Evidence that formal maintenance and inspection programs are implemented

  Yes

  No

  N/A

• Evidence that H&S documentation / records are properly controlled and held by the management team.

  Yes

  No

  N/A

• Evidence that processes are in place to ensure all accidents, incidents and near-misses have been reported and investigated. Lessons learnt are communicated to all relevant parties

  Yes

  No

  N/A

Information Exchange

• Evidence that the Responsible Person has prepared and maintains an accurate schedule of areas under management (with drawings) and has briefed the Facilities Manager

  Yes

  No

  N/A

• Evidence that Health and Safety risks at the property have been communicated with appropriate parties (Contractors, Tenants etc.)

  Yes

  No

  N/A

• Evidence that the Responsible Person regularly exchanges H&S information with the client, tenants & contractors.

  Yes

  No

  N/A

Training & Competency

• Evidence that the responsible person has identified staff HS&E training needs and that training programs have been developed and delivered according to the needs.

  Yes

  No

  N/A

• Evidence that contractors have identified and undertaken relevant HS&E Training.

  Yes

  No

  N/A

• Evidence that new staff induction program is in place and documented.

  Yes

  No

  N/A

Emergency Preparedness & Response

• Evidence that the Responsible Person has identified, assessed and documented all potential emergency and crisis situations.

  Yes

  No

  N/A

• Evidence that emergency plans have been prepared, properly communicated and tested, feeding lessons back into the review process.

  Yes

  No

  N/A

• Is HSE notified of emergencies in a timely manner?<br>

  Yes

  No

  N/A

• Does the facility have a written emergency preparedness plan? For operations involving CBRE employees working at a customer's facility; Is there a documented procedure to notify CBRE management if an emergency occurs?<br>

  Yes

  No

  N/A

• Are potential emergencies identified in the plan? (Earthquake, Tornado, Snow Storm, Chemical Spill, Fire, Tsunami, etc.)<br>

  Yes

  No

  N/A

• Are evacuation maps documented in the facility? <br>

  Yes

  No

  N/A

• Does an evacuation plan exist including accountability for all persons on site?<br>

  Yes

  No

  N/A

• Are emergency drills completed annually and evaluated for their effectiveness?<br>

  Yes

  No

  N/A

• Are Employees trained annually on the emergency response plan?<br>

  Yes

  No

  N/A

• Does the location have a current list of outside emergency services and is it readily available?<br>

  Yes

  No

  N/A

Contractor Management

• Prior to beginning work, do contractors agree in writing to meet CBRE, Client, and regulatory requirements?<br>

  Yes

  No

  N/A

• Evidence that contractors working on site are formally verified and assessed for their HS&E credentials.

  Yes

  No

  N/A

• Evidence that site orientating has taken place before the contractor start work

  Yes

  No

  N/A

• Evidence that contractors’ have provided up-to-date, site-specific risk assessments and safe systems of work and copies are available with the responsible person.

  Yes

  No

  N/A

• Are pre-task meetings held with contractors to review the job hazards, control measures, and PPE requirements to ensure the work is done safely?<br>

  Yes

  No

  N/A

Risk Management and Risk Assessment

• Evidence to suggest High Risk activities have been subject to Risk Assessment (confined spaces, hot work, lone working, work at height, work on electrical equipment, working in areas which contain asbestos etc.

  Yes

  No

  N/A

• Is a Location Health and Safety Assessment available and have the risks identified been adequately controlled.

  Yes

  No

  N/A

• Evidence to suggest routine activities have been subject to Risk Assessment

  Yes

  No

  N/A

Access & Security

• Evidence that proper security controls are in place to prevent unauthorized access onto the site, including security patrols and CCTV where appropriate

  Yes

  No

  N/A

• Evidence that a system is in place for signing in of contractors and authorising them to work (as well as any other necessary controls.

  Yes

  No

  N/A

Asbestos Management

• Evidence that there is clarity surrounding the presence of asbestos on site (Asbestos Survey by a competent contractor, register and maps indicting location.

  Yes

  No

  N/A

• Evidence that tenants are advised of asbestos materials in their demised areas.

  Yes

  No

  N/A

• Evidence that information is passed to contractors.

  Yes

  No

  N/A

• Does the location have any presence of Asbestos and has an Asbestos Survey been conducted by a competent contractor?

  Yes

  No

  N/A

• Is there a written Asbestos Safety program? If the CBRE Corporate Program is used, has it been modified to meet the location operation needs & exposures?

  Yes

  No

  N/A

• Do applicable employees receive asbestos awareness training including what to do in the event asbestos is found or disturbed?

  Yes

  No

  N/A

• Does this location have documentation showing all removal procedures were conducted according to regulatory protocols for asbestos removal, including record keeping, contractor safety training and proper disposal of asbestos containing material?

  Yes

  No

  N/A

Ergonomics

• Check to ensure workstations and the working environment are suitable and in good order

  Yes

  No

  N/A

• Evidence that the Responsible Person has identified all Display Screen Equipment (DSE) users employed by CBRE’s and that suitable and current DSE training and assessment arrangements in place for all CBRE’s DSE Users

  Yes

  No

  N/A

• Is appropriate manual handling equipment provided?<br>

  Yes

  No

  N/A

• Is there a written Ergonomics program? If the CBRE Corporate Program is used, has it been modified to meet the location operation needs & exposures?<br>

  Yes

  No

  N/A

• Are Ergonomics assessments done on all ergonomic recordable and first aid incidents?<br>

  Yes

  No

  N/A

• Are Team members trained to perform ergonomics job assessments?<br>

  Yes

  No

  N/A

• Are Employees educated and trained annually on manual lifting and handling safety?<br>

  Yes

  No

  N/A

• Are heavy or frequently used items stored between knee and shoulder height?<br>

  Yes

  No

  N/A

Electrical Services and Portable Electrical Equipment

• Verify the fixed installation electrical wiring is maintained & tested to legal standards

  Yes

  No

  N/A

• Verify systems are in place to ensure electrical installations and equipment is being maintained safely. (competent staff, no live working, permits to work where appropriate, lock out tag out) etc.

  Yes

  No

  N/A

Hazardous Substances

• Assessments carried out by those responsible (contractors or CBRE’s)

  Yes

  No

  N/A

• Verify FM / contractors hold an inventory of all hazardous substances used or held on site, together with hazard data sheets

  Yes

  No

  N/A

• Those using / coming in to contact with informed of risks and controls.

  Yes

  No

  N/A

Housekeeping

• Verify all areas kept in a clean and tidy condition

  Yes

  No

  N/A

• Verify gangways and corridors (especially fire escape routes) kept free of obstructions

  Yes

  No

  N/A

• Verify adequate facilities provided for storage of materials and equipment

  Yes

  No

  N/A

• Verify regular housekeeping inspections carried out and documented

  Yes

  No

  N/A

Fire

• Have all fire hazard potentials been identified for the location?

  Yes

  No

  N/A

• Fire Risk Assessment completed / reviewed

  Yes

  No

  N/A

• All fire systems (Alarm, Detection, Sprinklers are being maintained and operating effectively<br>

  Yes

  No

  N/A

• Verify sources of ignition under control<br>

  Yes

  No

  N/A

• Means of escape available and operating effectively<br>

  Yes

  No

  N/A

• Fire assembly point identified and signed<br>

  Yes

  No

  N/A

• Fire wardens appointed and trained<br>

  Yes

  No

  N/A

• Emergency plans in place

  Yes

  No

  N/A

• Regular fire drills undertaken every 6 months

  Yes

  No

  N/A

• Fire safety records kept and maintained

  Yes

  No

  N/A

• Are all fire alarm pull stations and fire extinguishers accessible?

  Yes

  No

  N/A

• Are Flammable liquids stored in flammable storage cabinets?

  Yes

  No

  N/A

• Are any Flammable/combustible liquids stored in spray booth (except one day supply)?

  Yes

  No

  N/A

• Is the local fire department acquainted with the facility and its specific hazards?

  Yes

  No

  N/A

First Aid

• Are Medical personnel available for advice and consultation for health concerns?

  Yes

  No

  N/A

• Verify facilities are available for the provision of first aid. Places for treatment, trained First Aiders and First Aid kit etc.

  Yes

  No

  N/A

• First aid supplies are routinely inspected and replenished?

  Yes

  No

  N/A

• Is sufficient medical treatment equipment and supplies present, site liability is understood if free distribution of OTC medicines is taking place?

  Yes

  No

  N/A

Legionella

• Schematic drawings of water systems available

  Yes

  No

  N/A

• Verify water hygiene management system is in place where legionella-sensitive water systems present

  Yes

  No

  N/A

• Verify assessments are undertaken and reviewed appropriately by independent and accredited specialist consultants

  Yes

  No

  N/A

• Cooling tower(s) registered with local authority (UK only)

  Yes

  No

  N/A

Work Environment

• Verify the workplace is clean & free from obstructions & trip hazards

  Yes

  No

  N/A

• Verify workplace adequately lit

  Yes

  No

  N/A

• Checks to ensure comfortable temperatures and ventilation levels in work areas

  Yes

  No

  N/A

• Verify furniture and fittings in sound condition

  Yes

  No

  N/A

Lifts & Escalators

• Verify insurance inspection certificates available and up to date

  Yes

  No

  N/A

• Verify lifts and escalators undergo routine maintenance and thorough examination to legal standards

  Yes

  No

  N/A

Slips Trips & Falls

• Verify carpets, nosing’s and structure in sound condition on stairs and steps

  Yes

  No

  N/A

• Verify Floor passageways and roadways are free from detects and pot holes.

  Yes

  No

  N/A

Bloodborne Pathogens

• Is there a written Bloodborne Pathogen program? If the CBRE Corporate Program is used, has it been modified to meet the location operation needs & exposures?

  Yes

  No

  N/A

• Are Biohazardous clean-up kits/supplies available on site?

  Yes

  No

  N/A

• Is Annual training done for all first aid responders?

  Yes

  No

  N/A

• Vaccinations for Hepatitis 'B' are offered and accepted by voluntary first aid responders?

  Yes

  No

  N/A

• Does the facility maintain signed declination forms for all employees that did not wish to have a Hepatitis B vaccine?

  Yes

  No

  N/A

• Are biological waste storage bags/proper disposal methods in use?

  Yes

  No

  N/A

Building Safety & Security

• No access/egress concerns noticed, including the parking lots and sidewalks?

  Yes

  No

  N/A

• Any building and grounds safety concerns noticed (including load capacities, marked aisles, guarded openings, and unblocked stairs, etc.)?

  Yes

  No

  N/A

• Any buildings & grounds security concerns noticed?

  Yes

  No

  N/A

• Any walking or working surface concerns?

  Yes

  No

  N/A

• Do all areas have adequately lighting?

  Yes

  No

  N/A

• Hazard warning signs are posted prominently close to the source of the hazard and well maintained?

  Yes

  No

  N/A

Compressed Gas

• Does the facility have written safety procedures for the safe handling of compressed gas cylinders?

  Yes

  No

  N/A

• Are all valve protection caps and plugs on compressed gas cylinders and portable tanks kept in place when the cylinder is not connected for use and are the cylinders prevented from tipping?

  Yes

  No

  N/A

• Are compressed gas cylinder conditions marked (full, in-service, empty, leaker)?

  Yes

  No

  N/A

• Are oxygen cylinders stored away from highly combustible material, especially oil and grease, or any other substance likely to cause or accelerate fire? Are oxygen cylinders in storage separated from fuel-gas cylinders or combustible materials (especially oil or grease), a minimum distance of 20 feet (6.1 m) or by a noncombustible barrier at least 5 feet (1.5 m) high having a fire-resistance of 1-hour?

  Yes

  No

  N/A

Chemical Safety

• Does operational local ventilation exhaust (vapor/fume control) exist on potential exposure situations?

  Yes

  No

  N/A

• Are spill containment & neutralization materials near chemical storage and usage areas?

  Yes

  No

  N/A

• Is PPE being used when dealing with chemicals?

  Yes

  No

  N/A

• Are chemical storage areas ventilated, incompatible chemicals separated, no expired chemicals on hand?

  Yes

  No

  N/A

• Are areas where food is consumed free of toxic chemicals and/or other health hazards?

  Yes

  No

  N/A

• Are eye wash and shower stations nearby affected work and storage areas?

  Yes

  No

  N/A

• Are areas where food is consumed free of toxic chemicals and/or other health hazards?

  Yes

  No

  N/A

Combustible Dust

• Has the facility performed a risk evaluation for combustible dust?

  Yes

  No

  N/A

• Are areas where combustible dust accumulates cleaned routinely?

  Yes

  No

  N/A

• Does the facility have a written combustible dust program?

  Yes

  No

  N/A

Confined Spaces

• Does the facility have an internal rescue team or outside services that can respond to an emergency in a timely manner relative to the hazards posed in the confined space and are they supplied with the appropriate rescue equipment?<br>

  Yes

  No

  N/A

• Is there a written confined space program? If the CBRE Corporate Program is used, has it been modified to meet the location operation needs & exposures?

  Yes

  No

  N/A

• Has a written inventory of confined spaces been developed and documented?

  Yes

  No

  N/A

• Have all Confined Spaces been evaluated (i.e. hazardous atmosphere, engulfment, trapping or asphyxiation) and properly labeled? <br>

  Yes

  No

  N/A

• Is there a written permit process for limiting access to confined spaces that an employee must enter? (Also, verify through employee interviews)<br>

  Yes

  No

  N/A

• Are Confined Space Permit forms available and used?<br>

  Yes

  No

  N/A

• Are full body harnesses and lifelines available (internal employee entry)?<br>

  Yes

  No

  N/A

• Is Ventilation equipment available (internal employee entry)?<br>

  Yes

  No

  N/A

• Is continuous air monitoring equipment available and calibrated annually - (Internal employee entry - O2, LEL, CO and/or H2S)?<br>

  Yes

  No

  N/A

• Does the facility provide certified training for authorized entrants, attendants, rescue personnel, and entry supervisors and persons authorized to perform atmospheric monitoring and are the training materials and records of training kept? <br>

  Yes

  No

  N/A

• Is there a written process for rescuing employees who must enter confined spaces? (If rescue operations are completed by CBRE, review documented drills)<br>

  Yes

  No

  N/A

• Are all appropriate employees trained annually on confined space awareness?<br>

  Yes

  No

  N/A

Cranes & Hoists

• Are frequent (daily, monthly) and periodic (monthly, annual) maintenance safety inspection completed on cranes and hoists in accordance with applicable regulations, manufacturer’s recommendations, and/or consensus standards?<br>

  Yes

  No

  N/A

• Does the facility have a method to designate what employees are permitted to operate cranes?<br>

  Yes

  No

  N/A

• Is there documentation of the annual inspection of all slings and rigging equipment?<br>

  Yes

  No

  N/A

• Have employees that use cranes/hoists been trained in the proper handling of the equipment?<br>

  Yes

  No

  N/A

Driver Safety

• Is there a written Driver Safety program? If the CBRE Corporate Program is used, has it been modified to meet the location operation needs & exposures?<br>

  Yes

  No

  N/A

• Are employees trained on defensive driving techniques?<br>

  Yes

  No

  N/A

Electrical Safety

• Does the facility maintain a minimum 36 inch deep by 30 inch wide clear area in front of all electrical panels and disconnects?<br>

  Yes

  No

  N/A

• Is there a written Electrical Safety program? If the CBRE Corporate Program is used, has it been modified to meet the location operation needs & exposures?<br>

  Yes

  No

  N/A

• Are ground fault circuit interrupters used on outdoor outlets and outlets near a water source?<br>

  Yes

  No

  N/A

• Are explosion proof electrical fixtures used in spray paint areas, flammable liquids storage/dispensing areas, etc.?<br>

  Yes

  No

  N/A

• Are employees working on energized equipment trained & qualified?<br>

  Yes

  No

  N/A

• Has an Arc flash hazard analysis been completed?<br>

  Yes

  No

  N/A

• Do all qualified employees have the proper electrical PPE and is there evidence that it is used and maintained properly?<br>

  Yes

  No

  N/A

• Extension cords are used appropriately and in good condition?<br>

  Yes

  No

  N/A

• Are unused openings in electrical enclosures /fittings / panels closed with appropriate covers, plugs or plates?<br>

  Yes

  No

  N/A

• Are electrical panels properly labeled?<br>

  Yes

  No

  N/A

• Are Grounding & Bonding wires used where flammable liquids are being dispensed?<br>

  Yes

  No

  N/A

Equipment Inspection

• Is Emergency lighting inspected monthly?<br>

  Yes

  No

  N/A

• Evidence of Powered Industrial trucks / daily checklists?<br>

  Yes

  No

  N/A

• Evidence of monthly & annual Hoists Inspections?<br>

  Yes

  No

  N/A

• Evidence of Slings & Lifting Devices annual inspection?<br>

  Yes

  No

  N/A

• Evidence of Portable Elevated Work Platforms annual inspection?<br>

  Yes

  No

  N/A

• Are Fire Extinguishers being inspected monthly?<br>

  Yes

  No

  N/A

• Are Eyewash Stations & Emergency Showers being inspected monthly?<br>

  Yes

  No

  N/A

• Are Dock-locks inspected monthly (if applicable)?<br>

  Yes

  No

  N/A

• Are Ladders and mobile ladder stands inspected quarterly?<br>

  Yes

  No

  N/A

• Are Fume Hood/ spray booth air flow rate testing done quarterly or flow gauge installed (100 FPM face-velocity)?<br>

  Yes

  No

  N/A

• Are Combustible/flammable dip tank ventilation inspections done including hood/ductwork and air flow / quarterly?<br>

  Yes

  No

  N/A

Excavation & Trenching

• Is there a written Excavation & Trenching program? If the CBRE Corporate Program is used, has it been modified to meet the location operation needs & exposures?<br>

  Yes

  No

  N/A

• Does the program address the safe work rules to prevent cave-ins?<br>

  Yes

  No

  N/A

• Are underground installations (sewer, fuel, gas, electrical, water, telephone, etc.) located and marked before digging?<br>

  Yes

  No

  N/A

• Are employees who work on excavations trained in the four soil classifications?<br>

  Yes

  No

  N/A

Fall Protection

• Is there a written Fall Protection program? If the CBRE Corporate Program is used, has it been modified to meet the location operation needs & exposures?<br>

  Yes

  No

  N/A

• Do employees using fall protection receive annual training in the safe operation of their equipment or whenever a change in equipment or procedures occurs?<br>

  Yes

  No

  N/A

• Has a list of tasks involving elevated work including ladders been identified?<br>

  Yes

  No

  N/A

• Does a Fall protection equipment list exist?<br>

  Yes

  No

  N/A

• Annual equipment inspection by qualified person documented?<br>

  Yes

  No

  N/A

• Affected employees are educated and trained annually on equipment limitations and inspection requirements?<br>

  Yes

  No

  N/A

Guarding

• Does the location have a written barricade policy to protect employees when any of the following hazards are present: open man-hole or pit; overhead work from scaffolds, ladders or man lifts; excavations; exposed electrical or mechanical equipment; tripping hazards created; harmful substance spill?<br>

  Yes

  No

  N/A

• Machine guards are in place and properly adjusted for power tools e.g. grinders, saws, etc.?<br>

  Yes

  No

  N/A

• Is machine guarding adequate to protect from flying objects/splashing?<br>

  Yes

  No

  N/A

• Is there a means to ensure the design of all equipment and/or machinery include provisions for assuring that safeguarding devices, such as interlocks, (when used) cannot be easily defeated, and they fail in a safe manner?<br>

  Yes

  No

  N/A

• Are all points of operation, ingoing nip points, rotating parts, flying chips, and sparks properly guarded to protect employees?<br>

  Yes

  No

  N/A

• Is there a regular inspection for machines/equipment to ensure guarding is in place?<br>

  Yes

  No

  N/A