PPL-HSE-FORM-029-v00 HSE Inspection Check list

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Yes

  No

  N/A

• Company:

• Project/Area:

• Date of Inspection:

  Date

• Name of Inspector:

• Position:

• Summary -

  Yes

  No

  N/A

• Actions required -

  Yes

  No

  N/A

• Questionnaire

  Yes

  No

  N/A

• If No, – Corrective Action Taken/To Be Taken

• Note

Site conditions and housekeeping

• Are floorings and surfaces clean?

  Yes

  No

  N/A

• The workplace is free of slipping or tripping hazards, protruding sharp edges?

  Yes

  No

  N/A

• Are guards provided and in good order?

  Yes

  No

  N/A

• Is there enough lighting?

  Yes

  No

  N/A

• PPE are correctly used? Noise PPEs are available?

  Yes

  No

  N/A

• First aid equipment is available?

  Yes

  No

  N/A

• Are adequate safety signs posted?

  Yes

  No

  N/A

• Are stairs and ladders in good service order?

  Yes

  No

  N/A

• Where ladder is used to reach locations above 3 m high, the ladder is protected by a cage (a.k.a. "back scratcher") from 2,20m upward

• Are safety harness used certified and in good order?

  Yes

  No

  N/A

• Is there record of scaffolding inspection (Scaff- Tags)?

  Yes

  No

  N/A

• Is fire-fighting equipment available?

  Yes

  No

  N/A

• Are passageways and emergency escape ways free of obstructions?

  Yes

  No

  N/A

• Are distribution boxes closed and secured?

  Yes

  No

  N/A

• Are cord, cables, wiring in good condition?

  Yes

  No

  N/A

• Stretchers are readily available in all work areas

  Yes

  No

  N/A

Work system

• Is Toolbox Talk performed?

  Yes

  No

  N/A

• Permit to Work system has been implemented?

  Yes

  No

  N/A

• LOTO system has been implemented?

  Yes

  No

  N/A

• RA has been scheduled for hazardous operations?

  Yes

  No

  N/A

Equipment and machinery

The nature of the vessel is such that there are no machine or workshop areas and no stored gas cylinders

• Tools are used by qualified personnel?

  Yes

  No

  N/A

• Is lifting equipment colour coded and free from defects

  Yes

  No

  N/A

• Use and maintenance manuals of machinery are available

  Yes

  No

  N/A

• Are guards / dead-man devices / safety valves available and regularly used?

  Yes

  No

  N/A

• Is general ventilation and local exhaust system (where necessary) provided?

  Yes

  No

  N/A

• Is hose integrity maintained? (Wear degree, pinch points, route path, adequate couplings)

  Yes

  No

  N/A

• The control panels are of a suitable height to allow the operator to have an optimal field of view on both the controls and the controlled machinery

  Yes

  No

  N/A

• Emergency pushbuttons are present in every console, and they are protected against accidental pushing

  Yes

  No

  N/A

• Location (for pushbuttons) and movement (for levers and handwheels) of controls are consistent with their effect

Winches

No mechanically operated or automated winches or winch systems are present on the vessel

• Devices are fitted to ensure safe operation of the winches (such as: load limiting device, end of stroke device, protection of the drum, safety device against accidental operation, fail‐safe/negative braking system - closes automatically in case of power loss-)

  Yes

  No

  N/A

• Moving transmission parts (e.g., shafts, gears, belts) shall be

  Yes

  No

  N/A

• positioned or guarded to be protect against any accidental contact with exposed persons

  Yes

  No

  N/A

• Winches shall be equipped withba device which prevents the loadfrom running back unintentionally

  Yes

  No

  N/A

• Winches shall be provided with an emergency stop function

  Yes

  No

  N/A

• It shall not be possible for the ropes to run off the side of the rope drums

  Yes

  No

  N/A

Spill Management

• Are the bunkering areas provided with containment system (e.g., coamings) to avoid direct discharge into the sea in case of pipe leak?

  Yes

  No

  N/A

• The instructions for proper bunkering operations are available in the bunkering areas?

  Yes

  No

  N/A

• Is adequate spill response equipment available at key locations as per SOPEP?

  Yes

  No

  N/A

• Are Spill Kit provided with an inventory of stored material?

  Yes

  No

  N/A

• Does the Kit content match with the inventory?

  Yes

  No

  N/A

• Are routine checks regularly performed for equipment/areas with high spill risk?

  Yes

  No

  N/A

• Are drains free and not obstructed?

  Yes

  No

  N/A

Waste Management

• Is the waste storage provided with an adequate number and typology of bins/skips?

  Yes

  No

  N/A

• Is the waste segregation carried out properly without mixing different types of waste?

  Yes

  No

  N/A

• Are the waste skips and containers in the storage areas properly labelled (e.g., clear marking into hazardous and non-hazardous waste with clear signage)?

  Yes

  No

  N/A

• When outdoor, are the waste bins sea fastened and do they have the lid closed in order to avoid the sea/rainwater infiltration?

• Are the hazardous waste storage areas provided with proper containment systems? (e.g., coamings)

  Yes

  No

  N/A

• Has appropriate training been provided to persons involved in incineration activities?

  Yes

  No

  N/A

• Is there a list of authorized operators in charge to use the incinerator?

  Yes

  No

  N/A

• Are the incinerator ashes properly disposed and recorded as required by applicable regulations?

  Yes

  No

  N/A

• Are smoking areas provided with ash trays suitable (and clean) for the working environment?

  Yes

  No

  N/A

Management of hazardous substances

No hazardous substances are kept onboard the vessel

• Is there an MSDS register available for hazardous substances present in chemical storage areas?

  Yes

  No

  N/A

• Are hazardous substances properly labelled?

  Yes

  No

  N/A

• Are there adequate signs in the storage area?

• Is there adequate ventilation when working with chemicals and in storage area?

• Are hazardous substances stored in appropriate conditions?

  Yes

  No

  N/A

• (Secondary containment where needed, etc.)

  Yes

  No

  N/A

• Are there spill kit available in the hazardous substances’ storage areas?

  Yes

  No

  N/A

• Are Spill Kit provided with an inventory of stored material?

  Yes

  No

  N/A

• Hydraulic systems that may spill directly into waterways or soil are filled with bio‐degradable or eco‐friendly oil

  Yes

  No

  N/A

• Work equipment containing fuel or oil is fitted with drip trays to contain possible spills

  Yes

  No

  N/A

• Are there any unlabelled container present in worksites?

  Yes

  No

  N/A

Other Topics (Please fill manually)

• PICTURES

  Media

• SECTION

  Yes

  No

  N/A

• PICTURE

  Media

• DESCRIPTION

• A – SITE CONDITIONS & HOUSEKEEPING

  Yes

  No

  N/A

• B - WORK SYSTEMS

  Yes

  No

  N/A

• C – EQUIPMENT & MACHINERY

  Yes

  No

  N/A

• D - WINCHES

  Yes

  No

  N/A

• E – SPILL MANAGEMENT

  Yes

  No

  N/A

• F – WASTE MANAGEMENT

  Yes

  No

  N/A

• G - MANAGEMENT OF HAZARDOUS SUBSTANCES

  Yes

  No

  N/A

• H – General pictures

  Media