Title Page

  • LEMBAGA PEMBANGUNAN INDUSTRI PEMBINAAN MALAYSIA CONSTRUCTION INDUSTRY DEVELOPMENT BOARD MALAYSIA (CIDB)

  • NO. FAIL:

  • SAFETY AND HEALTH ASSESSMENT SYSTEM IN CONSTRUCTION (SHASSIC)

  • NAMA KONTRAKTOR:

  • ASSESSOR:

  • DATE:

  • NAMA KLIEN:

  • NO. TEL/FAKS:

  • NAMA KONTRAKTOR:

  • NO. TEL/FAKS:

  • TAJUK PROJEK:

  • NILAI PROJEK:

  • NO. PENDAFTARAN CIDB:

  • GRED:

  • TARIKH PERLAKSANAAN PROJEK:

  • KEMAJUAN SEMASA (%)

  • WAKIL KONTRAKTOR:

  • NAMA SHO/SSS:

  • Pembukaan

  • Penutup

  • Gambar Keseluruhan/Tapak Projek.

ANNEX A : DOCUMENT CHECK

A. OSH POLICY

  • 1. Whether there is a written corporate or project OSH Policy Statement

  • 2. Whether OSH Policy Statement written in Bahasa Malaysia.

  • 3. Whether OSH Policy Statement written in English.

  • 4. Check whether OSH Policy is signed by the current CEO, COO, MD PD or PM.

  • 5. Check whether OSH Policy is visibly displayed.

  • 6. Check whether OSH Policy is dated or not.

B. OSH ORGANIZATION

  • 1. The OSH responsibilities are clearly stated for all levels.

  • 2. The OSH responsibilities are effectively communicated to all levels.

  • 3. The workplace SHC is established.

  • 4. The committee composition is as per the provision of statutory requirement.

  • 5. The members of the committee are officially appointed.

  • 6. Regular meeting of minimum one in every three months is held.

  • 7. The SHC minute of meetings are safely retained.

  • 8. The SHC caring out site inspection minimum one in every three months.

  • 9. There is competent CSHO appointed.

  • 10. There is a Site Safety Supervisor appointed.

  • 11. Designated Persons are assigned for respective work or job.

C. HIRARC

  • 1. The HIRARC procedure is available.

  • 2. The HIRARC covers all work activities.

  • 3. The HIRARC are continously updated and maintained.

  • 4. The HIRARC are incorporated in Safety Induction Training module

  • 5. The workplace SHC is involved in the development of HIRARC.<br>

D. TRAINING AND PROMOTION

  • 1. The availability of OSH Training Program.

  • 2. There is OSH Induction Training conducted.

  • 3. Safe work practices incoporated in the site OSH Training Program

  • 4. The Tool Box meetings conducted regularly.

  • 5. The promotion of OSH by audio and video is being practiced.

  • 6. Safety and health campaign held by the management.

  • 7. The workplace SHC is involved as the key player in OSH promotion program.

  • 8. The OSH competition and incentive are considered as one of the tools in OSH Promotional activities.

E. MACHINERY MANAGEMENT

  • 1. The availability of valid Certificate of Fitness.

  • 2. The operators are adequately trained.

  • 3. The schedule inspection of machineries and equipment is conducted.

  • 4. The machinery and equipment servicing and maintenance records available.

  • 5. The owner/operation manual or specifications are kept.

  • 6. The Safe Operation Procedures (SOP) available.

  • 7. The competency certificates for crane operators are available.

F. MATERIAL MANAGEMENT

  • 1. The availability of Hazardous Materials Register List.

  • 2. The availability of Non-Hazardous Materials Register List.

  • 3. The availability of MSDS/CSDS.

  • 4. The availability of Hazardous Materials Safe Handling, Storage and Transportation Procedure.

  • 5. Availability of waste management procedures.

EMERGENCY RESPONSE PLAN (ERP)

  • 1. The availability of ERP.

  • 2. The availability of Fire Prevention and Protection Plan.

  • 3. The availability of Emergency Response Plan in regards to chemical spillage emergency.

  • 4. The availability of Emergency Recovery Plan.

ACCIDENT INVESTIGATION AND REPORTING

  • 1. The availability of Accident Investigation and Reporting Procedure.

  • 2. The responsibilities of those involved in accident investigation and reporting are clearly stated.

  • 3. The team has been trained for Accident Investigation and Reporting.

  • 4. The accident investigation was performed by a competent team/person.

  • 5. All accident investigations are carried out and documented.

  • 6. The recommendation corrective and preventive measures are implemented accordingly.

  • 7. All kinds of incidents are reported and recorded accordingly.

  • 8. All reported incidents are accordingly reported to the nearest DOSH Malaysia office by the fastest means available.

RECORDS MANAGEMENT AND PERFORMANCE MONITORING

  • 1. There is written OSH Record Management Procedure available.

  • 2. A responsible person is assigned to manage OSH records and documentation.

  • 3. There is master register/list of current OSH related records available and maintained at site and office.

  • 4. The relevant OSH records are maintained.

  • 5. The circulation and movement of these records are controlled by responsible person.

  • 6. The OSH records are securely stored.

  • 7. The OSH records such as HIRARC records, audit reports, workplace inspection report, safe work procedures/instructions, minutes of meeting, machinery's manufacturer-fitness certificate, corrective actions register etc. are easily accessible.

  • 8. The OSH Performance Measurement and Monitoring Procedure established and maintained.

  • 9. The performance measurement monitoring report and findings are reviewed by the Senior Management.

WORKPLACE INSPECTION

Location 1.

  • Add media

A. MACHINERY

  • Fitness Certificate (PMA)

  • Fitness Certificate (PMT)

  • Machinery maintenance tagging.

  • Condition of machinery.

B. SCAFFOLD

  • Sitting on firm ground.

  • Horizontal braces.

  • Diagonal braces.

  • Cross braces.

  • Wall ties.

  • Access.

  • Stepladder and hand railings.

  • Catwalk/Working platform.

  • Toe board.

  • Scaffold tag.

  • Condition of scaffold.

C. SIGNAGES COLOUR CODE

  • Mandatory

  • Prohibition

  • Warning

  • Safe

D. NOTICES

  • ER Safe escape route.

  • Assembly Point

  • Emergency contact numbers.

  • Project Signboard

E. VENTILATION

  • Ventilation

F. HOUSE KEEPING

  • Site cleanliness

  • Materials arrangement orderly

  • Rubbish bins

G. ILLUMINATION/LIGHTING

  • Illumination/lighting

H. FIRE PROTECTION

  • Portable fire extinguisher

  • Dry riser

I. PERSONAL PROTECTIVE EQUIPMENT

  • Safety hard hat/Safety helmet

  • Safety foot gears

  • Hand protection / hand gloves.

  • Eye protection such as safety glasses/goggle.

  • Fall arresters.

  • SCBA

  • Face shield

  • Hearing protection

  • Protective clothing (chemical)

  • Respirator

  • Dust mask

J. BARRICADES FOR HAZARD AREAS

  • Floor / wall opening

  • Edges

  • Trench / Pits

K. ACCESS / EGRESS

  • Access / egress

L. SUITABLE WORKING TOOLS / EQUIPMENT

  • Suitable working tools / equipment

M. ELECTRICAL SAFETY

  • Unsafe Act

  • Unsafe Condition

N. PREVENTION OF FALLING OBJECTS.

  • Catch platform

  • Safety net

  • Perimeter net

O. HAZARDOUS SUBSTANCES

  • Labelling

  • Storage

P. SAFETY POLICY

  • Safety Policy

Q. PERIMETER HOARDING

  • Perimeter hoarding

R. VEHICULAR TRAFFIC MANAGEMENT

  • Advanced warning sign

  • Channelizing device

  • Flagman

S. TOILET

  • Toilet

T. FIRST AID BOX

  • First Aid box

U. DESIGNATED REST AREA

  • Designated rest area

V. WATER PONDING

  • Water ponding

Location 2.

  • Add media

A. MACHINERY

  • Fitness Certificate (PMA)

  • Fitness Certificate (PMT)

  • Machinery maintenance tagging.

  • Condition of machinery.

B. SCAFFOLD

  • Sitting on firm ground.

  • Horizontal braces.

  • Diagonal braces.

  • Cross braces.

  • Wall ties.

  • Access.

  • Stepladder and hand railings.

  • Catwalk/Working platform.

  • Toe board.

  • Scaffold tag.

  • Condition of scaffold.

C. SIGNAGES COLOUR CODE

  • Mandatory

  • Prohibition

  • Warning

  • Safe

D. NOTICES

  • ER Safe escape route.

  • Assembly Point

  • Emergency contact numbers.

  • Project Signboard

E. VENTILATION

  • Ventilation

F. HOUSE KEEPING

  • Site cleanliness

  • Materials arrangement orderly

  • Rubbish bins

G. ILLUMINATION/LIGHTING

  • Illumination/lighting

H. FIRE PROTECTION

  • Portable fire extinguisher

  • Dry riser

I. PERSONAL PROTECTIVE EQUIPMENT

  • Safety hard hat/Safety helmet

  • Safety foot gears

  • Hand protection / hand gloves.

  • Eye protection such as safety glasses/goggle.

  • Fall arresters.

  • SCBA

  • Face shield

  • Hearing protection

  • Protective clothing (chemical)

  • Respirator

  • Dust mask

J. BARRICADES FOR HAZARD AREAS

  • Floor / wall opening

  • Edges

  • Trench / Pits

K. ACCESS / EGRESS

  • Access / egress

L. SUITABLE WORKING TOOLS / EQUIPMENT

  • Suitable working tools / equipment

M. ELECTRICAL SAFETY

  • Unsafe Act

  • Unsafe Condition

N. PREVENTION OF FALLING OBJECTS.

  • Catch platform

  • Safety net

  • Perimeter net

O. HAZARDOUS SUBSTANCES

  • Labelling

  • Storage

P. SAFETY POLICY

  • Safety Policy

Q. PERIMETER HOARDING

  • Perimeter hoarding

R. VEHICULAR TRAFFIC MANAGEMENT

  • Advanced warning sign

  • Channelizing device

  • Flagman

S. TOILET

  • Toilet

T. FIRST AID BOX

  • First Aid box

U. DESIGNATED REST AREA

  • Designated rest area

V. WATER PONDING

  • Water ponding

Location 3.

  • Add media

A. MACHINERY

  • Fitness Certificate (PMA)

  • Fitness Certificate (PMT)

  • Machinery maintenance tagging.

  • Condition of machinery.

B. SCAFFOLD

  • Sitting on firm ground.

  • Horizontal braces.

  • Diagonal braces.

  • Cross braces.

  • Wall ties.

  • Access.

  • Stepladder and hand railings.

  • Catwalk/Working platform.

  • Toe board.

  • Scaffold tag.

  • Condition of scaffold.

C. SIGNAGES COLOUR CODE

  • Mandatory

  • Prohibition

  • Warning

  • Safe

D. NOTICES

  • ER Safe escape route.

  • Assembly Point

  • Emergency contact numbers.

  • Project Signboard

E. VENTILATION

  • Ventilation

F. HOUSE KEEPING

  • Site cleanliness

  • Materials arrangement orderly

  • Rubbish bins

G. ILLUMINATION/LIGHTING

  • Illumination/lighting

H. FIRE PROTECTION

  • Portable fire extinguisher

  • Dry riser

I. PERSONAL PROTECTIVE EQUIPMENT

  • Safety hard hat/Safety helmet

  • Safety foot gears

  • Hand protection / hand gloves.

  • Eye protection such as safety glasses/goggle.

  • Fall arresters.

  • SCBA

  • Face shield

  • Hearing protection

  • Protective clothing (chemical)

  • Respirator

  • Dust mask

J. BARRICADES FOR HAZARD AREAS

  • Floor / wall opening

  • Edges

  • Trench / Pits

K. ACCESS / EGRESS

  • Access / egress

L. SUITABLE WORKING TOOLS / EQUIPMENT

  • Suitable working tools / equipment

M. ELECTRICAL SAFETY

  • Unsafe Act

  • Unsafe Condition

N. PREVENTION OF FALLING OBJECTS.

  • Catch platform

  • Safety net

  • Perimeter net

O. HAZARDOUS SUBSTANCES

  • Labelling

  • Storage

P. SAFETY POLICY

  • Safety Policy

Q. PERIMETER HOARDING

  • Perimeter hoarding

R. VEHICULAR TRAFFIC MANAGEMENT

  • Advanced warning sign

  • Channelizing device

  • Flagman

S. TOILET

  • Toilet

T. FIRST AID BOX

  • First Aid box

U. DESIGNATED REST AREA

  • Designated rest area

V. WATER PONDING

  • Water ponding

Location 4.

  • Add media

A. MACHINERY

  • Fitness Certificate (PMA)

  • Fitness Certificate (PMT)

  • Machinery maintenance tagging.

  • Condition of machinery.

B. SCAFFOLD

  • Sitting on firm ground.

  • Horizontal braces.

  • Diagonal braces.

  • Cross braces.

  • Wall ties.

  • Access.

  • Stepladder and hand railings.

  • Catwalk/Working platform.

  • Toe board.

  • Scaffold tag.

  • Condition of scaffold.

C. SIGNAGES COLOUR CODE

  • Mandatory

  • Prohibition

  • Warning

  • Safe

D. NOTICES

  • ER Safe escape route.

  • Assembly Point

  • Emergency contact numbers.

  • Project Signboard

E. VENTILATION

  • Ventilation

F. HOUSE KEEPING

  • Site cleanliness

  • Materials arrangement orderly

  • Rubbish bins

G. ILLUMINATION/LIGHTING

  • Illumination/lighting

H. FIRE PROTECTION

  • Portable fire extinguisher

  • Dry riser

I. PERSONAL PROTECTIVE EQUIPMENT

  • Safety hard hat/Safety helmet

  • Safety foot gears

  • Hand protection / hand gloves.

  • Eye protection such as safety glasses/goggle.

  • Fall arresters.

  • SCBA

  • Face shield

  • Hearing protection

  • Protective clothing (chemical)

  • Respirator

  • Dust mask

J. BARRICADES FOR HAZARD AREAS

  • Floor / wall opening

  • Edges

  • Trench / Pits

K. ACCESS / EGRESS

  • Access / egress

L. SUITABLE WORKING TOOLS / EQUIPMENT

  • Suitable working tools / equipment

M. ELECTRICAL SAFETY

  • Unsafe Act

  • Unsafe Condition

N. PREVENTION OF FALLING OBJECTS.

  • Catch platform

  • Safety net

  • Perimeter net

O. HAZARDOUS SUBSTANCES

  • Labelling

  • Storage

P. SAFETY POLICY

  • Safety Policy

Q. PERIMETER HOARDING

  • Perimeter hoarding

R. VEHICULAR TRAFFIC MANAGEMENT

  • Advanced warning sign

  • Channelizing device

  • Flagman

S. TOILET

  • Toilet

T. FIRST AID BOX

  • First Aid box

U. DESIGNATED REST AREA

  • Designated rest area

V. WATER PONDING

  • Water ponding

Location 5.

  • Add media

A. MACHINERY

  • Fitness Certificate (PMA)

  • Fitness Certificate (PMT)

  • Machinery maintenance tagging.

  • Condition of machinery.

B. SCAFFOLD

  • Sitting on firm ground.

  • Horizontal braces.

  • Diagonal braces.

  • Cross braces.

  • Wall ties.

  • Access.

  • Stepladder and hand railings.

  • Catwalk/Working platform.

  • Toe board.

  • Scaffold tag.

  • Condition of scaffold.

C. SIGNAGES COLOUR CODE

  • Mandatory

  • Prohibition

  • Warning

  • Safe

D. NOTICES

  • ER Safe escape route.

  • Assembly Point

  • Emergency contact numbers.

  • Project Signboard

E. VENTILATION

  • Ventilation

F. HOUSE KEEPING

  • Site cleanliness

  • Materials arrangement orderly

  • Rubbish bins

G. ILLUMINATION/LIGHTING

  • Illumination/lighting

H. FIRE PROTECTION

  • Portable fire extinguisher

  • Dry riser

I. PERSONAL PROTECTIVE EQUIPMENT

  • Safety hard hat/Safety helmet

  • Safety foot gears

  • Hand protection / hand gloves.

  • Eye protection such as safety glasses/goggle.

  • Fall arresters.

  • SCBA

  • Face shield

  • Hearing protection

  • Protective clothing (chemical)

  • Respirator

  • Dust mask

J. BARRICADES FOR HAZARD AREAS

  • Floor / wall opening

  • Edges

  • Trench / Pits

K. ACCESS / EGRESS

  • Access / egress

L. SUITABLE WORKING TOOLS / EQUIPMENT

  • Suitable working tools / equipment

M. ELECTRICAL SAFETY

  • Unsafe Act

  • Unsafe Condition

N. PREVENTION OF FALLING OBJECTS.

  • Catch platform

  • Safety net

  • Perimeter net

O. HAZARDOUS SUBSTANCES

  • Labelling

  • Storage

P. SAFETY POLICY

  • Safety Policy

Q. PERIMETER HOARDING

  • Perimeter hoarding

R. VEHICULAR TRAFFIC MANAGEMENT

  • Advanced warning sign

  • Channelizing device

  • Flagman

S. TOILET

  • Toilet

T. FIRST AID BOX

  • First Aid box

U. DESIGNATED REST AREA

  • Designated rest area

V. WATER PONDING

  • Water ponding

ANNEX C - PART 3: EMPLOYEES INTERVIEW

EMPLOYEES INTERVIEW CATOGERY A (MANAGEMENT PERSONNEL)

  • Name:

  • POSITION:

OSH POLICY

  • Do you know what OSH Policy statement is?

  • What OSH management system do your organization use?

OSH ORGANIZATION

  • Who is secretary of the workplace SHC?

  • Do you have your designated person?

HIRARC

  • What do you know about HIRARC"

  • Have you involved in HIRARC exercise?

  • What are the most hazardous activities in this project?

TRAINING AND PROMOTION

  • Have you attended any formal safety training?

MATERIAL MANAGEMENT

  • What you know about USECHH Regulation?

  • What do you know about CPLHC Regulation?

EMERGENCY PREPADNESS

  • What is Emergency Response Plan?

ACCIDENT INVESTIGATION AND REPORTING

  • Do you know what to comply under NADOPOD Regulations?

ANNEX D - EMPLOYEES INTERVIEW CATEGORY B (SHC/SH Personnel)

Personnel 1.

  • Name:

  • Position:

OSH POLICY

  • Who signed the OSH Policy?

OSH ORGANIZATION

  • How often is the SHC meeting conducted?

  • Who is the Chairman of the committee?

TRAINING AND PROMOTION

  • Have you attended CSHO Training?

  • Have you attended Site Safety Supervisor Training?

EMERGENCY PREPADNESS

  • Have you received your training on emergency response at this site?

Personnel 2.

  • Name:

  • Position:

OSH POLICY

  • Who signed the OSH Policy?

OSH ORGANIZATION

  • How often is the SHC meeting conducted?

  • Who is the Chairman of the committee?

TRAINING AND PROMOTION

  • Have you attended CSHO Training?

  • Have you attended Site Safety Supervisor Training?

EMERGENCY PREPADNESS

  • Have you received your training on emergency response at this site?

Personnel 3.

  • Name:

  • Position:

OSH POLICY

  • Who signed the OSH Policy?

OSH ORGANIZATION

  • How often is the SHC meeting conducted?

  • Who is the Chairman of the committee?

TRAINING AND PROMOTION

  • Have you attended CSHO Training?

  • Have you attended Site Safety Supervisor Training?

EMERGENCY PREPADNESS

  • Have you received your training on emergency response at this site?

ANNEX E - EMPLOYEES INTERVIEW CATEGORY C (WORKERS)

EMPLOYEE 1:

  • Name:

  • Position:

  • Nationality:

A. OSH POLICY

  • Have you ever seen one? Where?

  • Is it written in English?

  • Is it written in Bahasa Malaysia?

  • Do you understand the content of the Policy?

B. OSH ORGANIZATION

  • Do you know who a Safety and Health Officer is?

  • If you face any OSH problem, who would you refer to?

  • Have you heard about workplace SHC?

  • How often does your SHO visit the site?

  • Can you identify your SHO/SSS?

  • Are you aware of your OSH reaponsibility?

C. HIRARC

  • What is/are your potential hazards?

  • How to address the potential hazards?

D. TRAINING AND PROMOTION

  • Do you hold CIDB Green Card?

  • Have you undergone specific workplace induction course e.g. NIOSH Passport?

  • Have you ever attended tool box meeting?

  • Have you participated in any Safety Campaign?

E. MACHINERY AND EQUIPMENT

  • Are you the competent operator with valid license to operate this machine/equipment/vehicle?

  • Have you received training on this machinery operation that you are operating with?

  • Is there safety checklist for you to complete prior to operate the machinery?

F. MATERIALS MANAGEMENT

  • Do you know what hazardous and non hazardous substances are?

  • Do you know what is MSDS or CSDS?

G. EMERGENCY PREPADNESS

  • Have you undergo any emergency drill?

  • Do you know what to do during an emergency?

  • Can you show me where the assembly point is?

  • Can you identify your First Aider?

  • Can you show me the nearest First Aid Box?

  • Do you know the emergency contact numbers?

  • Where is the nearest Fire Extinguisher?

H. ACCIDENT INVESTIGATION AND REPORTING

  • What are you suppose to do in event of an accident?

  • What would you do if you witness somebody injured?

EMPLOYEE 2:

  • Name:

  • Position:

  • Nationality:

A. OSH POLICY

  • Have you ever seen one? Where?

  • Is it written in English?

  • Is it written in Bahasa Malaysia?

  • Do you understand the content of the Policy?

B. OSH ORGANIZATION

  • Do you know who a Safety and Health Officer is?

  • If you face any OSH problem, who would you refer to?

  • Have you heard about workplace SHC?

  • How often does your SHO visit the site?

  • Can you identify your SHO/SSS?

  • Are you aware of your OSH reaponsibility?

C. HIRARC

  • What is/are your potential hazards?

  • How to address the potential hazards?

D. TRAINING AND PROMOTION

  • Do you hold CIDB Green Card?

  • Have you undergone specific workplace induction course e.g. NIOSH Passport?

  • Have you ever attended tool box meeting?

  • Have you participated in any Safety Campaign?

E. MACHINERY AND EQUIPMENT

  • Are you the competent operator with valid license to operate this machine/equipment/vehicle?

  • Have you received training on this machinery operation that you are operating with?

  • Is there safety checklist for you to complete prior to operate the machinery?

F. MATERIALS MANAGEMENT

  • Do you know what hazardous and non hazardous substances are?

  • Do you know what is MSDS or CSDS?

G. EMERGENCY PREPADNESS

  • Have you undergo any emergency drill?

  • Do you know what to do during an emergency?

  • Can you show me where the assembly point is?

  • Can you identify your First Aider?

  • Can you show me the nearest First Aid Box?

  • Do you know the emergency contact numbers?

  • Where is the nearest Fire Extinguisher?

H. ACCIDENT INVESTIGATION AND REPORTING

  • What are you suppose to do in event of an accident?

  • What would you do if you witness somebody injured?

EMPLOYEE 3:

  • Name:

  • Position:

  • Nationality:

A. OSH POLICY

  • Have you ever seen one? Where?

  • Is it written in English?

  • Is it written in Bahasa Malaysia?

  • Do you understand the content of the Policy?

B. OSH ORGANIZATION

  • Do you know who a Safety and Health Officer is?

  • If you face any OSH problem, who would you refer to?

  • Have you heard about workplace SHC?

  • How often does your SHO visit the site?

  • Can you identify your SHO/SSS?

  • Are you aware of your OSH reaponsibility?

C. HIRARC

  • What is/are your potential hazards?

  • How to address the potential hazards?

D. TRAINING AND PROMOTION

  • Do you hold CIDB Green Card?

  • Have you undergone specific workplace induction course e.g. NIOSH Passport?

  • Have you ever attended tool box meeting?

  • Have you participated in any Safety Campaign?

E. MACHINERY AND EQUIPMENT

  • Are you the competent operator with valid license to operate this machine/equipment/vehicle?

  • Have you received training on this machinery operation that you are operating with?

  • Is there safety checklist for you to complete prior to operate the machinery?

F. MATERIALS MANAGEMENT

  • Do you know what hazardous and non hazardous substances are?

  • Do you know what is MSDS or CSDS?

G. EMERGENCY PREPADNESS

  • Have you undergo any emergency drill?

  • Do you know what to do during an emergency?

  • Can you show me where the assembly point is?

  • Can you identify your First Aider?

  • Can you show me the nearest First Aid Box?

  • Do you know the emergency contact numbers?

  • Where is the nearest Fire Extinguisher?

H. ACCIDENT INVESTIGATION AND REPORTING

  • What are you suppose to do in event of an accident?

  • What would you do if you witness somebody injured?

EMPLOYEE 4:

  • Name:

  • Position:

  • Nationality:

A. OSH POLICY

  • Have you ever seen one? Where?

  • Is it written in English?

  • Is it written in Bahasa Malaysia?

  • Do you understand the content of the Policy?

B. OSH ORGANIZATION

  • Do you know who a Safety and Health Officer is?

  • If you face any OSH problem, who would you refer to?

  • Have you heard about workplace SHC?

  • How often does your SHO visit the site?

  • Can you identify your SHO/SSS?

  • Are you aware of your OSH reaponsibility?

C. HIRARC

  • What is/are your potential hazards?

  • How to address the potential hazards?

D. TRAINING AND PROMOTION

  • Do you hold CIDB Green Card?

  • Have you undergone specific workplace induction course e.g. NIOSH Passport?

  • Have you ever attended tool box meeting?

  • Have you participated in any Safety Campaign?

E. MACHINERY AND EQUIPMENT

  • Are you the competent operator with valid license to operate this machine/equipment/vehicle?

  • Have you received training on this machinery operation that you are operating with?

  • Is there safety checklist for you to complete prior to operate the machinery?

F. MATERIALS MANAGEMENT

  • Do you know what hazardous and non hazardous substances are?

  • Do you know what is MSDS or CSDS?

G. EMERGENCY PREPADNESS

  • Have you undergo any emergency drill?

  • Do you know what to do during an emergency?

  • Can you show me where the assembly point is?

  • Can you identify your First Aider?

  • Can you show me the nearest First Aid Box

  • Do you know the emergency contact numbers?

  • Where is the nearest Fire Extinguisher?

H. ACCIDENT INVESTIGATION AND REPORTING

  • What are you suppose to do in event of an accident?

  • What would you do if you witness somebody injured?

EMPLOYEE 5:

  • Name:

  • Position:

  • Nationality:

A. OSH POLICY

  • Have you ever seen one? Where?

  • Is it written in English?

  • Is it written in Bahasa Malaysia?

  • Do you understand the content of the Policy?

B. OSH ORGANIZATION

  • Do you know who a Safety and Health Officer is?

  • If you face any OSH problem, who would you refer to?

  • Have you heard about workplace SHC?

  • How often does your SHO visit the site?

  • Can you identify your SHO/SSS?

  • Are you aware of your OSH reaponsibility?

C. HIRARC

  • What is/are your potential hazards?

  • How to address the potential hazards?

D. TRAINING AND PROMOTION

  • Do you hold CIDB Green Card?

  • Have you undergone specific workplace induction course e.g. NIOSH Passport?

  • Have you ever attended tool box meeting?

  • Have you participated in any Safety Campaign?

E. MACHINERY AND EQUIPMENT

  • Are you the competent operator with valid license to operate this machine/equipment/vehicle?

  • Have you received training on this machinery operation that you are operating with?

  • Is there safety checklist for you to complete prior to operate the machinery?

F. MATERIALS MANAGEMENT

  • Do you know what hazardous and non hazardous substances are?

  • Do you know what is MSDS or CSDS?

G. EMERGENCY PREPADNESS

  • Have you undergo any emergency drill?

  • Do you know what to do during an emergency?

  • Can you show me where the assembly point is?

  • Can you identify your First Aider?

  • Can you show me the nearest First Aid Box?

  • Do you know the emergency contact numbers?

  • Where is the nearest Fire Extinguisher?

H. ACCIDENT INVESTIGATION AND REPORTING

  • What are you suppose to do in event of an accident?

  • What would you do if you witness somebody injured?

EMPLOYEE 6:

  • Name:

  • Position:

  • Nationality:

A. OSH POLICY

  • Have you ever seen one? Where?

  • Is it written in English?

  • Is it written in Bahasa Malaysia?

  • Do you understand the content of the Policy?

B. OSH ORGANIZATION

  • Do you know who a Safety and Health Officer is?

  • If you face any OSH problem, who would you refer to?

  • Have you heard about workplace SHC?

  • How often does your SHO visit the site?

  • Can you identify your SHO/SSS?

  • Are you aware of your OSH reaponsibility?

C. HIRARC

  • What is/are your potential hazards?

  • How to address the potential hazards?

D. TRAINING AND PROMOTION

  • Do you hold CIDB Green Card?

  • Have you undergone specific workplace induction course e.g. NIOSH Passport?

  • Have you ever attended tool box meeting?

  • Have you participated in any Safety Campaign?

E. MACHINERY AND EQUIPMENT

  • Are you the competent operator with valid license to operate this machine/equipment/vehicle?

  • Have you received training on this machinery operation that you are operating with?

  • Is there safety checklist for you to complete prior to operate the machinery?

F. MATERIALS MANAGEMENT

  • Do you know what hazardous and non hazardous substances are?

  • Do you know what is MSDS or CSDS?

G. EMERGENCY PREPADNESS

  • Have you undergo any emergency drill?

  • Do you know what to do during an emergency?

  • Can you show me where the assembly point is?

  • Can you identify your First Aider?

  • Can you show me the nearest First Aid Box?

  • Do you know the emergency contact numbers?

  • Where is the nearest Fire Extinguisher?

H. ACCIDENT INVESTIGATION AND REPORTING

  • What are you suppose to do in event of an accident?

  • What would you do if you witness somebody injured?

EMPLOYEE 7:

  • Name:

  • Position:

  • Nationality:

A. OSH POLICY

  • Have you ever seen one? Where?

  • Is it written in English?

  • Is it written in Bahasa Malaysia?

  • Do you understand the content of the Policy?

B. OSH ORGANIZATION

  • Do you know who a Safety and Health Officer is?

  • If you face any OSH problem, who would you refer to?

  • Have you heard about workplace SHC?

  • How often does your SHO visit the site?

  • Can you identify your SHO/SSS?

  • Are you aware of your OSH reaponsibility?

C. HIRARC

  • What is/are your potential hazards?

  • How to address the potential hazards?

D. TRAINING AND PROMOTION

  • Do you hold CIDB Green Card?

  • Have you undergone specific workplace induction course e.g. NIOSH Passport?

  • Have you ever attended tool box meeting?

  • Have you participated in any Safety Campaign?

E. MACHINERY AND EQUIPMENT

  • Are you the competent operator with valid license to operate this machine/equipment/vehicle?

  • Have you received training on this machinery operation that you are operating with?

  • Is there safety checklist for you to complete prior to operate the machinery?

F. MATERIALS MANAGEMENT

  • Do you know what hazardous and non hazardous substances are?

  • Do you know what is MSDS or CSDS?

G. EMERGENCY PREPADNESS

  • Have you undergo any emergency drill?

  • Do you know what to do during an emergency?

  • Can you show me where the assembly point is?

  • Can you identify your First Aider?

  • Can you show me the nearest First Aid Box?

  • Do you know the emergency contact numbers?

  • Where is the nearest Fire Extinguisher?

H. ACCIDENT INVESTIGATION AND REPORTING

  • What are you suppose to do in event of an accident?

  • What would you do if you witness somebody injured?

EMPLOYEE 8:

  • Name:

  • Position:

  • Nationality:

A. OSH POLICY

  • Have you ever seen one? Where?

  • Is it written in English?

  • Is it written in Bahasa Malaysia?

  • Do you understand the content of the Policy?

B. OSH ORGANIZATION

  • Do you know who a Safety and Health Officer is?

  • If you face any OSH problem, who would you refer to?

  • Have you heard about workplace SHC?

  • How often does your SHO visit the site?

  • Can you identify your SHO/SSS?

  • Are you aware of your OSH reaponsibility?

C. HIRARC

  • What is/are your potential hazards?

  • How to address the potential hazards?

D. TRAINING AND PROMOTION

  • Do you hold CIDB Green Card?

  • Have you undergone specific workplace induction course e.g. NIOSH Passport?

  • Have you ever attended tool box meeting?

  • Have you participated in any Safety Campaign?

E. MACHINERY AND EQUIPMENT

  • Are you the competent operator with valid license to operate this machine/equipment/vehicle?

  • Have you received training on this machinery operation that you are operating with?

  • Is there safety checklist for you to complete prior to operate the machinery?

F. MATERIALS MANAGEMENT

  • Do you know what hazardous and non hazardous substances are?

  • Do you know what is MSDS or CSDS?

G. EMERGENCY PREPADNESS

  • Have you undergo any emergency drill?

  • Do you know what to do during an emergency?

  • Can you show me where the assembly point is?

  • Can you identify your First Aider?

  • Can you show me the nearest First Aid Box?

  • Do you know the emergency contact numbers?

  • Where is the nearest Fire Extinguisher?

H. ACCIDENT INVESTIGATION AND REPORTING

  • What are you suppose to do in event of an accident?

  • What would you do if you witness somebody injured?

EMPLOYEE 9:

  • Name:

  • Position:

  • Nationality:

A. OSH POLICY

  • Have you ever seen one? Where?

  • Is it written in English?

  • Is it written in Bahasa Malaysia?

  • Do you understand the content of the Policy?

B. OSH ORGANIZATION

  • Do you know who a Safety and Health Officer is?

  • If you face any OSH problem, who would you refer to?

  • Have you heard about workplace SHC?

  • How often does your SHO visit the site?

  • Can you identify your SHO/SSS?

  • Are you aware of your OSH reaponsibility?

C. HIRARC

  • What is/are your potential hazards?

  • How to address the potential hazards?

D. TRAINING AND PROMOTION

  • Do you hold CIDB Green Card?

  • Have you undergone specific workplace induction course e.g. NIOSH Passport?

  • Have you ever attended tool box meeting?

  • Have you participated in any Safety Campaign?

E. MACHINERY AND EQUIPMENT

  • Are you the competent operator with valid license to operate this machine/equipment/vehicle?

  • Have you received training on this machinery operation that you are operating with?

  • Is there safety checklist for you to complete prior to operate the machinery?

F. MATERIALS MANAGEMENT

  • Do you know what hazardous and non hazardous substances are?

  • Do you know what is MSDS or CSDS?

G. EMERGENCY PREPADNESS

  • Have you undergo any emergency drill?

  • Do you know what to do during an emergency?

  • Can you show me where the assembly point is?

  • Can you identify your First Aider?

  • Can you show me the nearest First Aid Box?

  • Do you know the emergency contact numbers?

  • Where is the nearest Fire Extinguisher?

H. ACCIDENT INVESTIGATION AND REPORTING

  • What are you suppose to do in event of an accident?

  • What would you do if you witness somebody injured?

EMPLOYEE 10:

  • Name:

  • Position:

  • Nationality:

A. OSH POLICY

  • Have you ever seen one? Where?

  • Is it written in English?

  • Is it written in Bahasa Malaysia?

  • Do you understand the content of the Policy?

B. OSH ORGANIZATION

  • Do you know who a Safety and Health Officer is?

  • If you face any OSH problem, who would you refer to?

  • Have you heard about workplace SHC?

  • How often does your SHO visit the site?

  • Can you identify your SHO/SSS?

  • Are you aware of your OSH reaponsibility?

C. HIRARC

  • What is/are your potential hazards?

  • How to address the potential hazards?

D. TRAINING AND PROMOTION

  • Do you hold CIDB Green Card?

  • Have you undergone specific workplace induction course e.g. NIOSH Passport?

  • Have you ever attended tool box meeting?

  • Have you participated in any Safety Campaign?

E. MACHINERY AND EQUIPMENT

  • Are you the competent operator with valid license to operate this machine/equipment/vehicle?

  • Have you received training on this machinery operation that you are operating with?

  • Is there safety checklist for you to complete prior to operate the machinery?

F. MATERIALS MANAGEMENT

  • Do you know what hazardous and non hazardous substances are?

  • Do you know what is MSDS or CSDS?

G. EMERGENCY PREPADNESS

  • Have you undergo any emergency drill?

  • Do you know what to do during an emergency?

  • Can you show me where the assembly point is?

  • Can you identify your First Aider?

  • Can you show me the nearest First Aid Box?

  • Do you know the emergency contact numbers?

  • Where is the nearest Fire Extinguisher?

H. ACCIDENT INVESTIGATION AND REPORTING

  • What are you suppose to do in event of an accident?

  • What would you do if you witness somebody injured?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.