Title Page

  • Document/Contract No

  • Project Title

  • Date Inspection Conducted

  • Consultant-in-charge

  • Name of Section

  • Team Lead of the Section

  • PUB Officer in charge of the site

  • Location

Safety Inspection Checklist

  • 123.png
  • Instruction:
    ----------------------

    1. Answer all the questions and fields below.
    2. Add photos and notes by clicking on the paperclip icon, if applicable.
    3. To add a Corrective Action click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority and due date.
    4. Complete audit by providing digital signature.
    5. Share your report by exporting as PDF, Word, Excel or Web Link.

  • PUB Contractor

SECTION A - DOCUMENTATION REVIEW

Safety & Health Management System Elements

  • 1. Safety Policy

  • 2. Safe Work Practices

  • 3. Safety Training

  • 4. Group Meetings

  • 5. Incident Investigation And Analysis

  • 6. In-House Safety Rules

  • 7. Safety Promotion

  • 8. System for the Evaluation, Selection and Control of Contractors

  • 9. Safety Inspection

  • 10. Maintenance Regime

  • 11. Risk Assessment

  • 12. Control of Movement and Use of Hazardous Chemicals

  • 13. Occupational Health Programme

  • 14. Emergency Preparedness

  • 15. Environment Control Management

SECTION B - PREVENTIVE ACTIONS AGAINST DIFFERENT TYPES OF HAZARD

  • NOTE:

    Attach Photo(s) of Hazard before and after follow-up on each identified by clicking the paperclip icon.

  • Definition of Scores:

    0 - Unacceptable
    1 - Unsatisfactory (follow-up required)
    2 - Satisfactory but there is room for improvement
    3 - Satisfactory

  • Select Type of Hazard

  • Physical Hazards

    A factor within environment that can harm the body without necessarily touching it.
    (Example: Noise, vibration, radiation, vacuum)

  • Select the Score of Hazard

  • Details of Hazard

  • Chemical Hazards

    Exposure to chemicals can cause acute or long term detrimental health effect.
    (Example: Toxic, explosive, flammable)

  • Select the Score of Hazard

  • Details of Hazard

  • Mechanical Hazards

    This could be cutting, shaping, boring or forming of stock. Regardless the type or work, the point of operation of the work must be safeguarded.
    (Example: Missing of machine guard)

  • Select the Score of Hazard

  • Details of Hazard

  • Electrical Hazards

    Exposed contacts with live parts causing shock and burns. A dangerous condition where a worker can or does make electrical contact with energized equipment or a conductor.
    (Example: Electrocution)

  • Select the Score of Hazard

  • Details of Hazard

  • Ergonomic Hazard

    A physical factor within the environment that harms the musculoskeletal system
    (Example: Repetitive movement, uncomfortable workstation height)

  • Select the Score of Hazard

  • Details of Hazard

  • Fire Hazard

    A material, substance, or action that increases the likelihood of an accidental fire occurring.
    (Example: Large number of dead trees poses a fire hazards)

  • Select the Score of Hazard

  • Details of Hazard

  • Fall from Height Hazard

    Anything in the workplace that could cause an unintended loss of balance or bodily support and result in a fall.
    (Example: People falling and objects falling onto people below.)

  • Select the Score of Hazard

  • Details of Hazard

  • Confined Space Hazards

    Has limited or restricted means of entry or exit and is not designed for continuous occupancy.
    (Example: Poor air quality, toxic atmosphere)

  • Select the Score of Hazard

  • Details of Hazard

  • Slip, Trip and Fall Hazards

    Falling on the same level.
    (Example: Stepping on slippery surface, foot striking against an object, stepping on an uneven surface and losing balance.)

  • Select the Score of Hazard

  • Details of Hazard

SECTION C - OTHER OBSERVATIONS

  • Definition of Scores:

    0 - Unacceptable
    1 - Unsatisfactory (follow-up required)
    2 - Satisfactory but there is room for improvement
    3 - Satisfactory

  • Select the Type of Hazard

  • Compliant with PUB requirements & Contract Specifications on safety

    (Example: Lifting Pass, Safety Induction Sticker Life Saving Rules)

  • Select the Score of Hazard

  • Details of Hazard

  • Housekeeping

    Poor housekeeping can be a cause of accidents
    (Example: Slip, Trip and Fall or being hit by objects.)

  • Select the Score of Hazard

  • Details of Hazard

  • Customer Relations & Management

    (Example: Notice of nature of work, Information signage, warning signage.)

  • Select the Score of Hazard

  • Details of Hazard

  • Traffic Control Management

    Generally come from the interaction between vehicles and pedestrians.
    (Example: Road accident)

  • Select the Score of Hazard

  • Details of Hazard

Completion

  • Inspected by: (Name & Signature)

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.