SII HSSE Site Safety Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Type of audit

  General

  Focused

  Post Accident

• Foremen of workers observed

• Area inspected

BEHAVIORS

Personal Protective Equipment

• Eye protection

  Safe

  At Risk

  N/A

• Head protection

  Safe

  At Risk

  N/A

• Face protection

  Safe

  At Risk

  N/A

• Hand and arm protection

  Safe

  At Risk

  N/A

• PPE appropriate for hazards

  Safe

  At Risk

  N/A

• Fall protection

  Safe

  At Risk

  N/A

• Foot protection

  Safe

  At Risk

  N/A

Body use and position

• Working in line of fire

  Safe

  At Risk

  N/A

• Pinch points

  Safe

  At Risk

  N/A

• Lifting, placing, material handling

  Safe

  At Risk

  N/A

Tool and equipment use

• Operating authority/certifications

  Safe

  At Risk

  N/A

• Operating speed

  Safe

  At Risk

  N/A

• Safety devices, guarding

  Safe

  At Risk

  N/A

• Use and application

  Safe

  At Risk

  N/A

• Tool/equipment inspection

  Safe

  At Risk

  N/A

Personal awareness

• Knowledge of emergency procedures

  Safe

  At Risk

  N/A

• Knowledge of emergency equipment

  Safe

  At Risk

  N/A

• Knowledge of work area hazards

  Safe

  At Risk

  N/A

• Knowledge of safe work principles

  Safe

  At Risk

  N/A

Procedures and practices

• JSA

  Safe

  At Risk

  N/A

• Permits in place, correct and understood

  Safe

  At Risk

  N/A

• Communications

  Safe

  At Risk

  N/A

• Horseplay

  Safe

  At Risk

  N/A

• Shortcut, hurrying

  Safe

  At Risk

  N/A

Confined space procedures

• Permit current and all conditions met

  Safe

  At Risk

  N/A

• Ventilation and monitoring

  Safe

  At Risk

  N/A

Fall protection procedures

• Anchorages adequate and defined

  Safe

  At Risk

  N/A

• Proper harness and lanyard selected

  Safe

  At Risk

  N/A

• Harness inspection

  Safe

  At Risk

  N/A

Material handling procedures

• Crane swing radius barricaded

  Safe

  At Risk

  N/A

• Rigging inspection

  Safe

  At Risk

  N/A

• Rigging loading

  Safe

  At Risk

  N/A

• Material basket inspection

  Safe

  At Risk

  N/A

• Material basket loading

  Safe

  At Risk

  N/A

• Lifting procedures

  Safe

  At Risk

  N/A

• Tag lines

  Safe

  At Risk

  N/A

Electrical

• Grounding and bonding

  Safe

  At Risk

  N/A

• Quarterly inspections

  Safe

  At Risk

  N/A

Other

• Other behaviors (explain below)

  Safe

  At Risk

  N/A

• Other

CONDITIONS

Work interfaces

• Barricades

  Safe

  At Risk

  N/A

• Close proximity/congestion

  Safe

  At Risk

  N/A

• Elevated work

  Safe

  At Risk

  N/A

• Potential for falling objects

  Safe

  At Risk

  N/A

• Multiple level work

  Safe

  At Risk

  N/A

Tools and equipment

• Condition

  Safe

  At Risk

  N/A

• Guards

  Safe

  At Risk

  N/A

• Rigging equipment

  Safe

  At Risk

  N/A

• Hoses

  Safe

  At Risk

  N/A

• Cords

  Safe

  At Risk

  N/A

• Ladders

  Safe

  At Risk

  N/A

• Electrical

  Safe

  At Risk

  N/A

Housekeeping and storage

• Walking and working surfaces

  Safe

  At Risk

  N/A

• Hoses

  Safe

  At Risk

  N/A

• Cords

  Safe

  At Risk

  N/A

• Flammables/combustibles

  Safe

  At Risk

  N/A

• Materials

  Safe

  At Risk

  N/A

General environment

• Lighting

  Safe

  At Risk

  N/A

• Stress - heat or cold

  Safe

  At Risk

  N/A

Scaffolds

• Inspected and tagged

  Safe

  At Risk

  N/A

• Holes protected

  Safe

  At Risk

  N/A

• Access ladders

  Safe

  At Risk

  N/A

• Load capacity

  Safe

  At Risk

  N/A

• Guard rails

  Safe

  At Risk

  N/A

• Toe boards

  Safe

  At Risk

  N/A

• Decking

  Safe

  At Risk

  N/A

• Barricades

  Safe

  At Risk

  N/A

Tower/vessel internals

• Material and tool placement, storage

  Safe

  At Risk

  N/A

• Potential for falling objects

  Safe

  At Risk

  N/A

• Internal housekeeping

  Safe

  At Risk

  N/A

• Fall protection

  Safe

  At Risk

  N/A

• Ladder use

  Safe

  At Risk

  N/A

• Ventilation

  Safe

  At Risk

  N/A

Welding, cutting, grinding

• Screens, shields, fire blanket

  Safe

  At Risk

  N/A

• Welding leads

  Safe

  At Risk

  N/A

• Torch and hose

  Safe

  At Risk

  N/A

• Compressed gas use

  Safe

  At Risk

  N/A

• Compressed cylinder storage

  Safe

  At Risk

  N/A

• Line of fire, spark control

  Safe

  At Risk

  N/A

• Grinder guard, handle

  Safe

  At Risk

  N/A

Other

• Other conditions (explain below)

  Safe

  At Risk

  N/A

• Other