QUARZA ESH INSPECTION CHECKLIST V1

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1. Solid Waste Management

• 1. Domestic Waste is managed properly at site

  Complied

  Not Complied

  N/A

• 2. Construction Waste is managed properly at site

  Complied

  Not Complied

  N/A

• 3. Domestic Waste is managed properly at Kongsi

  Complied

  Not Complied

  N/A

• 4. Designated area for Solid Waste

  Complied

  Not Complied

  N/A

• 5. Approved Solid Waste collector by Local Authorities

  Complied

  Not Complied

  N/A

• 6. No traced of open burning

  Yes

  No

  N/A

2. Spillage Control

• 1. Sufficient containment bund is provided for concrete mixer, bar bending machine & generator set

  Yes

  No

  N/A

• 2. Maintenance of Vehicles/Machinery

  Complied

  Not Complied

  N/A

• 3. Chemical Spillage

  Complied

  Not Complied

  N/A

3. Environmental Mitigation Measure

• 1. Wash through

  Complied

  Not Complied

  N/A

• 2. Road/access maintenance

  Complied

  Not Complied

  N/A

4. Personal Protective Equipment

• 1. Safety Boots

  Complied

  Not Complied

  N/A

• 2. Safety Helmet

  Complied

  Not Complied

  N/A

• 3. Safety Harness

  Complied

  Not Complied

  N/A

• 4. Hand protection

  Yes

  No

  N/A

• 5. Other PPE (face shield, hearing protection, dust mask, safety vest)

  Yes

  No

  N/A

5. Scaffolding

• 1. Competent Erector and inspector

  Complied

  Not Complied

  N/A

• 2. Tagging System

  Complied

  Not Complied

  N/A

• 3. Inspection Checklist

  Complied

  Not Complied

  N/A

• 4. Endorsed design

  Complied

  Not Complied

  N/A

• 5. Scaffold erected as per endorsed drawing (platform, railing, cross brace, wall tie, access, base)

  Yes

  No

  N/A

• 6. Condition of scaffold

  Yes

  No

  N/A

6. Form Work/False Work

• 1. Calculation & design by PE

  Complied

  Not Complied

  N/A

• 2. Inspection by competent person

  Complied

  Not Complied

  N/A

7. Working at Height

• 1. Proper working platform

  Complied

  Not Complied

  N/A

• 2. Proper access/staircase

  Complied

  Not Complied

  N/A

• 3. Proper PPE (harness, safety Shoe, helmet)

  Complied

  Not Complied

  N/A

• 4. Supervision

  Complied

  Not Complied

  N/A

• 5. Permit to Work System

  Complied

  Not Complied

  N/A

8. Hot Work

• 1. Permit To Work System

  Yes

  No

  N/A

• 2. Fire Extinguisher Provided

  Yes

  No

  N/A

9. Hard Barricade

• 1. Exposed edges, floor opening and lift core barricaded

  Safe

  At Risk

  N/A

• 2. Barricade or cover are firm

  Safe

  At Risk

  N/A

• 3. Staircase have railings

  Yes

  No

  N/A

• 4. Warning sign

  Yes

  No

  N/A

10. Excavation

• 1. Barricade around excavated area

  Safe

  At Risk

  N/A

• 2. Adequate protection electrical installation

  Safe

  At Risk

  N/A

• 3. Proper access and ingress

  Complied

  Not Complied

  N/A

• 4. Warning sign

  Yes

  No

  N/A

• 5. Permit to Work system

  Yes

  No

  N/A

11. Electrical Safety

• 1. Warning sign

  Complied

  Not Complied

  N/A

• 2. Proper electrical installation

  Safe

  At Risk

  N/A

• 3. Responsible person

  Yes

  No

  N/A

• 4. Electrical wire not laid in ground

  Safe

  At Risk

  N/A

• 5. Portable tools inspected and certified safe

  Yes

  No

  N/A

12. Housekeeping

• 1. Work area

  Complied

  Not Complied

  N/A

• 2. Canteen area

  Complied

  Not Complied

  N/A

• 3. Kongsi Area

  Complied

  Not Complied

  N/A

13. Emergency Preparedness & response

• 1. Available & displayed ERT Chart

  Complied

  Not Complied

  N/A

• 2. Available & displayed Emergency Escape Route

  Complied

  Not Complied

  N/A

• 3. Fire Fighting Equipment

  Complied

  Not Complied

  N/A

• 4. First Aid Facilities

  Complied

  Not Complied

  N/A

• 5. Assembly area

  Complied

  Not Complied

  N/A

• 6. Emergency contact number displayed

  Yes

  No

  N/A

• 7. Emergency and evacuation drill conducted

  Yes

  No

  N/A

14. Confined Space

• 1. Warning sign

  Yes

  No

  N/A

• 2. Permit to Work system

  Yes

  No

  N/A

• 3. Competent Person

  Yes

  No

  N/A

• 4. Supervision and Standby Person

  Yes

  No

  N/A

Other non compliance

• Other non compliance issues

  Complied

  Not Complied

  N/A

Corrective Action Request (CAR)

• Deadline for submission of Corrective Action

Other Comments

• Other comments

  Yes

  No

  N/A

• On site representative

  Sign

• Consultant/SDP Technical Supervisor

  Sign

• SDP ESH Representative

  Sign

• Yes

  No

  N/A