Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1. Solid Waste Management

  • 1. Domestic Waste is managed properly at site

  • 2. Construction Waste is managed properly at site

  • 3. Domestic Waste is managed properly at Kongsi

  • 4. Designated area for Solid Waste

  • 5. Approved Solid Waste collector by Local Authorities

  • 6. No traced of open burning

2. Spillage Control

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

  • 2. Maintenance of Vehicles/Machinery

  • 3. Chemical Spillage

3. Environmental Mitigation Measure

  • 1. Wash through

  • 2. Road/access maintenance

4. Personal Protective Equipment

  • 1. Safety Boots

  • 2. Safety Helmet

  • 3. Safety Harness

  • 4. Hand protection

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

5. Scaffolding

  • 1. Competent Erector and inspector

  • 2. Tagging System

  • 3. Inspection Checklist

  • 4. Endorsed design

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

  • 6. Condition of scaffold

6. Form Work/False Work

  • 1. Calculation & design by PE

  • 2. Inspection by competent person

7. Working at Height

  • 1. Proper working platform

  • 2. Proper access/staircase

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

  • 4. Supervision

  • 5. Permit to Work System

8. Hot Work

  • 1. Permit To Work System

  • 2. Fire Extinguisher Provided

9. Hard Barricade

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

  • 2. Barricade or cover are firm

  • 3. Staircase have railings

  • 4. Warning sign

10. Excavation

  • 1. Barricade around excavated area

  • 2. Adequate protection electrical installation

  • 3. Proper access and ingress

  • 4. Warning sign

  • 5. Permit to Work system

11. Electrical Safety

  • 1. Warning sign

  • 2. Proper electrical installation

  • 3. Responsible person

  • 4. Electrical wire not laid in ground

  • 5. Portable tools inspected and certified safe

12. Housekeeping

  • 1. Work area

  • 2. Canteen area

  • 3. Kongsi Area

13. Emergency Preparedness & response

  • 1. Available & displayed ERT Chart

  • 2. Available & displayed Emergency Escape Route

  • 3. Fire Fighting Equipment

  • 4. First Aid Facilities

  • 5. Assembly area

  • 6. Emergency contact number displayed

  • 7. Emergency and evacuation drill conducted

14. Confined Space

  • 1. Warning sign

  • 2. Permit to Work system

  • 3. Competent Person

  • 4. Supervision and Standby Person

Other non compliance

  • Other non compliance issues

Corrective Action Request (CAR)

  • Deadline for submission of Corrective Action

Other Comments

  • Other comments

  • On site representative

  • Consultant/SDP Technical Supervisor

  • SDP ESH Representative

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.