SC_HSE-Safety Checklist for HSE

• Site conducted

  Select

• Date of Audit

  Date

• Scope the audit

• Prepared by

• Company

• Site

• Score Ranking

  

• Evaluation Chart

  

• All the items with Class III score must be defined at least one corrective action.

• In the items with Class II & III score should be added an evidence or the issue description

1.0 HSE management system/Documentation

• If lack of one or more documents or these documents are not updated to be identified as Class III with failed response ( 1.3 Safety documents)

• 1.1 QHSE Policy up to date and well publicized?

  OK

  Class I

  Class II

  Class III

  N/A

• 1.2 Does the site have a Health and Safety board and is all information correct and current? (take a pictures and add comments)

  OK

  Class I

  Class II

  Class III

  N/A

• 1.3 Review the general safety documents; Emergency Plan, Risk Assesment.. Check if is updated, is available on site

  OK

  Class I

  Class II

  Class III

  N/A

• Emergency Plan, Risk Assesment, emergency contact numbers, Coordinates and evacuation map.

• 1.4 There is a control of the waste management records?

  OK

  Class I

  Class II

  Class III

  N/A

2.0 Command Building, Access roads, ditches, vegetation... ( Check the H&S conditions)

• If there ar not fire extingishers, first aids kit, or are not updated and completed (2.6, 2.10), if must be identified as Class III with failed response.

• 2.1 Check the conditions of the access roads, ditches, vegetation...

  OK

  Class I

  Class II

  Class III

  N/A

• 2.2 There is info Pannel or signs with the main access and the general safety norms of the site (take a picture and add comments)

  OK

  Class I

  Class II

  Class III

  N/A

• 2.3 General cleanliness of all areas

  OK

  Class I

  Class II

  Class III

  N/A

• 2.4 Unobstructed routes and width adequate for needs

  Ok

  Class I

  Class II

  Class III

  N/A

• 2.5. Check safety signs (emergency posters, extinguishers posters, electrical risk, first-aid kit posters, signs of do not enter ins restricted areas, evacuation map, coordenates map of the site...)

  OK

  Class I

  Class II

  Class III

  N/A

• 2.6. Check First-aid kit (take a picture of the First-aid kit, add comments)

  OK

  Class I

  Class II

  Class III

  N/A

• 2.7 Emergency equipment and exits signage are free of obstruction

  OK

  Class I

  Class II

  Class III

  N/A

• 2.8 Emergency exit marked and checked for appropriateness

  OK

  Class I

  Class II

  Class III

  N/A

• 2.9 Fire detection system installed (smoke, heat detectors)

  OK

  Class I

  Class II

  Class III

  N/A

• 2.10 Validate the fire extinguishers state (take a picture to one of them, add comments)

  OK

  Class I

  Class II

  Class III

  N/A

• Checked accessibility, good apparent condition of conservation, insurance, seals, inscriptions, hose, etc.
  Checked the state of charge (weight and pressure) of the extinguisher and the gas pump bottle (if any) state of the mechanical parts (nozzles, valves, hoses, etc)
  Check the correct fire control system, fire dections, (if is aplicable)

• 2.11 Check de Emergency lights

  OK

  Class I

  Class II

  Class III

  N/A

• 2.12 Check the fire alarm

  OK

  Class I

  Class II

  Class III

  N/A

3.0. Environmental Conditions

• If the waste disposal state is in a poor conditions,(3.1) and there are not segregation of the waste (3.2) must be identified the points with Class III with failed response

• 3.1 Check general waste disposal state (organisation, cleanliness, element disposal and identification, possible waste leaks...)

  OK

  Class I

  Class II

  Class III

  N/A

• Take a picture and add comments

• 3.2 Waste segregated (chemical, contaminated packaging. Separate and labelling of waste types with MSDSs?

  OK

  Class I

  Class II

  Class III

  N/A

• 3.3 Spill kits available and fit for purpose? Who inspects and are records available? (Staff trained in use)

  OK

  Class I

  Class II

  Class III

  N/A

4.0. Welfare Management

• No maintenance of the toilets facilites (4.5), water and septic tank (4.6), and not exist any policy or signs about the Smoking area control must be identified the points with Class III with failed response

• 4.1 Welfare facilities suitable for the needs of the area (take a picture one of them, add comments)

  OK

  Class I

  Class II

  Class III

  N/A

• 4.2 Housekeeping standard clearly set, inspected and enforced

  OK

  Class I

  Class II

  Class III

  N/A

• 4.3 Lighting ventilation etc. satisfactory for the area and working correctly

  OK

  Class I

  Class II

  Class III

  N/A

• 4.4 Smoking controls in place with designated smoking area.

  OK

  Class I

  Class II

  Class III

  N/A

• 4.5 The toilet facilities has sanitary water, cleaning papel dispenser...

  OK

  Class I

  Class II

  Class III

  N/A

• 4.6 Septic and Water tank are installed properly and there is a peridically maintenance and inspection systm

  OK

  Class I

  Class II

  Class III

  N/A

• 4.7. Check of intrusion alarm / CCTV

  OK

  Class I

  Class II

  Class III

  N/A

5.0 Sites

• Type of the facilities on site to be audited

  Select Documentation Platform Emergency components Hazardous materials Waste Management Working at Height Equipement PPE Machinery Working Equipement

  • Documentation
  • Platform
  • Emergency components
  • Hazardous materials
  • Waste Management
  • Working at Height Equipement
  • PPE
  • Machinery
  • Working Equipement
5.1 Documentation

• If Forms have more that 3 missing/incorrect points, must be identified as Class III with failed response.

• 5.1.1. Toolbox Talks (TBT) form present and signed?

  OK

  Class I

  Class II

  Class III

  N/A

• 5.1.2 Last Minute Risk Assessment (LMRA) form complete

  OK

  Class I

  Class II

  Class III

  N/A

• 5.1.3 Ready for Lifting (RFL) and Good to GO (GTG) checklist completed

  OK

  Class I

  Class II

  Class III

  N/A

• 5.1.4 Residual Current Device (RCD) Check up to date

  Yes

  No

  N/A

• 5.1.5 Emergency Plan present

  Yes

  No

  N/A

• 5.1.5.1 Emergency plan up to date and posted

  OK

  Class I

  Class II

  Class III

  N/A

• 5.1.6 Health and Safety Plan

  Yes

  No

  N/A

• 5.1.6.1 Health and Safety Plan up to date and posted

  Ok

  Class I

  Class II

  Class III

  N/A

• 5.1.7 Medical Checks up to date

  Yes

  No

  N/A

• 5.1.8 RAMS present in the office

  Yes

  No

  N/A

• Are RAMS up to date and signed

  Yes

  No

  N/A

• 5.1.8 Training Sheet updated with the latest training

  Yes

  No

  N/A

• 5.1.9 Technician Certificates valid

  Yes

  No

  N/A
5.2 Platform

• If the electrical safety equipments (5.2.2.1.) are not installated correctly and reviewed periodically, and the fire extinguisers are not in good state (5.2.2.2), must be marked the option class III as failed response

• 5.2.1 Markers present at the platform entrance

  OK

  Class I

  Class II

  Class III

  N/A

• 5.2.2 Sufficent lighting on the platform

  Yes

  No

  N/A

• 5.2.3 Wellfare facilities present on the platform

  Yes

  No

  N/A

• Toilet paper, soap, hot water present

  Yes

  No

  N/A

• Facilities cleaned regularly

  OK

  Class I

  Class II

  Class III

  N/A

• 5.2.4 Site cleanliness status

  OK

  Class I

  Class II

  Class III

  N/A

• Parking Rule being followed

  Yes

  No

  N/A

Earthing

• Crane Earthed

  Yes

  No

  N/A

• Generator Earthed

  Yes

  No

  N/A

• Container Earthed

  Yes

  No

  N/A

• Cable Integrity Visual Check

  Yes

  No

  N/A

• Socket Integrity Visual Check

  Yes

  No

  N/A

• Nominated Technician in charge of Electrical Checks

5.3 Emergency Components

• 5.3.1 Fire Extinguishers present on site

  Yes

  No

  N/A

• Checked accessibility, good apparent condition of conservation, insurance, seals, inscriptions, hose, etc.

• Checked the state of charge (weight and pressure) of the extinguisher and the gas pump bottle (if any) state of the mechanical parts (nozzles, valves, hoses, etc)

• 5.3.1.1 Extinguishers labels present and undamaged

  Yes

  No

  N/A

• 5.3.1.2 Extinguishers have valid inspections

  Yes

  No

  N/A

• 5.3.1.3 Extinguishers seals intact

  Yes

  No

  N/A

• 5.3.2 First aid kits present and valid

  OK

  Class I

  Class II

  Class III

  N/A

• 5.3.3 Eye Wash kits present and valid

  OK

  Class I

  Class II

  Class III

  N/A

• 5.3.4 Rescue equipement

  OK

  Class I

  Class II

  Class III

  N/A
5.4 Hazardous Materials

• If the flammable/hazardous materials (5.4.9) are not stored correctly and the fuel sources have been not idedentified and controlled correctly (5.4.10), must be marked the option class III as failed response

• 5.4.1 The Storage Area is in correct status of clean and order, the shelf system is proper to the different material, components, etc.

  OK

  Class I

  Class II

  Class III

  N/A

• Storage facilities neat, tidy, signed and accessible

• 5.4.2 Good housekeeping prevents building up of combustible, waste or chemicals spillage)

  OK

  Class I

  Class II

  Class III

  N/A

• 5.4.3 Segregation of inappropriate materials/ reactants

  OK

  Class I

  Class II

  Class III

  N/A

• 5.4.4 Enough ventilation on chemical storage facility

  OK

  Class I

  Class II

  Class III

  N/A

• 5.4.5 Overloaded racking/poor stacking practices (Pyramid stacking)

  OK

  Class I

  Class II

  Class III

  N/A

• 5.4.6 Hazardous Materials have valid labels (clean, visible, undamaged)

  OK

  Class I

  Class II

  Class III

  N/A

• 5.4.7 Safety Data Sheets present and up to date in correct languages

  OK

  Class I

  Class II

  Class III

  N/A

• 5.4.8 Hazardous Materials Register present and up to date with materials present and used on the platform

  OK

  Class I

  Class II

  Class III

  N/A

• 5.4.9 Oil Spill kit present, complete and usable

  OK

  Class I

  Class II

  Class III

  N/A
5.5 Waste Management

• 5.5.1 Waste Storage area isolated, clean, tidy

  OK

  Class I

  Class II

  Class III

  N/A

• 5.5.2 Waste segregation possible; containers present for all types of waste

  OK

  Class I

  Class II

  Class III

  N/A
5.6 Working at height Equipment

• 5.6.1 Harness has inspection label visible

  Yes

  No

  N/A

• 5.6.1.1 Harness inspection valid

  Yes

  No

  N/A

• 5.6.1.2 Harness has signs of damage

  Yes

  No

• 5.6.2 Shock Absorbing Lanyards (Y) has inspection label

  Yes

  No

  N/A

• 5.6.2.1 "Y" inspection valid

  Yes

  No

  N/A

• 5.6.2.2 "Y" has signs of damage

  Yes

  No

• 5.6.3 Runner has inspection label

  Yes

  No

  N/A

• 5.6.3.1 Runner inspection valid

  Yes

  No

  N/A

• 5.6.3.2 Runner has signs of damage

  Yes

  No

• 5.6.4 Positioning Rope has inspection label

  Yes

  No

  N/A

• 5.6.4.1 Positioning Rope inspection valid

  Yes

  No

  N/A

• 5.6.4.2 Positioning Rope has signs of damage

  Yes

  No
5.7 PPE

• 5.7.1 S3 Boots with metalic toecap protection

• 5.7.2 Helmet with chinstrap

• 5.7.3 Jacket

• 5.7.4 Pants

• 5.7.5 Reflective vest

• 5.7.6 Glasses

• 5.7.7 Gloves

• 5.7.8 Tool Lanyard
5.8 Machinery

• 5.8.1 Cherry Picker in used on the platform

  Yes

  No

  N/A

• 5.8.1.1 Cherry Picker has periodic inspection valid

  Yes

  No

  N/A

• 5.8.1.2 Cherry Picker has signs of damage

  Yes

  No

  N/A

• 5.8.1.3 Cherry Picker shows signs of leakage (oil, fuel)

  Yes

  No

  N/A

• 5.8.1.4 Cherry Picker is in good working condition

  Yes

  No

  N/A

• 5.8.2 Man Basket present and used on the platform

  Yes

  No

  N/A

• 5.8.2.1 Man Basket has periodic inspection valid

  Yes

  No

  N/A

• 5.8.2.2 Man Basket has signs of damage

  Yes

  No

  N/A

• 5.8.3 Mobile Elevated Working Platform (MEWP) present and used of the platform

  Yes

  No

  N/A

• 5.8.3.1 MEWP has valid periodic inspection

  Yes

  No

  N/A

• 5.8.3.2 MEWP has signs of damage

  Yes

  No

  N/A

• 5.8.3.3 MEWP has signs of leakage (oil, fuel)

  Yes

  No

  N/A

• 5.8.3.4 MEWP is in good working condition

  Yes

  No

  N/A

• 5.8.4 Forklift present and used of the platform

  Yes

  No

  N/A

• 5.8.4.1 Forklift has valid periodic inspection

  Yes

  No

  N/A

• 5.8.4.2 Forklift has signs of damage

  Yes

  No

  N/A

• 5.8.4.3 Forklift has signs of leakage (oil, fuel)

  Yes

  No

  N/A

• 5.8.4.4 Forklift is in good working condition

  Yes

  No

  N/A
5.9 Working Equipement

• 5.9.1 Shackales are in good working condition

  Yes

  No

  N/A

• 5.9.2 Slings are valid and in good order (no cuts, no tearing)

  Yes

  No

  N/A

• 5.9.3 Keys in good order (no bents, no cracks)

  Yes

  No

  N/A

• 5.9.4 Electric Wrenchs in good working order

  Yes

  No

  N/A

• 5.9.5 Hydraulic Wrench are in good working condition

  Yes

  No

  N/A

• 5.9.5.1 No visual damages

  Yes

  No

  N/A

• 5.9.5.2 No leakages

  Yes

  No

  N/A

• 5.9.6 Generator is in good working order

  Yes

  No

  N/A

• Other Comments

• Site Manager/ Supervisor

  Sign

• Auditor

  Sign