Safety Inspection

• Document No.

• Audit Title

• Location
  Address

• Name of Section

• Conducted on

  Date

• Engineer-in-Charge

• BU Head

• PUB Officer-in-Charge of the site

• PUB Term Contractor

• Inspected by

Section A Documentation Review Score: 0 - Non-Compliant 1 - Compliant

• Safety Policy

  Compliant

  Non-Compliant

  Not Applicable

• Add media

  Media

• Safe Work Procedures

  Compliant

  Non-Compliant

  Not Applicable

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  Media

• Training, awareness and communication

  Compliant

  Non-Compliant

  Not Applicable

• Add media

  Media

• Group Meetings

  Compliant

  Non-Compliant

  Not Applicable

• Add media

  Media

• Incident Investigation and Analysis

  Compliant

  Non-Compliant

  Not Applicable

• Add media

  Media

• In-House Safety Rule

  Compliant

  Non-Compliant

  Not Applicable

• Add media

  Media

• Safety Promotion

  Compliant

  Non-Compliant

  Not Applicable

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  Media

• System for Evaluation, Selection and Control of Contractors

  Compliant

  Non-Compliant

  Not Applicable

• Add media

  Media

• Safety Inspection

  Compliant

  Non-Compliant

  Not Applicable

• Add media

  Media

• Maintenance Regime

  Compliant

  Non-Compliant

  Not Applicable

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  Media

• Risk Assessment

  Compliant

  Non-Compliant

  Not Applicable

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  Media

• Control of Movement and Use of Hazardous Chemical

  Compliant

  Non-Compliant

  Not Applicable

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  Media

• Occupational Health Programme

  Compliant

  Non-Compliant

  Not Applicable

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  Media

• Emergency Preparedness

  Compliant

  Non-Compliant

  Not Applicable

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  Media

• Environmental Control Management

  Compliant

  Non-Compliant

  Not Applicable

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  Media

Section B Preventive Actions Against Different Types of Hazard Score 0 - Unacceptable 1 - Unsatisfactory (follow-up) required 2 - Satisfactory but there is room for improvement 3 - Satisfactory

• Physical Hazard

  Select Unacceptable Unsatisfactory Room for Improvement Satisfactory Not Applicable

  • Unacceptable
  • Unsatisfactory
  • Room for Improvement
  • Satisfactory
  • Not Applicable

• Add media

  Media

• Mechanical Hazard

  Select Unacceptable Unsatisfactory Room for Improvement Satisfactory Not Applicable

  • Unacceptable
  • Unsatisfactory
  • Room for Improvement
  • Satisfactory
  • Not Applicable

• Add media

  Media

• Chemical Hazard

  Select Unacceptable Unsatisfactory Room for Improvement Satisfactory Not Applicable

  • Unacceptable
  • Unsatisfactory
  • Room for Improvement
  • Satisfactory
  • Not Applicable

• Add media

  Media

• Electrical Hazard

  Select Unacceptable Unsatisfactory Room for Improvement Satisfactory Not Applicable

  • Unacceptable
  • Unsatisfactory
  • Room for Improvement
  • Satisfactory
  • Not Applicable

• Add media

  Media

• Fire/Explosion

  Select Unacceptable Unsatisfactory Room for Improvement Satisfactory Not Applicable

  • Unacceptable
  • Unsatisfactory
  • Room for Improvement
  • Satisfactory
  • Not Applicable

• Add media

  Media

Section C Other Observations Score 0 - Unacceptable 1 - Unsatisfactory (follow-up) required 2 - Satisfactory but there is room for improvement 3 - Satisfactory

• Compliant with PUB requirements and Contract Specifications on safety

  Select Unacceptable Unsatisfactory Room for Improvement Satisfactory Not Applicable

  • Unacceptable
  • Unsatisfactory
  • Room for Improvement
  • Satisfactory
  • Not Applicable

• Add media

  Media

• Housekeeping

  Select Unacceptable Unsatisfactory Room for Improvement Satisfactory Not Applicable

  • Unacceptable
  • Unsatisfactory
  • Room for Improvement
  • Satisfactory
  • Not Applicable

• Add media

  Media

• Customer Relations and Management

  Select Unacceptable Unsatisfactory Room for Improvement Satisfactory Not Applicable

  • Unacceptable
  • Unsatisfactory
  • Room for Improvement
  • Satisfactory
  • Not Applicable

• Add media

  Media