SHE INSPECTION REPORT

• Date & Time of Inspection:

  Date

• Type of Inspection:

  Select Departmental/ Supervisory Inspection SHE Committee Inspection SHE Manager/ Coordinator Inspection

  • Departmental/ Supervisory Inspection
  • SHE Committee Inspection
  • SHE Manager/ Coordinator Inspection

• Inspection Area:

  Select Customer’s Premise Head Office Branch

  • Customer’s Premise
  • Head Office
  • Branch

• Name(s) of Technician/ Store man: (interviewed during spot check with 1-2 technicians or store man on work hours and rest hours, under Section 16)

• Job Title:

• Observations:

Observation

• Location:

• Observation:

• Action By:

• By When:

• Closed? Please attached photos here.

  Yes

  No

  N/A

• Action Plan:

• Inspection Team:

Person

• Name:

• Add signature

  Sign

• INSPECTION GUIDE

1. Housekeeping

• 1.1 Are work areas in clean & tidy state?

  Yes

  No

  N/A

• 1.2 Are floor, aisles, passageways kept clean & dry?

  Yes

  No

  N/A

• 1.3 Are floor holes eg. drains covered?

  Yes

  No

  N/A

2. Material Handling & Storage

• 2.1 Workers observed safe manual handling technique?

  Yes

  No

  N/A

• 2.2 Regular examination conducted for heavy lifting equipment eg. forklift, hoist?

  Yes

  No

  N/A

• 2.3 Competent persons to operate lifting equipment ?

  Yes

  No

  N/A

• 2.4 Authorised, trained operators for forklifts?

  Yes

  No

  N/A

• 2.5 SWL (Safe Working Load) indicated on lifting equipment & appliances?

  Yes

  No

  N/A

• 2.6 Lifting gears & safety devices in good order?

  Yes

  No

  N/A

• 2.7 Service tags displayed?

  Yes

  No

  N/A

• 2.8 Proper storage for lifting gears & other accessories?

  Yes

  No

  N/A

• 2.9 Is adequate clearance at passageway where material must be moved?

  Yes

  No

  N/A

• 2.10 Are storage area free from ignition source, fire, explosion and pest?

  Yes

  No

  N/A

• 2.11 Materials stacked on firm foundation/ support & do not appear unsteady?

  Yes

  No

  N/A

3. Personal Protective Equipment

• 3.1 Is PPE provided eg. safety glasses, ear plugs, gloves, safety shoes, safety belt?

  Yes

  No

  N/A

• 3.2 Are workers using the PPE correctly?

  Yes

  No

  N/A

• 3.3 PPE are stored and maintained properly?

  Yes

  No

  N/A

4. Emergency Preparedness

• 4.1 Fire fighting equipment (eg. Fire hose reel, extinguishers) provided adequately?

  Yes

  No

  N/A

• 4.2 Fire fighting equipment prominently marked & labeled with signage?

  Yes

  No

  N/A

• 4.3 Fire fighting equipment maintained & in good order?

  Yes

  No

  N/A

• 4.4 Are all fire fighting equipment free from obstruction?

  Yes

  No

  N/A

• 4.5 Emergency response signage displayed where necessary?

  Yes

  No

  N/A

• 4.6 Are means of escape free from obstruction?

  Yes

  No

  N/A

• 4.7 Are first aid boxes inspected & replenished?

  Yes

  No

  N/A

• 4.8 Is First Aid Room properly maintained, if any?

  Yes

  No

  N/A

• 4.9 Emergency shower & eyewash provided & in good condition, if any?

  Yes

  No

  N/A

• 4.10 Are there adequate employees on each shift who are trained in first aid?

  Yes

  No

  N/A

• 4.11 Are exit routes clearly marked & equipped with emergency lighting?

  Yes

  No

  N/A

• 4.12 Are evacuation route, procedure displayed & maintained at various locations?

  Yes

  No

  N/A

5. Machinery

• 5.1 Are dangerous parts of machine guarded eg. rollers, cutters, punch, high voltage?

  Yes

  No

  N/A

• 5.2 Guards / Safety devices properly adjusted & in good condition?

  Yes

  No

  N/A

• 5.3 Emergency button unobstructed and safety interlock and sensors tested in order?

  Yes

  No

  N/A

• 5.4 No spillage of coolant / oil on the floor?

  Yes

  No

  N/A

• 5.5 Are tools kept in toolbox or designated area?

  Yes

  No

  N/A

• 5.6 Qualified person engaged for inspection & maintenance?

  Yes

  No

  N/A

• 5.7 Are lockout device and warning sign used during repair / maintenance work on machine?

  Yes

  No

  N/A

6. Electrical Safety

• 6.1 Are plugs, sockets & cables in good condition?

  Yes

  No

  N/A

• 6.2 No crawling cable at the working area?

  Yes

  No

  N/A

• 6.3 Cables placed away from sharp edges & wet area?

  Yes

  No

  N/A

• 6.4 Circuit breakers installed?

  Yes

  No

  N/A

• 6.5 Are electrical panels enclosed?

  Yes

  No

  N/A

• 6.6 Are warning signs appropriately displayed at high voltage area?

  Yes

  No

  N/A

• 6.7 Earthing provided for tools in operation eg. drill, screw driver, disc cutter?

  Yes

  No

  N/A

7. Chemical Safety

• 7.1 A designated area for chemical storage?

  Yes

  No

  N/A

• 7.2 Adequate ventilation for chemical storage?

  Yes

  No

  N/A

• 7.3 Acidic, alkaline and flammable chemical stored separately?

  Yes

  No

  N/A

• 7.4 All chemical, including chemical waste containers properly labeled and covered?

  Yes

  No

  N/A

• 7.5 No sign of chemical spills or leakage?

  Yes

  No

  N/A

• 7.6 Competent person in-charge of the chemical substances?

  Yes

  No

  N/A

• 7.7 Chemical spill kit for spill/ leakage control provided and in good condition?

  Yes

  No

  N/A

• 7.8 Unused or waste chemical containers covered?

  Yes

  No

  N/A

• 7.9 SDS (Safe Data Sheets) kept for each chemical used & are available to staff?

  Yes

  No

  N/A

• 7.10 No chemicals stored near or above the drains or public/ open water course?

  Yes

  No

  N/A

• 7.11 No disposal of chemicals into the sink, drain/ sewage unless with authority approval?

  Yes

  No

  N/A

8. Compressed Gas Safety

• 8.1 Empty and full gas cylinders properly labeled and stored separately?

  Yes

  No

  N/A

• 8.2 Valve caps provided during transfer?

  Yes

  No

  N/A

• 8.3 Stored away from heat sources, electrical areas and have flashback arrestors for flammable gases cylinders?

  Yes

  No

  N/A

• 8.4 Stored upright and chained/ strapped to prevent toppling?

  Yes

  No

  N/A

• 8.5 Regulators used and in good condition?

  Yes

  No

  N/A

• 8.6 No physical damage on the cylinder?

  Yes

  No

  N/A

9. Pressure Vessels (eg. compressor, boiler)

• 9.1 Subjected to examination regularly? Label of last test date & pressure rating displayed?

  Yes

  No

  N/A

• 9.2 Is belt drive totally enclosed to cover the front, back, top, and sides?

  Yes

  No

  N/A

• 9.3 Valves are clean and free from damage?

  Yes

  No

  N/A

• 9.4 Trained and qualified person in-charge?

  Yes

  No

  N/A

• 9.5 Area kept clear of combustibles, oil, grease and other chemicals?

  Yes

  No

  N/A

• 9.6 Any shifting, rusty or loose support brackets for piping supports?

  Yes

  No

  N/A

• 9.7 Indicating devices eg. pressure gauge & glass, thermometer in good condition?

  Yes

  No

  N/A

• 9.8 Compressor/ Boiler Room access restricted and labeled Hearing Protection Area?

  Yes

  No

  N/A

10. Employee Work Stations and General Areas

• 10.1 Are working environment clean & free from known hazards & diseases?

  Yes

  No

  N/A

• 10.2 Are lighting sufficient for the type of work? Eg. rough, fine work, paper work etc.

  Yes

  No

  N/A

• 10.3 Are fresh air supply, good ventilation & proper exhaust system provided?

  Yes

  No

  N/A

• 10.4 Exposure to noise hazards controlled?

  Yes

  No

  N/A

• 10.5 No overcrowding observed in work area?

  Yes

  No

  N/A

• 10.6 No slip, trip and fall hazard in the work area?

  Yes

  No

  N/A

• 10.7 Reduce, reuse and recycling of paper in practice?

  Yes

  No

  N/A

• 10.8 Power e.g. for lights, air-con, computer are switched off when not required?

  Yes

  No

  N/A

• 10.9 Recycling practices for other materials eg. plastics, metal observed?

  Yes

  No

  N/A

11. SHE Promotion

• 11.1 SHE policy, rules, regulations and procedures displayed appropriately?

  Yes

  No

  N/A

• 11.2 SHE posters / signage displayed appropriately?

  Yes

  No

  N/A

12. Vehicle & Pedestrians Routes

• 12.1 Are routes for vehicles & pedestrians clearly marked and safely apart?

  Yes

  No

  N/A

• 12.2 Are there suitable pedestrian crossing points on vehicle routes where needed?

  Yes

  No

  N/A

• 12.3 Are there hump, traffic mirrors & signage where needed?

  Yes

  No

  N/A

• 12.4 Are roads wide enough, avoid sharp / blind bends?

  Yes

  No

  N/A

• 12.5 Are the roads well constructed, ie. have firm, even surfaces & well maintained?

  Yes

  No

  N/A

• 12.6 Are the roads and pedestrian walkway free from obstructions & other hazards?

  Yes

  No

  N/A

• 12.7 Speed Limit sign displayed at the service road around the head office / branch where appropriate?

  Yes

  No

  N/A

• 12.8 Road marks eg. arrow signs, yellow lines are clearly visible to road users?

  Yes

  No

  N/A

13. Provisions in the Service Vehicles

• 13.1 Vehicle Inspection Certificate displayed?

  Yes

  No

  N/A

• 13.2 Vehicle equipped with adequate First Aid Items?

  Yes

  No

  N/A

• 13.3 Vehicle equipped with Spill Control Kit, where hazardous chemical substances are stored?

  Yes

  No

  N/A

• 13.4 Spill Control Kit in good condition with sufficient items?

  Yes

  No

  N/A

• 13.5 Vehicle equipped with fresh water supply?

  Yes

  No

  N/A

• 13.6 Vehicle equipped with extinguisher, especially where hazardous chemical substances are stored?

  Yes

  No

  N/A

• 13.7 SDS (Safety Data Sheets) provided in the vehicle?

  Yes

  No

  N/A

• 13.8 Adequate PPE provisions in the vehicles eg. safety glasses, gloves, safety shoes, safety belts?

  Yes

  No

  N/A

• 13.9 Antidotes provided are properly maintained in the vehicle?

  Yes

  No

  N/A

• 13.10 Good housekeeping observed in the vehicle?

  Yes

  No

  N/A

14. Vehicles Activities

• 14.1 Speed Limit sign displayed at the service vehicle?

  Yes

  No

  N/A

• 14.2 Are warning signs adequate and sufficient for the road users?

  Yes

  No

  N/A

• 14.3 Only trained and qualified drivers are engaged to drive the service vehicles?

  Yes

  No

  N/A

• 14.4 Driver carried with him valid driving license?

  Yes

  No

  N/A

• 14.5 Does the driver use the designated parking areas?

  Yes

  No

  N/A

• 14.6 No speeding observed?

  Yes

  No

  N/A

• 14.7 Driver obeyed traffic rules while working at or near public roads?

  Yes

  No

  N/A

• 14.8 No black smoke observed from the vehicles?

  Yes

  No

  N/A

• 14.9 Driver uses safety belt?

  Yes

  No

  N/A

15. Incident Reporting & Investigation

• 15.1 No accident happened in the last month?

  Yes

  No

  N/A

• 15.2 No near miss (with no injury) over the last month e.g. vehicular near hit incident?

  Yes

  No

  N/A

• 15.3 No poisoning or illness case affecting person (staff/ customer/ public) due to exposure to our chemical agents?

  Yes

  No

  N/A

• 15.4 No dangerous occurrence?

  Yes

  No

  N/A

• 15.5 If any case in 15.1 to 15.4 happens, is the incident report submitted to the Branch Manager & SHE Manager/ Coordinator ?

  Yes

  No

  N/A

• 15.6 If any case in 15.1 to 15.4 happens, is the incident investigated?

  Yes

  No

  N/A

• 15.7 Has corrective / preventive actions been taken to improve the areas/ equipment/ facilities where the incident happen?

  Yes

  No

  N/A

16. Work Hours & Rest Hours (spot check with 1 or 2 Technicians or store man)

• 16.1 What is your routine work hours per day and workdays per week?

• 16.2 Did you do overtime (OT) work or night work? How often?

• 16.3 How many hours do you usually take to do OT & night work?

• 16.4 After night work or OT, do you usually get sufficient rest before return to work? How many rest hours / time-off do you have?