Information

  • Client / Site

  • Comments/Corrective Action Required/Proposed

  • Person Responsible

  • Cintellate Action No

  • Comments/Corrective Action Required/Proposed

  • Person Responsible

  • Cintellate Action No

  • Comments/Corrective Action Required/Proposed

  • Person Responsible

  • Cintellate Action No

  • Prepared by

  • Conducted on

  • Document No.

  • SHIFT TYPE

ASSESSMENT OF SCORING 0 - No evidence of applied system meeting BGC Standards or Legislative requirements. 1 - There is evidence that an attempt to meet requirements has been made. 2 - There is evidence that the requirements are mostly met. 3 - All requirements are met to BGC and legislative requirements.

  • 1.1 General housekeeping (including floors, benches, etc.)

  • Comments/Corrective Action Required/Proposed

  • Person Responsible

  • Cintellate Action No

  • 1.2 PPE available and used

  • Comments/Corrective Action Required/Proposed

  • Person Responsible

  • Cintellate Action No

  • 1.3 Isolation and tagging (including tagging station)

  • Comments/Corrective Action Required/Proposed

  • Person Responsible

  • Cintellate Action No

  • 1.4 Risk assessments being used (START, JHA)

  • Comments/Corrective Action Required/Proposed

  • Person Responsible

  • Cintellate Action No

  • 1.5 Lighting

  • Comments/Corrective Action Required/Proposed

  • Person Responsible

  • Cintellate Action No

  • 1.6 Wheel chocks

  • Comments/Corrective Action Required/Proposed

  • Person Responsible

  • Cintellate Action No

  • 1.7 Electrical hand tools

  • Comments/Corrective Action Required/Proposed

  • Person Responsible

  • Cintellate Action No

  • 1.8 Hand tools and cage tools

  • Comments/Corrective Action Required/Proposed

  • Person Responsible

  • Cintellate Action No

  • 1.9 Jacks, stands, blocks and work platforms

  • Comments/Corrective Action Required/Proposed

  • Person Responsible

  • Cintellate Action No

  • 1.10 Slings, chains, shackles and cumalongs

  • Comments/Corrective Action Required/Proposed

  • Person Responsible

  • Cintellate Action No

  • 1.11 Hot work, gas bottles chained, stored correctly

  • Comments/Corrective Action Required/Proposed

  • Person Responsible

  • Cintellate Action No

  • 1.12 Air lines and fittings

  • Comments/Corrective Action Required/Proposed

  • Person Responsible

  • Cintellate Action No

  • 1.13 Hydraulics (porta-power, hose-press)

  • Comments/Corrective Action Required/Proposed

  • Person Responsible

  • Cintellate Action No

  • 1.14 Service bay, bunds clean, oil spillage

  • Comments/Corrective Action Required/Proposed

  • Person Responsible

  • Cintellate Action No

  • 1.15 Stores

  • Comments/Corrective Action Required/Proposed

  • Person Responsible

  • Cintellate Action No

  • 1.16 Compressor shed/tyre storage

  • Comments/Corrective Action Required/Proposed

  • Person Responsible

  • Cintellate Action No

  • 1.17 Fuel farm

  • Comments/Corrective Action Required/Proposed

  • Person Responsible

  • Cintellate Action No

  • 1.18 Washdown pad

  • Comments/Corrective Action Required/Proposed

  • Person Responsible

  • Cintellate Action No

  • 1.19 Lay-down areas, pods in correct bunded area

  • Comments/Corrective Action Required/Proposed

  • Person Responsible

  • Cintellate Action No

  • 1.20 Oil spills cleaned, spill kits stocked

  • Comments/Corrective Action Required/Proposed

  • Person Responsible

  • Cintellate Action No

  • 1.21 Collect all pre-starts from workshop LV's etc

  • Comments/Corrective Action Required/Proposed

  • Person Responsible

  • Cintellate Action No

  • 1.22 Drain water out of workshop compressor

  • Comments/Corrective Action Required/Proposed

  • Person Responsible

  • Cintellate Action No

  • ADDITIONAL COMMENTS

  • Inspected by (name and signature)

  • Superintendent/Manager signature

Email to site admin and/or safety department.

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