SAFETY AND HEALTH AUDIT FORM

• Select date

  Date

• OPUN

• Region

• Manager

• Total Ha

• Number of workers

OSH Policy

• Security post

  1

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  4

• Main office, muster ground, all workplace

  1

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  4

Road signages

• Speed limit, sound horn, bridges, culverts

  1

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  4

• Sharp bends, right turns, left turns, junctions

  1

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Guard post

• Wear helmets, OSH policy, UTAMAKAN KESELAMATAN

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  4

• STOP, security check

  1

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Compulsary signages

• Wear appropriate PPE (all areas), UTAMAKAN KESELAMATAN

  1

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• Classification of pesticides (chemical store)

  1

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  4

Issuance of PPE

• Records of PPE distribution

  1

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  4

• Evidence of agreement to comply with usage

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Compulsory PPE for executives and staff

• Executive level - helmet, safety vest, safety boots

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  4

• Staff level - helmet, safety vest, safety boots

  1

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  4

Implementation of PPE

• Harvester - halmet, cotton gloves, safety boots

  1

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  4

• Sprayer - safety goggles, apron, gloves, respirators

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  4

Penalty system for non usage

• Evidence of agreement between management and workers

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• Evidence of penalty system for non usage

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Proper transportation for workers

• Transport trailer for workers

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• PPE for drivers - helmet, safety vest, safety boots

  1

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Implementation of helmets for motorcyclist

• Management memo for compulsory use of helmets

  1

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  3

  4

• Evidence of helmet use in estate

  1

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  4

Condition of workers transportation

• Maintenance records for transport trailers

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  4

• Physical inspection of transport trailers

  1

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  4

Contractors compliance to OSH

• Management memo for compulsory use of PPE fro drivers

  1

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  4

• Evidence of training and compliance to estate's OSH rules

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  4

Cleanliness and safe precautions

• Evidence of 5S practices in daily work

  1

  2

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  4

• Red and white poles, color coded areas

  1

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  3

  4

Signages

• Wear appropriate PPE and UTAMAKAN KESELAMATAN

  1

  2

  3

  4

• OSH policy

  1

  2

  3

  4

PPE compliance

• Visual inspection of PPE usage

  1

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  4

• PPE records for workshop workers

  1

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  4

Diesel storage tank

• Signages - no smoking, highly flamable

  1

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  4

• Bund wall built to hold minimum 110% capacity of diesel

  1

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  4

Labelling of chemicals

• All labels are in place

  1

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  4

• Temporary storage of chemicals are labelled appropriately

  1

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  4

Local exhaust ventilation fan installed

• LEV are installed in the hazardous chemical storage

  1

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  4

• Mintenance records of LEV fans

  1

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  4

Signages

• Warning signages displayed for hazardous chemicals

  1

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  4

• Compulsory signages are displayed (as in criteria signages)

  1

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  4

OSH notice board (MSDS, SOP, OSH, policies)

• Physical display of all OSH related materials

  1

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• Regular updates done of OSH notice boards

  1

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Pre-mixing facilities

• Implementation of pre-mixingg procedures for pesticides

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• Pre-mix trays are available for use

  1

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PPE training for sprayers

• Evidence of PPE training for sprayres

  1

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  4

• Visual evidence of PPE usage among sprayres

  1

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  4

Emergency eye wash and shower

• Emercency eye wash is constructed nearby and maintained

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  4

• Emergency shower is constructed nearby and maintained

  1

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Shower room and changing room for sprayers

• Shower and changing room is constructed for sprayers

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  4

• Evidence of usage

  1

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Records updated

• Records of DOSH related documents updated (JKKP forms)

  1

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• OSH committee meeting updated

  1

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OSH committee letter of appointment

• Appointment letter for chairman is signed by Regional Head

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• Committee appointment letters signed by chairman

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Emergency respond plan

• Emergency layout plan for fire evacuation

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• Procedures for first aid/ medical emergencies

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Training records

• Evidence of training for staff and workers

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• Trainings are updated with evidences

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Linesite safety and health

• General cleanliness and safety are practiced

  1

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• No illegal extension and clogged drains

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Rubbish collection

• Documented rubbish collection available and displayed

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• Rubbish collection pit is available and maintained

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Fogging

• Annual fogging schedule available

  1

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• Fogging is conducted in regular intervals

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Medical facilities

• Hospital Attanden available

  1

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• Clinic facilities are available

  1

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  4

Auditor

• Sustainability Unit Personel

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  Date

Auditee

• OPUN Personel

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  Date

• Manager

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  Date