Title Page
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Conducted on
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Completed by
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Department
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Inspection #:
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Untitled Page
1. BUILDINGS AND FLOORS
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1.1 Floors are clean (no scrap and spares laying around causing a tripping hazard)
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1.2 Floors not slippery (oil and grease spills should be cleaned immediately)
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1.3 Floors are in a good condition ( no broken out pieces or unevenness)
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1.4 Windows and window panes are in good condition (no broken windows)
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1.5 Handrails are in a good condition (not loose or damaged)
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1.6 Stairs are in good condition (not damaged or slippery)
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1.7 Lighting is sufficient, especially at machines (all lights work)
2. AISLES, ROADWAYS AND STORAGE
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2.1 Aisles and roadways are clearly demarcated
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2.2 Aisles and roadways are obstruction free (no stacking in aisles and roadways)
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2.3 Stacking is safe (stable and not to high)
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2.4 Flammable and hazardous liquids are stored correctly?
3. SCRAP AND RUBBISH
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3.1 Scrap and rubbish are removed regularly
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3.2 Scrap and rubbish bins are clearly marked
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3.3 There are enough scrap and rubbish bins in the area
4. MACHINES
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4.1 Machine space is obstruction free (not cluttered and obstructed)
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4.2 Machines are clean
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4.3 Machine guards are in good condition and sufficient
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4.4 Machines have emergency stops and lockout devices
5. LIFTING EQUIPMENT
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5.1 Slings and lifting beams are in good condition
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5.2 Slings and lifting beams are numbered and inspected daily
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5.3 Cranes are in a good condition and inspected/ tested daily
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5.4 Forklifts are in good condition and inspected daily
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5.5 Battery trolleys are in good condition and inspected daily
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5.6 Crane drivers and forklift drivers are trained and have a valid license
6. WELDING AND GAS CUTTING
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6.1 Arc welding cables are in a good condition (not damaged or open wires)
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6.2 Gas hoses and pipes are in a good condition (not damaged or leaking)
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6.3 Flashback arrestors fitted onto gas hoses/pipes
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6.4 Earth clamps are in good condition
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6.5 No gas leaks are present
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6.6 Gas welding and cutting equipment on register
7. ELECTRICAL EQUIPMENT
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7.1 Electrical panels/ distribution boards are closed
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7.2 Electrical cables are in a good condition
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7.3 Electrical plugs are in a good condition
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7.4 Electrical panels and operating stations are clearly labelled
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7.5 Extension cords in good condition? ( No exposed wires, etc.)
8. PERSONAL PROTECTIVE EQUIPMENT (PPE)
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8.1 PPE is suitable for the area
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8.2 PPE is correctly used at all times, clean and in good condition
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8.3 PPE not laying around?
9. TOOLS AND PORTABLE EQUIPMENT
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9.1 Hand tools are in a good condition
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9.2 Hammers have wooden or rubber handles?
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9.3 Home made knifes not used for cutting?
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9.4 Portable electrical equipment is in a good condition and on register
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9.5 Ladders are in a good condition and on register
10. POLLUTION
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10.1 No oil, acid, paint and/or other chemicals spills present in area?
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10.2 Oil, acid, paint and/or other chemicals spills are properly stored?
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10.3 No Excessive smoke, fumes and/or vapours present in the area?
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10.4 Proper bund walls/ or other spill containment present/ available? (Where bulk amount of chemicals are stored)
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10.5 Spill kits, or saw dust readily available to use immediately if there is a leak or spill?
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10.6 Is a chemical cage available to store chemicals?
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10.7 Are the cage fitted with a drip tray?
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10.8 Are there signage posted at the cage?
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10.9 Are the MSDS/ treatment register available for all chemicals used in the work area?
11. FIRST AID, FIRE FIGHTING EQUIPMENT AND OTHER
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11.1 Fire fighting equipment is in a good condition
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11.2 Fire fighting equipment is inspected and on register
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11.3 Fire fighting equipment is obstruction free (nothing stacked in front of the equipment)
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11.4 First aid boxes are correct and inspected?
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11.5 All first aiders trained?
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11.6 First aid photos with the first aiders name displayed?
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11.7 All fire wardens trained?
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11.8 Regular Fire drills done?
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11.9 Safety signs are visible and in a good condition?
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11.10 Eye wash and emergency showers in good working order
ACTION REQUIRED
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Job Card No
NOTES
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SIGNATURES
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SIGNATURE OF H&S REP.
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SIGNATURE OF DEPARTMENTAL MANAGER:
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SIGNATURE OF H&S COMMITTEE CHAIRMAN: