QHSE Inspection - CLN

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Cleaners are uniformed and wearing safety shoes (random sampling)

  Yes

  No

  N/A

• Cleaners have access to drinking water & washroom

  Yes

  No

  N/A

• First aid boxes available at site.

  Yes

  No

  N/A

• Toolbox topics are available and carried out on weekly basis in line with toolbox talk plan (attendance sheets)

  Yes

  No

  N/A

• Emergency Contact list available at site

  Yes

  No

  N/A

• Monthly / daily plan for planned cleaning activities is in place and in line with the contract

  Yes

  No

  N/A

• Planned activities are executed in line with the plan (reports )

  Yes

  No

  N/A

• Ladders / Scaffolding available and in Good condition

  Yes

  No

  N/A

• HSE documents/files available at site (Hard file)

  Yes

  No

  N/A

• No fuel is stored on site, if it has to be stored then the requirements of the COSHH card of fuel are adhered to

  Yes

  No

  N/A

• Cleaning chemicals and Equipment used on site are listed

  Yes

  No

  N/A

• Housekeeping in onsite store is good

  Yes

  No

  N/A

• Risk Assessment of tasks, equipment, activities and COSHH Card / MSDS of chemicals available onsite

  Yes

  No

  N/A

• All measuring equipment are listed and calibrated (certificates & stickers)

  Yes

  No

  N/A

• All portable appliances are listed and PAT-ed

  Yes

  No

  N/A

• Risk assessment of sub-contractors tasks, chemicals and equipment available onsite (approved by Farnek HSEQ department)

  Yes

  No

  N/A

• Others

  Yes

  No

  N/A

Signatures

• HSEQ Officer

  Sign

• Site Incharge

  Sign