Information

  • Date & Time of Inspection:

  • Type of Inspection:

  • Country:

  • Branch:

  • Inspected By/ Inspection Team (Name, Job Title):

  • Inspection Area:

  • Customer's Company Name:

  • RI Branch Name:

  • Please indicate which other area. If for residence, please indicate Residence Name/ Address.

Technician/ Service Specialist/ Cleaner/ Storekeeper

Technician/ Service Specialist/ Cleaner/ Storekeeper

  • Interview 1-2 of the above colleague about their work hours and rest hours, and spot check/ test their understandings of the SHE Golden Rules & Zero Tolerance Policy relevant to them.

  • Technician/ Service Specialist/ Cleaner/ Storekeeper
  • Name:

  • Job Title:

  • A. Staff do not work excessive work hours (beyond regulatory requirements) and has adequate rest hours between work shifts?

  • B. Staff understands and can explain the SHE Golden Rules well?

  • C. Staff understands and can explain the relevant Zero Tolerance Policy (ZTP) completely?

Storage In Vehicle & Emergency Response

  • INSPECTION GUIDE

    1. Answer "Yes", "Partial", "No", "NA" on the questions below.
    2. Add photos and notes for your findings by clicking on the paperclip icon.
    3. For any Non-Conformance (NC) or Area for Improvement (AFI), please add in Corrective Actions. Click on the paperclip icon, then select "Add Action". Write down the finding & action to take, assign to a designated person (from the given list in iAuditor), set priority level and due date.
    4. Complete audit by providing digital signature.
    5. Share your report by exporting as PDF and/or Word format.

Storage In Vehicle & Emergency Response

  • 1. Air fresheners are stored in the vehicle in secured manner, enclosed in a box/ container, and kept away from sunlight? Take photo.

  • 2. Extinguisher, first aid box, spill control kit, high visibility vest and water, soap/ hand sanitizer available and accessible from the vehicle? Take photos.

  • 3. Is extinguisher serviced regularly by qualified vendor? Is there inspection label on extinguisher and is updated? Take photo of inspection label on extinguisher.

  • 4. First Aid Box and Spill Control Kit adequately equipped? No expired items?

  • 5. Service Specialist has access to SDS (Safety Data Sheet) of air freshener and other consumables? (e.g. SDS file in vehicle, online access by hand phone) Take photo.

Site Risk Assessment (SRA)

  • INSPECTION GUIDE

    1. Answer "Yes", "Partial", "No", "NA" on the questions below.
    2. Add photos and notes for your findings by clicking on the paperclip icon.
    3. For any Non-Conformance (NC) or Area for Improvement (AFI), please add in Corrective Actions. Click on the paperclip icon, then select "Add Action". Write down the finding & action to take, assign to a designated person (from the given list in iAuditor), set priority level and due date.
    4. Complete audit by providing digital signature.
    5. Share your report by exporting as PDF and/or Word format.

Site Risk Assessment (SRA)

  • 6. SRA has been conducted at the site? <br>Check SRA report on service docket/ hand phone and take a photo.

  • 7. Are the hazards and risk control measures updated accurately in the SRA?

  • 8. High visibility vest worn while loading / unloading by the road or at carpark? Take photo.

  • 9. High visibility vest worn at other work areas with moving vehicles? Take photo.

Air Freshener Installation

  • INSPECTION GUIDE

    1. Answer "Yes", "Partial", "No", "NA" on the questions below.
    2. Add photos and notes for your findings by clicking on the paperclip icon.
    3. For any Non-Conformance (NC) or Area for Improvement (AFI), please add in Corrective Actions. Click on the paperclip icon, then select "Add Action". Write down the finding & action to take, assign to a designated person (from the given list in iAuditor), set priority level and due date.
    4. Complete audit by providing digital signature.
    5. Share your report by exporting as PDF and/or Word format.

Air Freshener Installation

  • 10. Electrical installation works are done by qualified person from customer?

  • 11. If any electrical work is to be done by RI instead of the customer (e.g. laying cables, installing socket, connecting cable to socket), is RI staff with valid electrician license deployed to do the job? Take photo of the license.

Air Freshener Installation & Servicing

  • INSPECTION GUIDE

    1. Answer "Yes", "Partial", "No", "NA" on the questions below.
    2. Add photos and notes for your findings by clicking on the paperclip icon.
    3. For any Non-Conformance (NC) or Area for Improvement (AFI), please add in Corrective Actions. Click on the paperclip icon, then select "Add Action". Write down the finding & action to take, assign to a designated person (from the given list in iAuditor), set priority level and due date.
    4. Complete audit by providing digital signature.
    5. Share your report by exporting as PDF and/or Word format.

Air Freshener Installation & Servicing

  • 12. Air fresheners, tools and equipment are transported in suitable way such as trolley, trolley bag, hand truck, and properly secured? Manual handling risks are minimized, visibility is not obstructed? Take photos.

  • 13. Trolley/ Trolley Bag/ Hand Truck is in good working condition and has the Safe Working Load (SWL) displayed/ printed on it? (e.g. SWL 500kg)

  • 14. All Air Fresheners at the site are installed at no more than 2m from the ground floor? Take photos of 1-3 locations. (to reduce the need for use of ladder and to optimize the AF performance)

  • 15. No installation directly above areas with human traffic/ activities. <br>(E.g. do not install air fresheners directly above any door, above any exit/ entrance, above work desk, above seating area, above dining area)

  • 16. Are the areas identified for air freshener installations safe to access with no obstruction and the floor is level & safe? Take photos.<br>(Do not install above any object that obstruct/ affect technician’s safe access to the air freshener e.g. above toilet bowl, above sink, above staircase, above cooking stove. Do not install above any area where ladder cannot be used safely e.g. narrow area where ladder cannot be spread out properly, uneven floor area)

  • 17. “Man at Work” or “Work In progress” sign is available? And displayed to keep unauthorized people at safe distance from the installation/ servicing work? Take photo.

  • 18. Ladder is of good working condition? Take photos of ladder and the label.<br>(check for physical damage and SWL label on ladder – e.g. safe working load 150kg)

  • 19. Ladder is of suitable type and height to allow safe access to install or service the air freshener units? (top 2 steps of the ladder must not be used)

  • 20. RI Service Specialist can position himself safely on the ladder and can maintain 3 point contact with the ladder? Take photos.

Air Freshener Installation

  • INSPECTION GUIDE

    1. Answer "Yes", "Partial", "No", "NA" on the questions below.
    2. Add photos and notes for your findings by clicking on the paperclip icon.
    3. For any Non-Conformance (NC) or Area for Improvement (AFI), please add in Corrective Actions. Click on the paperclip icon, then select "Add Action". Write down the finding & action to take, assign to a designated person (from the given list in iAuditor), set priority level and due date.
    4. Complete audit by providing digital signature.
    5. Share your report by exporting as PDF and/or Word format.

Air Freshener Installation

  • Is this section applicable?

  • 21. Tools and Equipment are available and suitable? In good condition? Answer 21(a)-(c) below. Take photos.

  • 21(a). Socket Tester

  • 21(b). Powered drill (look out for cracked casing, damaged/ exposed cable, clogged vents etc)

  • 21(c). Tool box e.g. screw driver, drill bits, cutter (look out for broken, rusty, blunt tools)

  • 22. Power sockets at customer’s site are in good physical condition? Take photos. (Do not plug in your drill into power socket with cracks, missing cover, exposed wire etc)

  • 23. Socket tester is used on each power socket to check that Live, Neutral, Earth wires are in the right connections and there is proper earth? <br>Take photos. (do not use the power socket if there is something wrong shown on the socket tester. Report to customer immediately.)

  • 24. Powered drill electrical cables trailing over walkway / corridor are taped down/ hang up/ positioned safely to prevent trip and fall? Take photo.

  • 25. Metal detector is used before drilling, to detect cable and piping in the wall? Take photo.

Air Freshener Installation - PPE

  • INSPECTION GUIDE

    1. Answer "Yes", "Partial", "No", "NA" on the questions below.
    2. Add photos and notes for your findings by clicking on the paperclip icon.
    3. For any Non-Conformance (NC) or Area for Improvement (AFI), please add in Corrective Actions. Click on the paperclip icon, then select "Add Action". Write down the finding & action to take, assign to a designated person (from the given list in iAuditor), set priority level and due date.
    4. Complete audit by providing digital signature.
    5. Share your report by exporting as PDF and/or Word format.

Air Freshener Installation ~ PPE

  • Is this section applicable?

  • 26. Air Freshener Installation ~ Right PPE available? In good condition and being used? Answer 26(a)-(i) below. Take photos.

  • 26(a). Safety goggles

  • 26(b). Disposable dust mask (e.g. N95 dust mask. Do not use surgical mask! )

  • 26(c). Ear plugs (if drilling has to be done several times at multiple locations at a customer’s site)

  • 26(d). No wearing of loose fitting gloves during drilling<br>(due to potential hazards of entanglement / caught by revolving drill )

  • 26(e). Fitting, cotton work gloves <br>(for thermal protection if the drill gets warm/ hot, especially if you have to drill the wall at multiple locations)

  • 26(f). Long sleeves are button up.

  • 26(g). No wearing loose accessories e.g. necklace, bracelet, work pass & lanyard.

  • 26(h). Safety Shoes

  • 26(i). Other PPE as required by customer/ due to risk identified from SRA. Please indicate the PPE type or "NA" below.

Air Freshener Servicing - PPE

  • INSPECTION GUIDE

    1. Answer "Yes", "Partial", "No", "NA" on the questions below.
    2. Add photos and notes for your findings by clicking on the paperclip icon.
    3. For any Non-Conformance (NC) or Area for Improvement (AFI), please add in Corrective Actions. Click on the paperclip icon, then select "Add Action". Write down the finding & action to take, assign to a designated person (from the given list in iAuditor), set priority level and due date.
    4. Complete audit by providing digital signature.
    5. Share your report by exporting as PDF and/or Word format.

Air Freshener Servicing ~ PPE

  • 27. Air Freshener Servicing ~ Right PPE available? In good condition and being used? Answer 27(a)-(d) below. Take photos.

  • 27(a). Eye protection (aerosols from air freshener units are set to release at prescribed time interval. Be sure to put on goggles and mask during servicing)

  • 27(b). Disposable mask (N95, P95 mask etc)

  • 27(c). Safety shoes

  • 27(d). Disposable nitrile/ latex gloves (if handling, replacing fragrance)

Others

  • INSPECTION GUIDE

    1. Answer "Yes", "Partial", "No", "NA" on the questions below.
    2. Add photos and notes for your findings by clicking on the paperclip icon.
    3. For any Non-Conformance (NC) or Area for Improvement (AFI), please add in Corrective Actions. Click on the paperclip icon, then select "Add Action". Write down the finding & action to take, assign to a designated person (from the given list in iAuditor), set priority level and due date.
    4. Complete audit by providing digital signature.
    5. Share your report by exporting as PDF and/or Word format.

Inspections

  • 28. Cleaning Cloth such as fibre cloth is available and being used to wipe the air freshener unit clean after the servicing

  • 29. RI staff hold hand rail while using the escalator or staircase?

  • 30. Staff visibility is not obstructed while using the escalator, staircase or carrying the air fresheners, tools and equipment?

  • 31. Service Specialist wash his hands with soap and water before taking a break and after the installation/ service jobs.

  • 32. Other hazards observed e.g. staircase, escalator, step at doorway, slippery floor in toilet (warn technician and take photo) :

  • 33. Other hazards observed

Signature - Inspection done by

  • Inspection Done By

  • Person
  • Name & Signature (click on pen icon to sign):

  • Job Title:

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.