Information
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Document No.
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Client / Site
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Conducted on
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Location
1. Machanical
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Is dangerous machinery effectively guarded?
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Does any machinery leak oil?
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Are switches/valves labeled?
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Are all equipment/safe devices on machinery in good working condition?
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Are lock-out markings / permits posted on machines?
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Are guard rails fitted around machinery if applicable?
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Are there procedures available for reporting defects on machinery
1.1 Lifting Equipment
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Was all lifting machinery tested yearly?
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Was all lifting tackle examined 3 month?
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Are hooks in good condition?
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Is the maximum mass load displayed on all machinery and related equipment?
1.2 Forklifts
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Are any oil leals visible?
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Is it correctly/legally parked?
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Is it fitted with a hooter?
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Do handbrakes work?
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Are security pins fitted?
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Are forklift drivers licensed?
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Is it parked with ignitions keys in it?
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Is the condition of load backrest good?
1.3 Grinders
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Is it marked with the rated spindle speed?
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Are the grinding wheels guarded?
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Is the a 3mm gap between grinding wheel and work rest?
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Are eye protection signs conspicuous posted?
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Were any broken of defective tools observed?
2. Electrical
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Are electric cables in good condition?
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Are the plugs in good condition?
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Are all switch boards unobstructed?
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Are there any unlabelled switches in switch boards?
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Is the general condition of portable electric equipment acceptable?
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Are there open conductors/uncovered opening in switch boards?
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Are guards switches on electrical machinery in good working condition?
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Are the guards on electrical machinery in a good condition?
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Is any portable lamp broken or defective?
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Are transformers premises/switch boards kept locked?
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Was any unsafe work method/procedure observed?
3. Facilities
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Is the condition of floors (openings, falling objects, manhole covers, etc) regarded as safe?
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Is any structure regarded as unsafe?
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Are the sanitary facilities in good working order?
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Is soap or a cleaning agent provided?
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Are towels (cotton-for each worker) or paper or air blowers provided?
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Is toilet paper provided?
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Is it well ventilated (any odours)?
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Are facilities in a tidy condition?
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Are windows transparent?
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Are dining rooms provided and made use of?
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Are change rooms provided and made use of?
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Are lockers provided and made use of?
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Were any water leaks observed?
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Are there any broken windows?
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Is adequate water provided and is it accessible?
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Is proper sitting provided?
4. Housekeeping
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Is there any equipment not stowed away?
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Is all equipment stored in demarcated areas?
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Is provision made for the disposal of general waste (excluding chemicals)?
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Is adequate work space provided?
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Is the routing of cables and pipes safe?
5. Personal protective equipment
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Are notices posted for the use thereof?
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Is it used?
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Is it in good condition?
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Are storage facilities for PPE provided?
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Is it disposed of in a designated receptacle?
6. General
6.1 Ventilation
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Was a ventilation survey carried out?
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Is there any defective ventilation equipment-is it in a good working condition?
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Are any filters of covers clogged up or dirty?
6.2 Lighting
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Is the lighting in a working condition?
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Are all switches in a working order?
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Is there any broken lighting?
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Was a lighting survey carried out?
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Emergency evacuation lighting-does it work?
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Emergency alarm-does it work?
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Is the lighting regarded as adequate?
6.3 Stacking
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Are stacks to high?
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Are there stacks level?
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Are there unstable stacks?
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Are there broken pallets?
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Is any shelving broken or damaged?
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Does stacking take place in walkways/driveways?
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Is the stacking practice regarded as safe?
6.4 Ladders
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Have ladders been inspected?
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Was the unsafe use of ladders observed?
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Is any ladders broken or defective?
6.5 Fire Hazards
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Is here anything that is regarded as a fire hazard?
6.6 General Maintenance
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Is equipment/machinery properly maintained?
6.7 Demarcation
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Are walkways and driveways properly demarcated?
6.8 Fire Fighting Equipment
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Has the service date expired?
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Is any corrosion observed?
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Is the hose/nozzle in a good condition?
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Are symbolic signs posted?
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Is the seal in a good condition?
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Is any fire extinguisher obstructed?
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Is it strategically positioned?
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Is the instructions label in good condition?
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Is the gauge pressure correct?
6.9 Evacuation
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Can doors/gates open to the outside?
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Can doors / gates be open immediately?
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Is signage for evacuation routes posted?
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Are the evaluation routes blocked or obstructed?
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Are fire drill carried out regularly?
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Are smoke detectors checked regularly?
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Are fire alarm capable of warning employees throughout the building/site?
6.10 First aid boxes
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Are sign posted to indicate the location thereof?
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Is the name of person responsible for first-aid conspicuously displayed?
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Is it sealed?
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Is the content theof correct?
6.12 Notices and sign
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Are signs for general PPE posted?
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Is signage for unauthorised entry posted?
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Is resuscitation signage at transformer premises premises posted?
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Is signage for action in case of a fire at transformer premises posted?
6.12 Noise
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Are noise levels acceptable?
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Have the causes of noise been addressed if applicable?
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Is proper hearing production available if and when required?
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Are noise zones properly demarcated?
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Were employees trained on the use of hearing protection protectors?
7. Human Behaviour
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Are there any complaints from employees?
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Do employees engage in horseplay?
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Is any unauthorised smoking observed?
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Is any unauthorised eating and drinking observed?
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Is any unsafe act observed
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Do safety talks take place?
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Do employees make a contribution when inspections are carried out?
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Is any unsafe behaviour/attitude, negligence etc observed?
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Do risk assessments include stress/ergonomics?
8. Hazardous Chemical Substances
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Are Material Safety Data Sheets available where people are exposed to HCS?
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Have First-Aiders been trained on MSDS's?
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Is there a separation disposal bin for chemical HCS waste (including contaminated PPE)?
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Is there an alarm to prompt early corrective action?
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Is the flammable liquid store marked as one?
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Is the flammable liquids store ventilated to the outside?
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Is fire extinguisher equipment strategically placed?
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Is flammable liquid store constructed so as to contain 110%of the maximum storage capacity?
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Are chemicals locked away?
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Does battery charging take place in safe place?
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Is a deluge shower provided where HCS could be absorbed through the skin?
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Is any chemical spill observed?
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Is any unsafe work method / practice observed?
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Safety Representative
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Completed