Planned Inspection Checklist

• Site

• Department and area of inspection

• Document No.

• Conducted on

  Date

• Report prepared by

• Team members

1. Electrical equipment and fittings

• Ensure no damages & standard equipment being used.

  Ok

  Not ok

  N/A

2. Machine guards and reliability

• All moving parts are properly covered, guards properly fixed, prevent possible contact of human body.

  Ok

  Not ok

  N/A

3. Access paths obstruction

• Suitability of existing access, direction sign displayed. Path width shall not be less than 540 mm

  Ok

  Not ok

  N/A

4. Refuse disposal/storage method

• Ensue the area where materials are stored are inspected and checked for good storage practices. The inspection also addresses the suitability.

  Ok

  Not ok

  N/A

5. Gas cylinder usage & storage

• All cylinders in vertical position & tightened, no damaged hoses, flash back arresters (fitted both ends) & pressure meters available in good condition. Ignition friction lighters being used. Interview users for safe handling. Proper ventilation to be maintained. Store oxygen separately.

  Ok

  Not ok

  N/A

6. PPE-Suitability and reliability

• Appropriate PPEs used, no damaged PPEs, suitability test being conducted. Harness numbering done, register being maintained, PPEs in good maintenance. Interview people for knowledge

  Ok

  Not ok

  N/A

7. Colour coding – pipeline/cables etc

• Recommended colour coding being used for all pipe lines/power cables, labelling

  Ok

  Not ok

  N/A

8. Signage-Relevant and understanding

• Required warning sign being displayed & in prominent display. Easy understanding

  Ok

  Not ok

  N/A

9. Stairs

• Ensure that there are no deficiencies/ consider steps and hand rails

  Ok

  Not ok

  N/A

10. Handrails

• Enough to prevent falling. Design according to the standards (min 910 mm height). Mid rails and toe boards available

  Ok

  Not ok

  N/A

11. Hand tool inspection

• Only recommended tools being used. No homemade tools applied. No damages. Inspect the correct way of using tools.

  Ok

  Not ok

  N/A

12. Mobile plant and equipment

• Suitability for continues work. Parked in the correct position equipped with isolation devices. Test certificates are available. Identification system available. Inspection checklists available for pre-start checks.

  Ok

  Not ok

  N/A

13. Fire fighting equipment

• Easy accessible. Monthly inspection tag. Correct type of extinguisher being used. Interview fire crew members about usage of fire extinguishers

  Ok

  Not ok

  N/A

14. Hygiene and Sanitation inspection

• Inspect for housekeeping and cleanliness

  Ok

  Not ok

  N/A

15. Storage Practices

• Good housekeeping, heavier items stored low. Enough access. No sharp edges. Interview handling people for storing methods & issuing

  Ok

  Not ok

  N/A

16. Portable and fixed ladders

• Condition of the ladder. Correct storage & no falling hazard. Correct type of ladders being used. Interview people for positioning. Numbering done.

  Ok

  Not ok

  N/A

17. Eye wash stations and safety showers

• Easy access available. Ensure checked weekly basis. If any defects corrective actions to be taken

  Ok

  Not ok

  N/A

18. Work place amenities

• Toilet facilities /changing room facilities, quality of drinking water cool/hot etc

  Ok

  Not ok

  N/A

19. Road conditions

• Road in good condition /sufficient width, signage speed limit etc, Segregation of vehicle and pedestrians.

  Ok

  Not ok

  N/A

20. Machine Isolation

• Check and ensure that all energy sources pertaining to the particular machine identified and lockable

  Ok

  Not ok

  N/A

21. Condition of lifting equipment

• Check inspection reports/certificates etc. Check for damages. Proper storage and missing parts together with numbering (identification). Safe working load (SWL) is marked.

  Ok

  Not ok

  N/A

22. Breathing Apparatus set

• Easy accessible and serviceable.

  Ok

  Not ok

  N/A

23. First aid facility

• Check first-aid medicine's expiry date and availability of same. Checklist being maintained.

  Ok

  Not ok

  N/A

24. Illumination

• Check damaged fittings & consider with operation whether the lighting is adequate. Lux level measured and displayed

  Ok

  Not ok

  N/A

25. Housekeeping

• Check the area for cleanliness, proper storage and quantities of materials, removal of garbage / debris

  Ok

  Not ok

  N/A

26. Chemical and hazardous material storage & MSDS

• Inventory of chemicals maintained. Chemical Properly labeled, critical information available eg handling, Spill prevention applied. Flammable liquids stored in the designated storages. Access for all MSDS for employees

  Ok

  Not ok

  N/A

27. Certification & Licenses

• Certificates for lifting equipment and pressure vessels available and licenses for guns etc.

  Ok

  Not ok

  N/A

28. OH&S equipments

• Stretchers, rescue equipment are available and properly maintained

  Ok

  Not ok

  N/A

29. Training

• Training given for particular tasks and records available.

  Ok

  Not ok

  N/A

30. Labelling of critical equipment

• Identification of critical equipment and labeled. Maintained properly. Emergency shutdown identified.

  Ok

  Not ok

  N/A

Comments

• Signature

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