Planned Workplace Inspection Checklist

Planned Workplace Inspection Checklists for Cylinder Operations Site (Yard, Sorting and Storage)

• Risk matrix.

  

• Minimal freestanding cylinders. Restraint hoops, pens, wall brackets and pallets in use as appropriate for vertical cylinders.

  Yes

  No

  N/A

• Risk rating?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 5 Catastrophic (Fatality) 4 Major (Lost Time Injury) 3 Serious (Medical Treat) 2 Minor (First Aid) 1 Insignificant (No Injury) Not Applicable

  • 5 Catastrophic (Fatality)
  • 4 Major (Lost Time Injury)
  • 3 Serious (Medical Treat)
  • 2 Minor (First Aid)
  • 1 Insignificant (No Injury)
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• Horizontally stored containers properly chocked on the ground or located in suitable pallets or similar cradle devices.

  Yes

  No

  N/A

• Risk rating?

  Select 5 Catastrophic (Fatality) 4 Major (Lost Time Injury) 3 Serious (Medical Treat) 2 Minor (First Aid) 1 Insignificant (No Injury) Not Applicable

  • 5 Catastrophic (Fatality)
  • 4 Major (Lost Time Injury)
  • 3 Serious (Medical Treat)
  • 2 Minor (First Aid)
  • 1 Insignificant (No Injury)
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 5 Catastrophic (Fatality) 4 Major (Lost Time Injury) 3 Serious (Medical Treat) 2 Minor (First Aid) 1 Insignificant (No Injury) Not Applicable

  • 5 Catastrophic (Fatality)
  • 4 Major (Lost Time Injury)
  • 3 Serious (Medical Treat)
  • 2 Minor (First Aid)
  • 1 Insignificant (No Injury)
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• All products stored in identified locations by gas type, ownership, full or empty and for future destination, for example test shop or trans-ship.

  Yes

  No

  N/A

• Risk rating?

  Select 5 Catastrophic (Fatality) 4 Major (Lost Time Injury) 3 Serious (Medical Treat) 2 Minor (First Aid) 1 Insignificant (No Injury) Not Applicable

  • 5 Catastrophic (Fatality)
  • 4 Major (Lost Time Injury)
  • 3 Serious (Medical Treat)
  • 2 Minor (First Aid)
  • 1 Insignificant (No Injury)
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 5 Catastrophic (Fatality) 4 Major (Lost Time Injury) 3 Serious (Medical Treat) 2 Minor (First Aid) 1 Insignificant (No Injury) Not Applicable

  • 5 Catastrophic (Fatality)
  • 4 Major (Lost Time Injury)
  • 3 Serious (Medical Treat)
  • 2 Minor (First Aid)
  • 1 Insignificant (No Injury)
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• Blow-down carried out only in designated areas and in accordance with approved procedures.

  Yes

  No

  N/A

• Risk rating?

  Select 5 Catastrophic (Fatality) 4 Major (Lost Time Injury) 3 Serious (Medical Treat) 2 Minor (First Aid) 1 Insignificant (No Injury) Not Applicable

  • 5 Catastrophic (Fatality)
  • 4 Major (Lost Time Injury)
  • 3 Serious (Medical Treat)
  • 2 Minor (First Aid)
  • 1 Insignificant (No Injury)
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 5 Catastrophic (Fatality) 4 Major (Lost Time Injury) 3 Serious (Medical Treat) 2 Minor (First Aid) 1 Insignificant (No Injury) Not Applicable

  • 5 Catastrophic (Fatality)
  • 4 Major (Lost Time Injury)
  • 3 Serious (Medical Treat)
  • 2 Minor (First Aid)
  • 1 Insignificant (No Injury)
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• Sort edges and ramps in use to facilitate safe loading/unloading from pallets.

  Yes

  No

  N/A

• Risk rating?

  Select 5 Catastrophic (Fatality) 4 Major (Lost Time Injury) 3 Serious (Medical Treat) 2 Minor (First Aid) 1 Insignificant (No Injury) Not Applicable

  • 5 Catastrophic (Fatality)
  • 4 Major (Lost Time Injury)
  • 3 Serious (Medical Treat)
  • 2 Minor (First Aid)
  • 1 Insignificant (No Injury)
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 5 Catastrophic (Fatality) 4 Major (Lost Time Injury) 3 Serious (Medical Treat) 2 Minor (First Aid) 1 Insignificant (No Injury) Not Applicable

  • 5 Catastrophic (Fatality)
  • 4 Major (Lost Time Injury)
  • 3 Serious (Medical Treat)
  • 2 Minor (First Aid)
  • 1 Insignificant (No Injury)
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• Where present, pallet stacking areas have specific risk controls and inspection regimes in place to ensure product integrity and stability?

  Yes

  No

  N/A

• Risk rating?

  Select 5 Catastrophic (Fatality) 4 Major (Lost Time Injury) 3 Serious (Medical Treat) 2 Minor (First Aid) 1 Insignificant (No Injury) Not Applicable

  • 5 Catastrophic (Fatality)
  • 4 Major (Lost Time Injury)
  • 3 Serious (Medical Treat)
  • 2 Minor (First Aid)
  • 1 Insignificant (No Injury)
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 5 Catastrophic (Fatality) 4 Major (Lost Time Injury) 3 Serious (Medical Treat) 2 Minor (First Aid) 1 Insignificant (No Injury) Not Applicable

  • 5 Catastrophic (Fatality)
  • 4 Major (Lost Time Injury)
  • 3 Serious (Medical Treat)
  • 2 Minor (First Aid)
  • 1 Insignificant (No Injury)
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• Where present, staging areas and lanes are configured so as to provide the best possible visibility for preventing MHE-MHE and MHE-pedestrian collisions ( I.e pallets one high at the end of staging lanes etc)?

  Yes

  No

  N/A

• Risk rating?

  Select 5 Catastrophic (Fatality) 4 Major (Lost Time Injury) 3 Serious (Medical Treat) 2 Minor (First Aid) 1 Insignificant (No Injury) Not Applicable

  • 5 Catastrophic (Fatality)
  • 4 Major (Lost Time Injury)
  • 3 Serious (Medical Treat)
  • 2 Minor (First Aid)
  • 1 Insignificant (No Injury)
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 5 Catastrophic (Fatality) 4 Major (Lost Time Injury) 3 Serious (Medical Treat) 2 Minor (First Aid) 1 Insignificant (No Injury) Not Applicable

  • 5 Catastrophic (Fatality)
  • 4 Major (Lost Time Injury)
  • 3 Serious (Medical Treat)
  • 2 Minor (First Aid)
  • 1 Insignificant (No Injury)
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• Suitable pallets in use for each different type of gas package (to result in secure load and provide acceptable level of protection).

  Yes

  No

  N/A

• Risk rating?

  Select 5 Catastrophic (Fatality) 4 Major (Lost Time Injury) 3 Serious (Medical Treat) 2 Minor (First Aid) 1 Insignificant (No Injury) Not Applicable

  • 5 Catastrophic (Fatality)
  • 4 Major (Lost Time Injury)
  • 3 Serious (Medical Treat)
  • 2 Minor (First Aid)
  • 1 Insignificant (No Injury)
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 5 Catastrophic (Fatality) 4 Major (Lost Time Injury) 3 Serious (Medical Treat) 2 Minor (First Aid) 1 Insignificant (No Injury) Not Applicable

  • 5 Catastrophic (Fatality)
  • 4 Major (Lost Time Injury)
  • 3 Serious (Medical Treat)
  • 2 Minor (First Aid)
  • 1 Insignificant (No Injury)
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• Site speed limits observed, including lowering in places of higher risk with blind corners, areas of low lighting at night, etc.

  Yes

  No

  N/A

• Risk rating?

  Select 5 Catastrophic (Fatality) 4 Major (Lost Time Injury) 3 Serious (Medical Treat) 2 Minor (First Aid) 1 Insignificant (No Injury) Not Applicable

  • 5 Catastrophic (Fatality)
  • 4 Major (Lost Time Injury)
  • 3 Serious (Medical Treat)
  • 2 Minor (First Aid)
  • 1 Insignificant (No Injury)
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 5 Catastrophic (Fatality) 4 Major (Lost Time Injury) 3 Serious (Medical Treat) 2 Minor (First Aid) 1 Insignificant (No Injury) Not Applicable

  • 5 Catastrophic (Fatality)
  • 4 Major (Lost Time Injury)
  • 3 Serious (Medical Treat)
  • 2 Minor (First Aid)
  • 1 Insignificant (No Injury)
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• Hazardous Substances?
  1. No liquid or gas fumes/uncontrolled gas Venting or liquid draining
  2. Hazard chemical symbols clearly labeled on all Containers
  3. Material Safety Data sheets current
  4. Storage containers in good condition, labeled, properly stacked and secondary containment
  5. Appropriate natural/mechanical ventilation to reduce fumes
  

  Yes

  No

  N/A

• Risk rating?

  Select 5 Catastrophic (Fatality) 4 Major (Lost Time Injury) 3 Serious (Medical Treat) 2 Minor (First Aid) 1 Insignificant (No Injury) Not Applicable

  • 5 Catastrophic (Fatality)
  • 4 Major (Lost Time Injury)
  • 3 Serious (Medical Treat)
  • 2 Minor (First Aid)
  • 1 Insignificant (No Injury)
  • Not Applicable

• Corrective actions?

• Residual risk rating?

  Select 5 Catastrophic (Fatality) 4 Major (Lost Time Injury) 3 Serious (Medical Treat) 2 Minor (First Aid) 1 Insignificant (No Injury) Not Applicable

  • 5 Catastrophic (Fatality)
  • 4 Major (Lost Time Injury)
  • 3 Serious (Medical Treat)
  • 2 Minor (First Aid)
  • 1 Insignificant (No Injury)
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• Environmental Issues?
  1. Ventilation/lighting operational and appropriate
  2. Noise level appropriate
  3. No visible waste/material/stains/spills/wastewater discharge
  4. Weather protection available for outdoor storage and secondary containment valves closed
  

  Yes

  No

  N/A

• Risk rating?

  Select 5 Catastrophic (Fatality) 4 Major (Lost Time Injury) 3 Serious (Medical Treat) 2 Minor (First Aid) 1 Insignificant (No Injury) Not Applicable

  • 5 Catastrophic (Fatality)
  • 4 Major (Lost Time Injury)
  • 3 Serious (Medical Treat)
  • 2 Minor (First Aid)
  • 1 Insignificant (No Injury)
  • Not Applicable

• Corrective actions?

• Residual risk rating?

  Select 5 Catastrophic (Fatality) 4 Major (Lost Time Injury) 3 Serious (Medical Treat) 2 Minor (First Aid) 1 Insignificant (No Injury) Not Applicable

  • 5 Catastrophic (Fatality)
  • 4 Major (Lost Time Injury)
  • 3 Serious (Medical Treat)
  • 2 Minor (First Aid)
  • 1 Insignificant (No Injury)
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• Date for completion of corrective actions?

  Date

• Date for completion of corrective actions?

  Date

• Safety Issues?
  1. PPE available and being worn where required
  2. Safety signs visible & properly positioned
  3. Safety tags used appropriately: danger/out of service/ warning tags
  4. First Aid box available together with contents list & stocked to standard
  5. Current list of first aiders displayed & up-to-date
  
  
  

  Yes

  No

  N/A

• Risk rating?

  Select 5 Catastrophic (Fatality) 4 Major (Lost Time Injury) 3 Serious (Medical Treat) 2 Minor (First Aid) 1 Insignificant (No Injury) Not Applicable

  • 5 Catastrophic (Fatality)
  • 4 Major (Lost Time Injury)
  • 3 Serious (Medical Treat)
  • 2 Minor (First Aid)
  • 1 Insignificant (No Injury)
  • Not Applicable

• Corrective actions?

• Residual risk rating?

  Select 5 Catastrophic (Fatality) 4 Major (Lost Time Injury) 3 Serious (Medical Treat) 2 Minor (First Aid) 1 Insignificant (No Injury) Not Applicable

  • 5 Catastrophic (Fatality)
  • 4 Major (Lost Time Injury)
  • 3 Serious (Medical Treat)
  • 2 Minor (First Aid)
  • 1 Insignificant (No Injury)
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• Date for completion of corrective actions?

  Date

• Physical Issues?
  1. No leaks/corrosion
  2. Grounds/pathways/grass in good condition
  3. Access ways unobstructed
  4. Good housekeeping. Surfaces clean, dry & free of unnecessary oil/grease/material
  5. No slip, trip or head hazards
  6. No wear and tear of equipment
  7. Materials/equipment stacked OK, e.g. heavy items stored at lower levels
  

  Yes

  No

  N/A

• Risk rating?

  Select 5 Catastrophic (Fatality) 4 Major (Lost Time Injury) 3 Serious (Medical Treat) 2 Minor (First Aid) 1 Insignificant (No Injury) Not Applicable

  • 5 Catastrophic (Fatality)
  • 4 Major (Lost Time Injury)
  • 3 Serious (Medical Treat)
  • 2 Minor (First Aid)
  • 1 Insignificant (No Injury)
  • Not Applicable

• Corrective actions?

• Residual risk rating?

  Select 5 Catastrophic (Fatality) 4 Major (Lost Time Injury) 3 Serious (Medical Treat) 2 Minor (First Aid) 1 Insignificant (No Injury) Not Applicable

  • 5 Catastrophic (Fatality)
  • 4 Major (Lost Time Injury)
  • 3 Serious (Medical Treat)
  • 2 Minor (First Aid)
  • 1 Insignificant (No Injury)
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• Date for completion of corrective actions?

  Date

• Electrical Issues?
  1. Electrical enclosures & distribution boards weatherproof
  2. Earth leakage protection devices used
  3. Electrical hand tools/extensions/leads, tidy, tested & tagged or recorded
  4. Access to high voltage substations and cabinets controlled
  
  
  
  

  Yes

  No

  N/A

• Risk rating?

  Select 5 Catastrophic (Fatality) 4 Major (Lost Time Injury) 3 Serious (Medical Treat) 2 Minor (First Aid) 1 Insignificant (No Injury) Not Applicable

  • 5 Catastrophic (Fatality)
  • 4 Major (Lost Time Injury)
  • 3 Serious (Medical Treat)
  • 2 Minor (First Aid)
  • 1 Insignificant (No Injury)
  • Not Applicable

• Corrective actions?

• Residual risk rating?

  Select 5 Catastrophic (Fatality) 4 Major (Lost Time Injury) 3 Serious (Medical Treat) 2 Minor (First Aid) 1 Insignificant (No Injury) Not Applicable

  • 5 Catastrophic (Fatality)
  • 4 Major (Lost Time Injury)
  • 3 Serious (Medical Treat)
  • 2 Minor (First Aid)
  • 1 Insignificant (No Injury)
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• Date for completion of corrective actions?

  Date

• Work Method Issues?
  1. Work Permit system in use
  2. Manual handling appropriate
  3. Work benches/area clean & tidy
  4. Tools/equipment/materials being used correctly & in a safe manner
  5. Clear & up-to-date written instructions available
  6. Non smoking requirements observed
  7. Site speed restrictions adhered to
  
  
  
  

  Yes

  No

  N/A

• Risk rating?

  Select 5 Catastrophic (Fatality) 4 Major (Lost Time Injury) 3 Serious (Medical Treat) 2 Minor (First Aid) 1 Insignificant (No Injury) Not Applicable

  • 5 Catastrophic (Fatality)
  • 4 Major (Lost Time Injury)
  • 3 Serious (Medical Treat)
  • 2 Minor (First Aid)
  • 1 Insignificant (No Injury)
  • Not Applicable

• Corrective actions?

• Residual risk rating?

  Select 5 Catastrophic (Fatality) 4 Major (Lost Time Injury) 3 Serious (Medical Treat) 2 Minor (First Aid) 1 Insignificant (No Injury) Not Applicable

  • 5 Catastrophic (Fatality)
  • 4 Major (Lost Time Injury)
  • 3 Serious (Medical Treat)
  • 2 Minor (First Aid)
  • 1 Insignificant (No Injury)
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• Date for completion of corrective actions?

  Date

• Security Issues?
  1. Entrances/exits/locks/windows/gates in good condition
  2. Employee, contractor & visitor IDs being used
  3. Security fences intact and security cameras operational
  

  Yes

  No

  N/A

• Risk rating?

  Select 5 Catastrophic (Fatality) 4 Major (Lost Time Injury) 3 Serious (Medical Treat) 2 Minor (First Aid) 1 Insignificant (No Injury) Not Applicable

  • 5 Catastrophic (Fatality)
  • 4 Major (Lost Time Injury)
  • 3 Serious (Medical Treat)
  • 2 Minor (First Aid)
  • 1 Insignificant (No Injury)
  • Not Applicable

• Corrective actions?

• Residual risk rating?

  Select 5 Catastrophic (Fatality) 4 Major (Lost Time Injury) 3 Serious (Medical Treat) 2 Minor (First Aid) 1 Insignificant (No Injury) Not Applicable

  • 5 Catastrophic (Fatality)
  • 4 Major (Lost Time Injury)
  • 3 Serious (Medical Treat)
  • 2 Minor (First Aid)
  • 1 Insignificant (No Injury)
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• Date for completion of corrective actions?

  Date

• Machinery/Equipment Issues?
  1. Valves, equipment and pipelines labeled
  2. Unused equipment (eg, hoses, electrical equipment) Stored properly
  3. Emergency stop buttons available, clearly marked And accessible
  4. Machines properly guarded
  5. Machines and surrounding areas clean & in good condition
  6. Pallet condition satisfactory and cylinders adequately restrained
  7. Gauges, alarms, trips, relief valves operational and regularly tested
  8. Ladders, steps, hand rails & scaffolding secure & in good condition
  

  Yes

  No

  N/A

• Risk rating?

  Select 5 Catastrophic (Fatality) 4 Major (Lost Time Injury) 3 Serious (Medical Treat) 2 Minor (First Aid) 1 Insignificant (No Injury) Not Applicable

  • 5 Catastrophic (Fatality)
  • 4 Major (Lost Time Injury)
  • 3 Serious (Medical Treat)
  • 2 Minor (First Aid)
  • 1 Insignificant (No Injury)
  • Not Applicable

• Corrective actions?

• Residual risk rating?

  Select 5 Catastrophic (Fatality) 4 Major (Lost Time Injury) 3 Serious (Medical Treat) 2 Minor (First Aid) 1 Insignificant (No Injury) Not Applicable

  • 5 Catastrophic (Fatality)
  • 4 Major (Lost Time Injury)
  • 3 Serious (Medical Treat)
  • 2 Minor (First Aid)
  • 1 Insignificant (No Injury)
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• Date for completion of corrective actions?

  Date

• Emergency Issues?
  1. Emergency procedures clearly displayed & up-to-date
  2. Eyewash stations & emergency showers clean & in good working order
  3. Emergency equipment and exits clearly marked & free of obstruction
  4. Spill response equipment and supplies available
  5. Fire extinguishers, hoses & hydrants available, clearly labeled & in test
  

  Yes

  No

  N/A

• Risk rating?

  Select 5 Catastrophic (Fatality) 4 Major (Lost Time Injury) 3 Serious (Medical Treat) 2 Minor (First Aid) 1 Insignificant (No Injury) Not Applicable

  • 5 Catastrophic (Fatality)
  • 4 Major (Lost Time Injury)
  • 3 Serious (Medical Treat)
  • 2 Minor (First Aid)
  • 1 Insignificant (No Injury)
  • Not Applicable

• Corrective actions?

• Residual risk rating?

  Select 5 Catastrophic (Fatality) 4 Major (Lost Time Injury) 3 Serious (Medical Treat) 2 Minor (First Aid) 1 Insignificant (No Injury) Not Applicable

  • 5 Catastrophic (Fatality)
  • 4 Major (Lost Time Injury)
  • 3 Serious (Medical Treat)
  • 2 Minor (First Aid)
  • 1 Insignificant (No Injury)
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• Date for completion of corrective actions?

  Date

• Other Hazardous Issues?

  Yes

  No

  N/A

• Risk rating?

  Select 5 Catastrophic (Fatality) 4 Major (Lost Time Injury) 3 Serious (Medical Treat) 2 Minor (First Aid) 1 Insignificant (No Injury) Not Applicable

  • 5 Catastrophic (Fatality)
  • 4 Major (Lost Time Injury)
  • 3 Serious (Medical Treat)
  • 2 Minor (First Aid)
  • 1 Insignificant (No Injury)
  • Not Applicable

• Corrective actions?

• Residual risk rating?

  Select 5 Catastrophic (Fatality) 4 Major (Lost Time Injury) 3 Serious (Medical Treat) 2 Minor (First Aid) 1 Insignificant (No Injury) Not Applicable

  • 5 Catastrophic (Fatality)
  • 4 Major (Lost Time Injury)
  • 3 Serious (Medical Treat)
  • 2 Minor (First Aid)
  • 1 Insignificant (No Injury)
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• Date for completion of corrective actions?

  Date