Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
1.Floor
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1.1. Tripping Hazards
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1.2 Walkway Identified & marked
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1.3. Obstructions
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1.4.Accumulated dusts
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1.5 Slippery
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1.6.Good housekeeping
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1.7 Trash bins clean regularly
2. Electrical equipments
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2.1. Broken lights / fittings
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2.2. Damaged wires
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2.3.Use plugs top for extension cords
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2.4. Tools in good condition
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2.5. Recommended tools using
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2.6. Sufficient illumination
3. Storage
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3.1. Area clearly identified & demarcated
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3.2. Shelves / Racks free of trash
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3.3. Shelves / Racks in good conditions
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3.4. Followed stacking procedure
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3.5. Easily accessible
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3.6. Goods stacked neatly & at correct height
4. Staircases / Ladders
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4.1. Corrosive / rusted
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4.2.Any area exposed for falling
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4.3. Proper handrails & in good condition
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4.4.Toe guards available
5. First aid
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5.1. First aid box check within 1 months
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5.2. List of contain available
5.3. All item within expiry dates
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5.4. First aid crew trained
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5.5. Location is clear & known by the employees
6. Harmful & flammable item
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6.1. Segregated according to classes
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6.2. Provision available on safety equipments
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6.3. MSDS available & known by employees
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6.4. Clear labeling done
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6.5. Stored in appropriate cabinets
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6.6. Adequate ventilation provided
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6.7. Exhausted system introduced
7. Fire equipments / Evacuation
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7.1. Location suitable
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7.2. Any obstructions
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7.3 Sign board available
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7.4. Correct type available
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7.5. Required checking conducted
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7.6. Hydrant system working
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7.7. Fire fighting training given
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7.8. Evacuation path dislayed
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7.9. Fire siren available & in working condition
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7.10. Fire siren testing procedure available
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7.11. Assembly points available
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7.12. Smoke detectors checked
8. Lifting equipments
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8.1 Tested & Certified
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8.2. Maintain in good condition
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8.3. Safety latch available (lifting device)
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8.4. Is the maximum SWL displayed on all lifting gear
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8.5. Are loads being slung and lifted by trained personnel
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8.6. Is all lifting gear in good condition
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8.7. Are strands in a safe condition ( no obvious damage, pins available, etc.)
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8.8. Is there any signs of misuse on lifting and supporting equipment.
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8.9. Are personnel aware of the load being lifted and does it match the SWL
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8.10. Is the direction of travel for the load clear of personnel
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8.11. Load will pass over the top of workers
9. Pressure vessels
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9.1. Tested & Certified
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9.2. Maintain in good condition
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9.3. Pressure relief valve available & checked
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9.4. Gas bottles kept upright & tighten
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9.5. Flashback arresters fixed
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9.6. Gas hoses laid on the ground
10. Confined space
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10.1. Properly identified & labeled
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10.2. Rescue equipment available
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10.3. Employee training done
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10. 4Work permits available
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10.5. Isolation available
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10.6. Use correct PPEs
11. Machines
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11.1. Have enough space to work
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11.2. Operating button clearly identified
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11.3. Exposed moving parts
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11.4. Isolation facilities available
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11.5. Use correct PPEs
12. Vehicle& Mobil equipments
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12.1 Inspected & Reports available
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12.2. Operated by qualified personnel
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12.3. Do the driver hold the correct license for the vehicle / equipment/motorbilke
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12.4 Seat belts fitted and being worn
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12.5 Service brakes working properly
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12.6 Steering working correctly
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12.7 Tires in good condition
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12.8 Headlights brake lights and turning indicator function correctly
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12.9 Loads secure on the truck
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12. 10 Motorcyclist wear helmet-hard hat with chinstrap minimum
13. Wash rooms & Change rooms
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13.1. Adequate space available
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13.2. Adequate quantity of lockers available
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13.3. Lockers in good condition
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13.4. Enough ventilation
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13.5. Good housekeeping
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13.6. Trash bins clean regularly
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13.7. All sinks / walls / floor clean
14.Canteen & Kitchen
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14.1. No broken plates or cup & sources
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14.2. Good housekeeping
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14.3. Cooking equipment in good condition
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14.4. No unwanted material stored
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14.5. Regular removal of trash
15. Isolation & Lock out
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15.1. Procedure/ WI
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15.2.Use lockout/tag out card
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15.3. All worker understanding
16. Working at height (WAH)
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16.1. Procedure/ WI
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16.2. PPE
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16.3. All worker understanding
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16.4. Are personnel protected from falls when WAH
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16.5. Has the opening been baricaded with barrier tape
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16.6. Has approval been issued for the removal of flooring/ grid mesh including
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16.7. If persons are accessing under a work area are they protected by a cover
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16.8. Is barrier tape being used to p prevent persons from entering under a work area
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16.9 Are harneses safety belts available and in a safe condition (i.e safety latch is working well , stitching is ok and harness not frayed ,lanyard attached securely and in good condition etc.)
17. Fixed Plant equipment
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17.1 Inspected & Reports available
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17.2 Operated by qualified personnel
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17.3 Preventive maintenance check list
18. Emergency responded
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18.1 Identify emergency case
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18.2 Procedure
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18.3 All worker understanding
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18.4 Information for contractor/supplier/Visitor
19. Ergonomic
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19.1 Posture by task
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19.2 Repetitive work
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19.3 Work Load
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19.4 Interaction between tool and equipment
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19.5 Work station
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19.6 Work process
20. Environmental condition
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20.1 Light
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20.2 Dust
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20.3 Noise
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20.4 Temperature
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20.5 Road humps
21. Working near water
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21.1 Gangway in good condition
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21.2 Life bouys are available
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21.3 Workers wear suitable life jackets
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21.4 Safety net in good condition
