Siemens operational workplace Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

EHS Basic documentation

• EHS plan available before start of works?

  Yes

  No

  N/A

• EHS plan update demontrable?

  Yes

  No

  N/A

• Siemens site EHS officer assigned?

  Yes

  No

  N/A

Information / Instruction

• Site instruction communicated to everybody?

  Yes

  No

  N/A

• On site toolboxmeetings every month?

  Yes

  No

  N/A

• Work permit / Hot work permit up to date & available?

  Yes

  No

  N/A

• Correct signaling / consignment of the works?

  Yes

  No

  N/A

• Instruction to contractor employees executed?

  Yes

  No

  N/A

EHS Communication

• Siemens EHS instructions available and known?

  Yes

  No

  N/A

• Are there regular EHS progress meetings?

  Yes

  No

  N/A

• Are incidents, unsafe situations or behaviour communicated & discussed with the employees?

  Yes

  No

  N/A

• Are the taken actions after the incident reporting followed up?

  Yes

  No

  N/A

Emergency preparedness

• First Aid facilities on location?

  Yes

  No

  N/A

• Fire extinguisher(s) present & indicated at the location?

  Yes

  No

  N/A

• Emergency procedure known & hanged out?

  Yes

  No

  N/A

• Escape routes present, known & free from obstackles?

  Yes

  No

  N/A

• Assembly points known?

  Yes

  No

  N/A

Electrical installation

• Tag out / Log out discussed & executed with the customer?

  Yes

  No

  N/A

• Remaining voltage measured (check)?

  Yes

  No

  N/A

• BA5 Qualified person present?

  Yes

  No

  N/A

• Live parts protected/shielded?

  Yes

  No

  N/A

Work conditions

• Lighting adequate & sufficient?

  Yes

  No

  N/A

• Work conditions ok? (noise, climate, vibrations, ...)

  Yes

  No

  N/A