SHE Inspection-Bait Station/ Glue Pad

Information

Date & Time of Inspection:
Type of Inspection:
- Service Supervisor/ Manager Inspection
- SHE Committee Inspection
- SHE Manager/ Coordinator Inspection
- Post Incident Inspection (after an incident)
Country:
- Brunei
- China
- Hong Kong
- India
- Indonesia
- Korea
- Malaysia
- Philippines
- Singapore
- Thailand
- Taiwan
- Vietnam
- Sri Lanka
Branch:
Inspected By/ Inspection Team (Name, Job Title):
Inspection Area:
- Customer’s Premise
- Head Office
- Branch
- Other
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

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.
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. Baits, Bait Stations and Glue Pads are stored in the vehicle in secured manner, enclosed in a box/ container? Take photo.
2. Baits are not stored in other chemical containers/ drinking bottle/ food container. (only keep and carry baits in their original container/ packaging, or use designated container/ packaging provided by the company)
3. Extinguisher, first aid box, spill control kit, high visibility vest and water, soap/ hand sanitizer available and accessible from the vehicle? Take photos.
4. Is extinguisher serviced regularly by qualified vendor? Is there inspection label on extinguisher and is updated? Take photo of inspection label on extinguisher.
5. First Aid Box and Spill Control Kit adequately equipped? No expired items?
6. Technician has access to SDS (Safety Data Sheet) of the baits and glue pads? (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)

7. SRA has been conducted at the site? Check SRA report on service docket/ hand phone and take a photo.
8. Are the hazards and risk control measures updated accurately in the SRA?
9. High visibility vest worn while loading/ unloading or servicing bait station/ glue pad by the road side/ at the carpark/ at the loading bay? Take photo.
10. High visibility vest worn at other work areas with moving vehicles e.g. warehouse with forklift, construction site and at dark areas? Take photo.
11. High visibility vest worn throughout night work (including indoor, outdoor and while travelling at night for work)?

Installation and 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.

Installation and Servicing

12. Bait boxes, baits, glue pads, tools and equipment are transported in suitable way such as service bag, trolley bag, hand truck, and properly secured? Manual handling risks are minimized, visibility is not obstructed? Take photos.
13. Service bag/ trolley bag/ hand truck is in good working condition?
14. Trolley/ Hand Truck has Safe Working Load (SWL) displayed/ printed on it? (e.g. SWL 500kg) Take photo.
15. All bait blocks are placed within locked/ secured bait boxes. No open tray baiting. (The baits must not be accessible by non-target species such as children, pets, fishes, wildlife.)
16. All bait boxes are locked and labelled. All glue pads are labelled.

Bait Station and Glue Pad Locations and Access

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.

Bait Station and Glue Pad Locations and Access

17. Are the areas identified for bait station/ glue pad installations safe to access where slip, trip, fall risks are minimized? Take photos. (As far as practicable, avoid areas near to the slope, open drain, uneven ground, tall grass area, gravel ground, narrow space, hard to reach corners, area with only narrow access with no handrail).
18. Bait station/ glue pad is not installed near the open edge of a floor/ drain/ pit/ slope where there is risk of falling from height with fatal/ serious injuries.
19. Bait station/ glue pad is not installed near hot surfaces where there is risk of accidental contact and burns injuries.
20. Where there are risks of exposure to snakes and other non-target animals in/ near bait box or glue pad, suitable tool such as long pole is provided to allow technicians to check the box from a safe distance before servicing it.

Bait Station and Glue Pad Locations and Access ~ Electrical Risks

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.

Bait Station and Glue Pad Locations and Access ~ Electrical Risks

21. Bait station/ glue pad is not installed inside any high/ low voltage electrical panel where there are risks of electric shock, electrocution and burn injuries.
22. Bait station/ glue pad is not installed near/ inside any area that have exposed live electrical parts e.g. in machinery electrical panel, roof void.
23. Bait station/ glue pad is installed at safe distance away from “enclosed high voltage electrical panel”. Take photo. (Recommend at least 3m distance between the electrical panel door and your body/ the conductive equipment or object you are holding in your hand e.g. hand phone, hand tool. High voltage : greater than 1000V AC or greater than 1500V DC)
24. During inspection/ installation/ servicing, a minimum safe distance of 3m is to be maintained between your body/ the conductive equipment or object you are holding and any suspected or confirmed exposed live high voltage electrical parts, such as high voltage electrical panel with open/ missing door , exposed wire (Due to risks of arc flash and serious burns injuries. High Voltage: greater than 1000V AC, or greater than 1500V DC)
25. During inspection/ installation/ servicing, a minimum safe distance of Arms Length is to be maintained between your body/ the conductive equipment or object you are holding and any suspected or confirmed exposed live low voltage electrical parts, such as low voltage electrical panel with open/ missing door, exposed wire. (Low Voltage in the range of 50V-1000V AC, or 120V-1500V DC).

Bait Station / Glue Pad At Roof Void or Ceiling & Shutting Down Electrical Power To Roof Void/ Ceiling Area Before Work

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.

Bait Station / Glue Pad At Roof Void or Ceiling

Is this section applicable?
26. Is there a need to place bait station/ glue pad at roof void/ ceiling?
Please indicate why.
27. Other methods have been considered to avoid the need to work at height? E.g. long pole with grip for installation, pole camera for inspection at the roof void/ ceiling space. Take photo of the alternative method/ tool used.
28. Consultation was done with customer to evaluate the risks? Check whether there are cables, electrical fittings and other materials in the roof void/ ceiling space. (e.g. lighting, detectors, conduits, water heater, boxes)

Shutting Down Electrical Power To Roof Void/ Ceiling Area Before Work

29(a). First Priority, Safest Option : discussed and agreed with customer to shut down power before start work where there are electricals near or inside the roof void/ ceiling such as lightings, wires, electrical conduits. Power is shut down before work at the roof void/ ceiling.
29(b). Alternate Option: if not practicable to shut down power to the roof void/ ceiling, electrical insulation gloves (for no more than 500V) are available, in good condition and used while working at roof void/ ceiling works. Take photos.
29(c). No Safe Option: if it is not practicable to shut down power to the roof void/ ceiling and voltage of the electrical parts is at 500V or more, do not proceed with the work at roof void/ ceiling. Report to your supervisor/ SHE personnel.

Bait Station and Glue Pad Access By Ladder

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.

Bait Station and Glue Pad Access By Ladder

Is this section applicable?
30. The ground below the roof void/ ceiling hatch is level, unobstructed and with sufficient space for safe placement of ladder? If you are using A-ladder, the space allows the ladder to be fully spread out? Take photo. (Do not access roof void/ ceiling if ladder cannot be placed safely on the ground)
31. Technician(s) working at the roof void/ ceiling has completed Work at Height training involving safe ladder use, and RI internal M6.1 Safe Working at Roof Void Training? Verify training records e.g. signed attendance/ certificate/ ID card. Take photo.
32. Ladder belongs to RI or customer?
33. Is the ladder of good working condition? Take photos of ladder and the label. (Check for physical damage e.g. missing rubber base, distorted rung etc. Check for SWL label on ladder – e.g. safe working load 150kg. Do not use if there is physical damage and there is no/ missing SWL label)
34. Ladder is of suitable type and height to allow safe access to the bait station / glue pad? (Note: top 2 steps of the ladder must not be used)
35. Technician position himself safely on the ladder and maintain 3 point contact with the ladder? Take photos.
36. Any work at height above 2m (from the ground to the feet position on ladder)? If yes, take photo of the area and specify the height in below.
Specify the height here (in metre).
37. For the work at height above 2m (from the ground to the feet position on ladder), another person was arranged to hold the ladder at the ground level?

Bait Station and Glue Pad Access By Other WAH Equipment

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.

Bait Station and Glue Pad Access By Other WAH Equipment

Is this section applicable?
38. Is other Work At Height (WAH) equipment being used ? (e.g. scaffold, scissor lift, boom lift, safety harness, rope access, rescue kit) . If yes, take photo and indicate the type in below.
Indicate the type.
39. At least 2 technicians are deployed to carry out the work? (buddy system) Take photo. If no, please do not proceed. Report to your supervisor/ SHE personnel.
40. Trained and qualified RI staff/ vendor have been arranged to set up, operate and dismantle the WAH equipment e.g. scaffold, gondola?
41. The technicians completed relevant training on working with the WAH equipment? Verify training records e.g. signed attendance/ certificate/ WAH ID card. Take photo.
42. Supervisor/ manager managing and over-seeing this job completed relevant WAH training? Verify training records e.g. signed attendance/ certificate/ WAH ID card. Take photo.
43. The ground condition is level, unobstructed and with sufficient space for safe placement of WAH equipment? Take photo of the ground condition.
44. WAH equipment is of suitable type and height to allow safe access to the bait station / glue pad? Take photo of the access at height from the equipment.
45. Is the WAH equipment in good working condition?
46. Regular and pre-use inspection of the WAH equipment (e.g. scaffold, safety harness, rescue kit, scissor lift) was done and by trained and qualified person? Verify the regular inspection reports.
47. Technician position himself safely on the WAH equipment? Take photos.
48. Safety harness is worn by technician(s) while working on the WAH equipment and is anchored at waist line or above to a strong anchorage point? Take photos.
49. Ground level where the WAH equipment is positioned has been barricaded (e.g. with barricade or safety cones & warning tapes) to prevent unauthorized entry? Take photos.
50. Fall Rescue Plan and Risk Assessment have been established for this job? Please consult with Country SHE personnel if you are not sure.

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.

PPE

51. Right PPE available? In good condition and being used?
Answer 51(a)-(e) below. (take photos)
51(a). Disposable mask (e.g. N95 mask for protection against dust/ nuisance odour during cleaning/ dusting the bait station and during servicing of glue pad. Do not use surgical mask! Surgical mask do not provide adequate protection)
51(b). Disposable nitrile/ latex gloves or nitrile coated gloves (Avoid direct contact with baits, glue pad, dead rodents and the bio-wastes from pests e.g. urine/ feces from rodents. Direct contact without any hand protection can lead to serious illnesses or diseases!)
51(c). Eye protection (when there is exposure to dust during dusting/ cleaning)
51(d). Safety Shoes
51(e). Other PPE as required by customer/ due to risk identified from SRA. If yes, please specify in Note below.

Hygiene and 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.

Hygiene and Others

52. Technician(s) wash his hands with soap and water before taking a break and after completion of the job.
53. Other hazards (take photo as far as practicable). If yes, please indicate in Note below.

Signature - Inspection done by

Inspection Done By
Name & Signature (click on pen icon to sign):
Job Title:

SHE Inspection-Bait Station/ Glue Pad

Go digital today!

Convert your paper checklists into digital forms

Technician/ Service Specialist/ Cleaner/ Storekeeper

Storage In Vehicle & Emergency Response

Site Risk Assessment (SRA)

Installation and Servicing

Bait Station and Glue Pad Locations and Access

Bait Station and Glue Pad Locations and Access ~ Electrical Risks

Bait Station / Glue Pad At Roof Void or Ceiling

Shutting Down Electrical Power To Roof Void/ Ceiling Area Before Work

Bait Station and Glue Pad Access By Ladder

Bait Station and Glue Pad Access By Other WAH Equipment

PPE

Hygiene and Others

Related checklists

SHE Inspection-Bait Station/ Glue Pad

Free SHE Inspection-Bait Station/ Glue Pad Checklist

Go digital today!

Convert your paper checklists into digital forms

Technician/ Service Specialist/ Cleaner/ Storekeeper

Storage In Vehicle & Emergency Response

Site Risk Assessment (SRA)

Installation and Servicing

Bait Station and Glue Pad Locations and Access

Bait Station and Glue Pad Locations and Access ~ Electrical Risks

Bait Station / Glue Pad At Roof Void or Ceiling

Shutting Down Electrical Power To Roof Void/ Ceiling Area Before Work

Bait Station and Glue Pad Access By Ladder

Bait Station and Glue Pad Access By Other WAH Equipment

PPE

Hygiene and Others

Related checklists