SHEQ.point DSEAR Data Capture Template

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

LOCATION

• Site name

  Select ARW - C04 ARW - CLINTY ARW - EXGT ARW - FLIGHT SHED ARW - TEMU ARW - WMA ARW - WTS BAS CRAWFORDSBURN RD DUNMURRY HAWLMARK NEWTOWNABBEY 1 NEWTOWNABBEY 2 QI - MAIN FACTORY QI - GWPU

  • ARW - C04
  • ARW - CLINTY
  • ARW - EXGT
  • ARW - FLIGHT SHED
  • ARW - TEMU
  • ARW - WMA
  • ARW - WTS
  • BAS
  • CRAWFORDSBURN RD
  • DUNMURRY
  • HAWLMARK
  • NEWTOWNABBEY 1
  • NEWTOWNABBEY 2
  • QI - MAIN FACTORY
  • QI - GWPU

• Area Description

EQUIPMENT ID

• Equipment Type

  Select BOILER BATTERY CHARGER CHEMICAL STORAGE CHEMICAL STORAGE TANK GAS CYLINDER DIRTY VAC DUST EXTRACTION FLAMMABLES CABINET GAS METERING RIG GAS STORAGE (BULK) PAINT MIXING ROOM NON HAZARDOUS (SCOPED OUT) OIL STORAGE TANK WASTE PAINT SURFACE CLEANING WELDING BOOTH PAINT BOOTH VAPOUR / FUME EXTRACTION

  • BOILER
  • BATTERY CHARGER
  • CHEMICAL STORAGE
  • CHEMICAL STORAGE TANK
  • GAS CYLINDER
  • DIRTY VAC
  • DUST EXTRACTION
  • FLAMMABLES CABINET
  • GAS METERING RIG
  • GAS STORAGE (BULK)
  • PAINT MIXING ROOM
  • NON HAZARDOUS (SCOPED OUT)
  • OIL STORAGE TANK
  • WASTE PAINT
  • SURFACE CLEANING
  • WELDING BOOTH
  • PAINT BOOTH
  • VAPOUR / FUME EXTRACTION

• Specific location

• Typed Equipment ID

• Equipment Barcode

• Equipment Manufacturer / Description

• Equipment Photograph

  Media

• Auditors Comment

HAZARDOUS SUBSTANCES

• Phase

  Select GAS DUST LIQUID

  • GAS
  • DUST
  • LIQUID

• Standard substances

  Select DIESEL FLAMMABLE LIQUID NOS FREKOTE HEAVY FUEL OIL ISOPROPANOL MEK PAINT PAINT THINNERS PERCHLOROETHYLENE RESINS / ADHESIVE WASTE PAINT ACETYLENE BIOGAS HYDROGEN NATURAL GAS PROPANE CYLINDER PROPANE BULK COMBUSTIBLE DUST NOS METAL DUST - ALUMINIUM METAL DUST - MG METAL DUST NOS WOOD DUST METAL DUST - NOS

  • DIESEL
  • FLAMMABLE LIQUID NOS
  • FREKOTE
  • HEAVY FUEL OIL
  • ISOPROPANOL
  • MEK
  • PAINT
  • PAINT THINNERS
  • PERCHLOROETHYLENE
  • RESINS / ADHESIVE
  • WASTE PAINT
  • ACETYLENE
  • BIOGAS
  • HYDROGEN
  • NATURAL GAS
  • PROPANE CYLINDER
  • PROPANE BULK
  • COMBUSTIBLE DUST NOS
  • METAL DUST - ALUMINIUM
  • METAL DUST - MG
  • METAL DUST NOS
  • WOOD DUST
  • METAL DUST - NOS

• Other substances (typed)

CLASSIFICATION

Classification element

• Zone being assessed (Standard)

  Select (0) INSIDE STORAGE TANK (0) INSIDE STORAGE VESSEL (1) ENCLOSED SOLVENT USE (1) INSIDE PAINT BOOTH (1) INSIDE MIXING ROOM (1) INSIDE CHEMICAL STORE (1) INSIDE FLAMMABLES CABINET (2) AROUND VENT ZONE 1 (2) AROUND EXIT FROM ZONE 1 (2) ENCLOSED SOLVENT USE (NH) OUTDOOR WASTE PAINT (1) AROUND GAS SAFETY VALVE (1) BATTERY CHARGER (1) AROUND ROTOGUAGE (2) GAS METERING RIG (2) PIPED GAS CONNECTIONS (2NE) BOILER HOUSE RR630 (NH) NON HAZARDOUS SCOPED OUT (20) INSIDE CYCLONE (20) INSIDE BLASTING MACHINE (20) FILTER - DIRTY SIDE (20) INSIDE SHOT BLAST CABINET (22) FILTER - CLEAN SIDE (22) AROUND NON SEALED OPENINGS

  • (0) INSIDE STORAGE TANK
  • (0) INSIDE STORAGE VESSEL
  • (1) ENCLOSED SOLVENT USE
  • (1) INSIDE PAINT BOOTH
  • (1) INSIDE MIXING ROOM
  • (1) INSIDE CHEMICAL STORE
  • (1) INSIDE FLAMMABLES CABINET
  • (2) AROUND VENT ZONE 1
  • (2) AROUND EXIT FROM ZONE 1
  • (2) ENCLOSED SOLVENT USE
  • (NH) OUTDOOR WASTE PAINT
  • (1) AROUND GAS SAFETY VALVE
  • (1) BATTERY CHARGER
  • (1) AROUND ROTOGUAGE
  • (2) GAS METERING RIG
  • (2) PIPED GAS CONNECTIONS
  • (2NE) BOILER HOUSE RR630
  • (NH) NON HAZARDOUS SCOPED OUT
  • (20) INSIDE CYCLONE
  • (20) INSIDE BLASTING MACHINE
  • (20) FILTER - DIRTY SIDE
  • (20) INSIDE SHOT BLAST CABINET
  • (22) FILTER - CLEAN SIDE
  • (22) AROUND NON SEALED OPENINGS

• Zone being assessed (Non standard)

• Grade of release

  Continuous

  Primary

  Secondary

• Temp (if greater than ambient)

• Ventilation type

  Artificial

  Natural

  None

  n/a

• Ventilation Degree

  Low

  Medium

  High

• Ventilation Availability

  Poor

  Fair

  Good

• Cxn assigned

  Select 0 1 2 20 21 22 2NE NON HAZARDOUS

  • 0
  • 1
  • 2
  • 20
  • 21
  • 22
  • 2NE
  • NON HAZARDOUS

• Horizontal extent

  Entire interior of room

  Spherical 1m

  Spherical 3m

  Spherical 2m around Zone 1

  Equipment interior

• Vertical extent

  Entire interior of room

  Spherical 1m

  Spherical 3m

  Spherical 2m around Zone 1

  Equipment interior

Audit additional information

• Requires further checking

• Complete

• Extra pictures

  Media

• Sketch

  Drawing

• Notes