Safety monthly workplace inspections.

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location

• Inspection number

• Has risk areas been barricaded?

  Yes

  No

  N/A

• Are machine-guards machines in place?

  Yes

  No

  N/A

• Is dust risk in workplace reduced or supressed?

  Good

  Fair

  Poor

  N/A

• Are all ladders in good working order?

  Yes

  No

  N/A

• Are all ladders numbered?

  Yes

  No

  N/A

• Are all gas cylinders properly secured?

  Yes

  No

  N/A

• Are all the switches and circuit breakers marked?

  Compliant

  Non-Compliant

  N/A

• Are all hand tools clean and in good working order?

  Yes

  No

  N/A

FIRE EXTINGUISHERS

• Are all fire extinguishers numbered?

  Yes

  No

  N/A

• Are all fire extinguishers mounted against the structure?

  Yes

  No

  N/A

• Are all fire equipment signage posted?

  Yes

  No

  N/A

FIRST AID KITS

• Is a first aid box available in the department?

  Yes

  No

  N/A

• Is there a trained first aider in the department?

  Compliant

  Non-Compliant

  N/A

PERSONAL PROTECTIVE EQUIPMENT

• Is all PPE provided by the company, used as required by everybody, where required?

  Yes

  No

  N/A

• Is all the PPE in good condition?

  Good

  Fair

  Poor

  N/A

EMERGENCY PLANNING

• Is an emergency evacuation plan displayed on the notice board?

  Yes

  No

  N/A

• Was there a fire drill conducted in the department? – If YES when?

  Yes

  No

  N/A

• Is there a fire or emergency alarm present in the department? Is it visible?

  Yes

  No

  N/A

• Are the walls, buildings and windows still in good condition?

  Safe

  At Risk

  N/A

• Are the lights fitted properly and working?

  Yes

  No

  N/A

• Are the switches in good working order?

  Yes

  No

  N/A

• Are the light covers clean?

  Good

  Fair

  Poor

  N/A

• Is ventilation adequate in hazardous chemical areas?

  Safe

  At Risk

  N/A

• Are all the pipes and critical valves marked?

  Yes

  No

  N/A

HOUSEKEEPING

• Are the toilets, change rooms, kitchen and fridges clean?

  Yes

  No

  N/A

• Have the floors been demarcated to indicate stacking and walking areas?

  Yes

  No

  N/A

• Is stacking and storage conducted in a neat and tidy manner?

  Yes

  No

  N/A

• Is the yard area properly organized and sorted out according to items and stacked neatly?

  Yes

  No

  N/A

• Is a colour code keyboard displayed?

  Yes

  No

  N/A

• Is the plant and pipeline colour coded according to the provided standard?

  Compliant

  Non-Compliant

  N/A

• Are adequate safety signage displayed in the workplace where required?

  Yes

  No

  N/A

• Are posters displayed in good condition, notice boards up to date?

  Yes

  No

  N/A

ENVIRONMENTAL

• Are there any spillages in the area?

  Yes.

  No.

  N/A.

• Are the waste drums used as required?

  Yes

  No

  N/A

• Is there any general litter lying in the work area?

  Yes.

  No.

  N/A.

• Are the bunded area cleaned up and the oil drums removed to designated area?

  Yes

  No

  N/A

CONTROL OVER HAZARDOUS WORK

• Is the lock out / isolation system correctly used on vehicles, electrical equipment and maintenance?

  Compliant

  Non-Compliant

  N/A

• Is there written procedures available in the department and have they been discussed with the employees?

  Yes

  No

  N/A

• Is the “Permit to Work” system being followed in the department before working in hazardous locations?

  Yes

  No

  N/A

HAZARDOUS SUBSTANCES

• Are MSDS’s available for all hazardous chemicals in the department?

  Yes

  No

  N/A

• Are MSDS’s displayed where chemicals are used?

  Yes

  No

  N/A

• Did anyone forget to lock-out?

  Yes.

  No.

  N/A.

• Did anyone use makeshift or unsafe ladders/scaffolding?

  Yes.

  No.

  N/A.

• Did anyone use unsafe or wrong tools to do their job?

  Yes.

  No.

  N/A.

• Did anyone forget/omit to use PPE where it was required?

  Yes.

  No.

  N/A.

• Did anyone smoke in a no-smoking zone/area?

  Yes.

  No.

  N/A.

• Did anyone forget/omit to report an incident?

  Yes.

  No.

  N/A.

• Did anyone deviate from standard safe work procedures?

  Yes.

  No.

  N/A.

• Was hazardous work carried out without a work permit?

  Yes.

  No.

  N/A.

• Any other unsafe act?

  Yes.

  No.

  N/A.

COMMENTS BY SHE REPRESENTATIVE

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SIGNATURES

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