Site HSE Inspection

• Site Name

• Activity

• Conducted on

  Date

• Prepared by

• Work Incharge

• Zone Incharge

• Permit Number

• Location
  Address

General Requirement

• Is work request and permit available for the work?

  Compliant

  Non-Compliant

  N/A

• What make you to do work without authorization?

  Yes

  No

  N/A

• Are the employees aware of scope of work?

  Yes

  No

  N/A

• Are the employees using necessary tools & Equipment for the activity?

  Yes

  No

  N/A

• Are the tools and equipment physically inspected before using it and free from defects?

  Yes

  No

  N/A

• Are the employees aware of the hazards and risk related to the work?

  Yes

  No

  N/A

• Have the employees reviewed and discussed the HIRA & EAIA before starting the work?

  Yes

  No

  N/A

• Is the area barricaded and safety signages displayed?

  Yes

  No

  N/A

• Are all the employees using required PPE for the work?

  Yes

  No

  N/A

• Is regular housekeeping conducted and work area kept free of waste accumulation?

  Yes

  No

  N/A

Working at Height - Scaffolding

• Is work at height activity involved using of scaffolding?

  Yes

  No

  N/A

• Is safe working platform provided for working at height?

  Yes

  No

  N/A

• Is scaffolding inspected and tagged by authorized personnels?

  Yes

  No

  N/A

• Are the employees working on the scaffoldings are height work trained?

  Yes

  No

  N/A

• Are the employees using fall protective equipments i.e., Fullbody Harness, Fall Arrestors etc.. ?

  Yes

  No

  N/A

• Is the working area barricaded and signage provided to warn others?

  Yes

  No

  N/A

• Is the fall of materials / tools protected with any means of protection i.e., Tool lanyard, Toe Board, Safety Nets, etc... ?

  Yes

  No

  N/A

• Are there a safe access and egress provided?

  Yes

  No

  N/A

Working at height - Ladders

• Is the work at height activity involved using of ladders?

  Yes

  No

  N/A

• Is there a sufficient and suitable ladder available for the work?

  Yes

  No

  N/A

• Is the ladder inspected and free from defects?

  Yes

  No

  N/A

• Are the employees are trained to use the ladder?

  Yes

  No

  N/A

• Are the employees using the ladder in safely?

  Yes

  No

  N/A

• Is the ladder step up / position in a proper way?

  Yes

  No

  N/A

• Are the employees using required PPE for the task?

  Yes

  No

  N/A

Working at Height - Manlift

• Is the work at height activity involved using of Mobile Elevated Working Platform (MEWP)?

  Yes

  No

  N/A

• Has an inspection carried to check the equipment operations as per the checklist?

  Yes

  No

  N/A

• Is the MEWP has been maintained to the manufacturers requirements prior to use?

  Yes

  No

  N/A

• Did the Operator competent and certified to operate the MEWP?

  Yes

  No

  N/A

• Are current weather conditions suitable for working in?

  Yes

  No

  N/A

• Are the working condition suitable for the operations i.e., Floor/ground conditions?

  Yes

  No

  N/A

• Is the MEWP setup away from the overhead Obstructions: Electrical power cables or panels, building structure, trees etc...?

  Yes

  No

  N/A

• Has a safe working zone been setup using barricaded, batons and signs erected below and around the area of work?

  Yes

  No

  N/A

• Has the correct preparations been made for the rescue plan to be implemented if needed?

  Yes

  No

  N/A

• Ensure you have checked that tool lanyards are fitted to secure all tools and equipment to an anchorage point.

  Yes

  No

  N/A

• Are the employees using required PPE for the task?

  Yes

  No

  N/A

Work at Height - Rope Access

• Is work involved working at height with rope access?

  Yes

  No

  N/A

• Are pre-start meeting and Rope Access checklist filled in correctly and all operatives signed onto documents?

  Yes

  No

  N/A

• Have the site specific hazards been identified and risks assessed?

  Yes

  No

  N/A

• Are current weather conditions suitable for working in?

  Yes

  No

  N/A

• Are the works supervised by a Level 3 Rope Access Supervisor?

  Yes

  No

  N/A

• Are the Rope Access personnel competent to do the work and IRATA certificates up to date?

  Yes

  No

  N/A

• Are all operatives free from fatigue?

  Yes

  No

  N/A

• Are all Rope Access logbooks on site and up to date?

  Yes

  No

  N/A

• Is there a Rescue Plan /Emergency Procedure in place?

  Yes

  No

  N/A

• Has a drop zone been established and area barricaded?

  Yes

  No

  N/A

• Is there a designated materials storage area and kept neat and tidy?

  Yes

  No

  N/A

• Are there adequate numbers of trained first aiders on site?

  Yes

  No

  N/A

• Is there a fall restraint/arrest system in use and set up correctly?

  Yes

  No

  N/A

• Has all equipment been inspected prior to use?

  Yes

  No

  N/A

• Is a fall restraint/arrest system it been inspected?

  Yes

  No

  N/A

• Are Double Ropes being used?

  Yes

  No

  N/A

• Are knots in the ends of all ropes?

  Yes

  No

  N/A

• Is Rope protection in place?

  Yes

  No

  N/A

• Are all ropes being used and stored correctly?

  Yes

  No

  N/A

• Are the required PPE used by the operatives?

  Select Helmets Gloves Face Masks Safety Glasses Hi Viz Safety Boots Ear Defenders/Plugs

  • Helmets
  • Gloves
  • Face Masks
  • Safety Glasses
  • Hi Viz
  • Safety Boots
  • Ear Defenders/Plugs

Confined Space

• Is work involved in a confined space?

  Yes

  No

  N/A

• Is a permit available for this confined space work?

  Yes

  No

  N/A

• Identify potential hazards of this confined space? (select all that apply)

  Select Flammable Atmosphere Corrosive Reactive Toxic High Temperature Low Temperature Engulfment Oxygen Deficient / Enrichment Flammable Atmosphere

  • Flammable Atmosphere
  • Corrosive
  • Reactive
  • Toxic
  • High Temperature
  • Low Temperature
  • Engulfment
  • Oxygen Deficient / Enrichment
  • Flammable Atmosphere

• Have all relevant personnel participated in pre-entry briefing?

  Yes

  No

  N/A

• All people involved have completed confined space training?

  Yes

  No

  N/A

• Vehicles and plants removed from confined space to reduce fume hazard? If not, have precautions been put in place?

  Yes

  No

  N/A

• Correct confined space signage in place?

  Yes

  No

  N/A

• Confined space lighting in place and appropriate?

  Yes

  No

  N/A

• Access (both entry and exit) points have been identified and are clear of hazards for use?

  Yes

  No

  N/A

• Communications plan defined and understood by all involved?

  Yes

  No

  N/A

• Does the gas testing/ air monitoring require?

  Yes

  No

  N/A

• Is the air of the confined space being continuously monitored? (as required)

  Yes

  No

  N/A

• Has air monitoring equipment been calibrated?

  Yes

  No

  N/A

• Select equipment to be used in this confined space entry

  Select Warning signs, barricades Barricade tape, cones Ventilation fan or blower Fire equipment in place GFCI'S in place Lighting (rated for hazardous locations) Grounding and/or bonding Ladder Others

  • Warning signs, barricades
  • Barricade tape, cones
  • Ventilation fan or blower
  • Fire equipment in place
  • GFCI'S in place
  • Lighting (rated for hazardous locations)
  • Grounding and/or bonding
  • Ladder
  • Others

• Select PPE to be used in this confined space entry

  Select Airline respirator Self-contained breathing apparatus Other respirator Gloves Rain gear Boots Hearing protection Safety glasses Fall protection/arresting equipment Chemical splash goggles

  • Airline respirator
  • Self-contained breathing apparatus
  • Other respirator
  • Gloves
  • Rain gear
  • Boots
  • Hearing protection
  • Safety glasses
  • Fall protection/arresting equipment
  • Chemical splash goggles

Manual Handling

• Is work involved in manual handling of materials?

  Yes

  No

  N/A

• Can all materials be lifted and carried safely?

  Yes

  No

  N/A

• Are mechanical aids (such as trolleys and hoists) available and used?

  Yes

  No

  N/A

• Are employees trained in manual handling techniques and the use of mechanical aids?

  Yes

  No

  N/A

• Are storage areas organized to minimize bending and stretching?

  Yes

  No

  N/A

• Are tasks rotated to avoid repetitive tasks?

  Yes

  No

  N/A

• Are workers able to take adequate breaks?

  Yes

  No

  N/A

• Do workers have adequate space to enable ease of movement?

  Yes

  No

  N/A

• Are the employees using required PPE for task?

  Yes

  No

  N/A

Lifting Equipment Operations

• Is work involved in using of lifting equipment i.e., cranes ?

  Yes

  No

  N/A

• Is lifting plan available for the complex / heavy lifting activity?

  Yes

  No

  N/A

• Is the lifting equipments certified to make the lift?

  Yes

  No

  N/A

• Is the lifting equipment operator licensed and trained?

  Yes

  No

  N/A

• Is pre-use lifting equipment inspection conducted?

  Yes

  No

  N/A

• Is the lifting equipment step up properly?

  Yes

  No

  N/A

• Are all the lifting gears third party certified?

  Yes

  No

  N/A

• Is slings free of pinched cables, bird cages, broken strands?

  Yes

  No

  N/A

• Synthetic slings not showing signs of wear, worn spots?

  Yes

  No

  N/A

• Are they the right sling for the job, rated, right angle, not too short or too long ?

  Yes

  No

  N/A

• Have all loose items been removed from the load, are all objects staying on the load secured so not to fall or dislodge and shift the load

  Yes

  No

  N/A

• Is there an enough number of tag lines provided (at least two tag lines) and are they long enough for the job?

  Yes

  No

  N/A

• Is the travel path of the load clear of personnel?

  Yes

  No

  N/A

• Are the load being safe and secured for lifting?

  Yes

  No

  N/A

Electrical Maintenance

• Is work involved in electrical equipment's?

  Yes

  No

  N/A

• All employees have current and up-to-date electrical safety inductions and training?

  Yes

  No

  N/A

• Has all electrically energized equipment been locked out, tagged, de-energized and tested to be de energized prior to commencement of work?

  Yes

  No

  N/A

• Has an isolation and permit to work been obtained if work is to be done on electrically energized equipment?

  Yes

  No

  N/A

• Are they using insulated hand tools and equipment and are maintained in safe/reliable condition & inspected before use?

  Yes

  No

  N/A

• Arc rated PPEs are used inside Arc flash boundary?

  Yes

  No

  N/A

• Is the portable ladder used within the limited approach boundary are of non-conductive type?

  Yes

  No

  N/A

• Is work involved in HV equipment?

  Yes

  No

  N/A

• Has an HV permit been obtained prior to work on HV equipment and is this readily available?

  Yes

  No

  N/A

• Only trained qualified HV electricians may gain access and work on HV equipment?

  Yes

  No

  N/A

Temporary Electrical Supply

• Is work involved in using temporary electrical power supply?

  Yes

  No

  N/A

• Portable equipment are equipped with 3 pin plug having dedicated earth conductor?

  Yes

  No

  N/A

• Extension cords used are three-wired with all conductors and connectors intact?

  Yes

  No

  N/A

Excavation

• Is work involved in manual and mechanical excavations?

  Yes

  No

  N/A

• Is soil analysis and classification required prior to excavation?

  Yes

  No

  N/A

• Is underground utilities located, marked and noted, with operator and relevant personnel informed?

  Yes

  No

  N/A

• In Roadways, wherever applicable the traffic control in place where required?

  Yes

  No

  N/A

• Are all employees protected from loose rock or soil that could pose a hazard by falling or rolling into the excavation?

  Yes

  No

  N/A

• Are barriers provided at all remotely located excavations, pits, shafts, etc.?

  Yes

  No

  N/A

• Are walkways and bridges over excavations equipped with standard guard rails and toe-boards?

  Yes

  No

  N/A

• Are the protective system appropriate for soil type, trench size and expected loads? (Select the appropriate)

  Select Sloping Shoring Shielding

  • Sloping
  • Shoring
  • Shielding

• Are protective systems installed without exposing employees to hazards of cave-ins, collapses, or other threat of being struck by materials or equipment?

  Yes

  No

  N/A

• Are there safe means of egress regularly spaced across space of excavation?

  Yes

  No

  N/A

• Are all personnel reasonably able to use access and egress?

  Yes

  No

  N/A

• Are all personnel familiar with emergency, rescue and evacuation procedures?

  Yes

  No

  N/A

• Are precautions taken to protect employees from water accumulation?

  Yes

  No

  N/A

• Is the atmosphere within all excavations tested when there is a reasonable possibility of an oxygen deficiency, oxygen enriched, combustible, toxic, or other harmful contaminant?

  Yes

  No

  N/A

Chemical Handling

• Is work involved in using chemicals or hazardous substances?

  Yes

  No

  N/A

• Are all workers trained in safe procedures when working with hazardous chemicals?

  Yes

  No

  N/A

• Do employees follow safe handling instruction of SDS?

  Yes

  No

  N/A

• Are all employees aware of emergency procedures in case of an accident involving hazardous chemicals?

  Yes

  No

  N/A

• Are all employees wearing appropriate PPE?

  Yes

  No

  N/A

Hand Tools

• Is work involved in using of portable power tools?

  Yes

  No

  N/A

• Are the hand tools tools are kept in good condition with regular maintenance?

  Yes

  No

  N/A

• Are the tools are used according to the proper function and purpose?

  Yes

  No

  N/A

• Are the tools are inspected examined for damage before use?

  Yes

  No

  N/A

• Are the damaged or unsafe tools are taken out of service?

  Yes

  No

  N/A

• Are the employees using appropriate personal protective equipment (PPE)?

  Yes

  No

  N/A

Portable Electrical Powered Tools

• Is work involved in using of portable power tools?

  Yes

  No

  N/A

• All portable electrical tools have inspected and safe to use?

  Yes

  No

  N/A

• All portable electrical tools inspected and tagged by an electrician on a monthly basis?

  Yes

  No

  N/A

• Are the employees using appropriate personal protective equipment (PPE)?

  Yes

  No

  N/A

Pneumatic Powered Tools

• Is work involved in using of Pneumatic Powered Tools?

  Yes

  No

  N/A

• Is the equipment inspected and maintained in good condition?

  Yes

  No

  N/A

• Are the air hoses are in good condition, including couplings and fittings?

  Yes

  No

  N/A

• Is the compressed air is not used for cleaning employees or clothing?

  Yes

  No

  N/A

• Are the employees using appropriate personal protective equipment (PPE)?

  Yes

  No

  N/A

Liquid Fuel-Powered Tools

• Is work involved in using of Liquid Fuel-Powered Tools?

  Yes

  No

  N/A

• Is the equipment inspected and maintained in good condition?

  Yes

  No

  N/A

• Is tools are powered off and allowed to cool before refueling?

  Yes

  No

  N/A

• Tools are used outdoors whenever possible to avoid accumulation of CO (Carban monoxide)?

  Yes

  No

  N/A

• Adequate ventilation is provided when tools are used indoors?

  Yes

  No

  N/A

• Are the employees using appropriate personal protective equipment (PPE)?

  Yes

  No

  N/A

Hydraulic Powered Tools

• Is work involved in using of Hydraulic Powered Tools?

  Yes

  No

  N/A

• Is the equipment inspected and maintained in good condition?

  Yes

  No

  N/A

• Are the manufacturer's recommended safe operating pressure is not exceeded in hoses, valves, pipes, filters or other fittings?

  Yes

  No

  N/A

• Is the equipment free from hydraulic oil leaks?

  Yes

  No

  N/A

• Are the employees using appropriate personal protective equipment (PPE)?

  Yes

  No

  N/A

Powder-Actuated Tools

• Is work involved in using of Powder-Actuated Tools?

  Yes

  No

  N/A

• Is the equipment inspected and maintained in good condition?

  Yes

  No

  N/A

• Are the employees have been properly trained to use Powder-Actuated Tools?

  Yes

  No

  N/A

• Is proper shielding is available?

  Yes

  No

  N/A

• Are the unattended tools are properly secured from authorized use?

  Yes

  No

  N/A

Hot Work Activities

• Is work involved in hot work (Welding, Gas cutting and Grinding)?

  Yes

  No

  N/A

• Have all hazards associated with hot work been identified, assessed and controlled prior to hot work activities being undertaken?

  Yes

  No

  N/A

• Has all flammable / combustible material been removed from work area?

  Yes

  No

  N/A

• Are all the equipment and machinery to be used has been inspected and verified to be in a good condition?

  Yes

  No

  N/A

• Are hot work activities segregated from other activities and personnel? i.e. welding screens

  Yes

  No

  N/A

• Is atmospheric testing conducted in areas where there is a potential presence of flammable gas or flammable vapour?

  Yes

  No

  N/A

• Are the people conducting/supervising hot work activities have been trained in the Hot Work procedure?

  Yes

  No

  N/A

• Do areas where hot work activities are undertaken have good ventilation, either natural or mechanical?

  Yes

  No

  N/A

• Have the general safety precautions been reviewed?

  Yes

  No

  N/A

• Are fire watch personal present?

  Yes

  No

  N/A

• Is fire watch personal equipped with proper fire extinguisher?

  Yes

  No

  N/A

• Is proper signage posted?

  Yes

  No

  N/A

• Do relevant personnel have adequate PPE to complete this taks safely?

  Yes

  No

  N/A

• Are nearby personnel are aware of works and relevant safety procedures?

  Yes

  No

  N/A

Transportation of Heavy Vehicles & Equipments

• Is work involved in using of Transportation of Heavy Vehicles & Equipments?

  Yes

  No

  N/A

• Is vehicle and equipment operators complete and record a daily inspection prior to use?

  Yes

  No

  N/A

• Is the mobile equipment / vehicle operated by competent personnel?

  Yes

  No

  N/A

• Stability and securing of loads are verified, and weight of loads does not exceed capacity of carriage.

  Yes

  No

  N/A

• An authorized and competent person (i.e. a flagger) controls all movement of equipment and maintains communication (eye contact, hand signals) with the operator whenever there is a risk of harm to people or damage to equipment?

  Yes

  No

  N/A

• Activity supervisors and flaggers confirm nobody is in the line of fire while a heavy equipment or vehicle is moving.

  Yes

  No

  N/A

• Are there a flagger assigned to the equipment remains outside of the equipment cab and ensures that the reversing moves are under control.

  Yes

  No

  N/A

• Equipment is parked on flat ground where possible and vehicle wheels are chocked when there is potential for movement.

  Yes

  No

  N/A

• Before reversing the vehicles moving areas and blind spots are checked?

  Yes

  No

  N/A

• Audible warnings that can be heard by those in the area are used during reversing?

  Yes

  No

  N/A

Fire alarm / Fire Fighting System Isolation

• Is work required for isolation of fire detection and fire fighting equipments?

  Yes

  No

  N/A

• Is permit to work and isolation list are used to control fire detection and fire fighting systems?

  Yes

  No

  N/A

• Is competent authority verifies positive isolation?

  Yes

  No

  N/A

• Is isolation and de-isolation log available and maintained?

  Yes

  No

  N/A

Housekeeping, Access and Egress

• Have all surfaces been spot cleaned as required?

  Yes

  No

  N/A

• Walkways / aisles been checked for trip hazards?

  Yes

  No

  N/A

• All exits are clear of obstruction?

  Yes

  No

  N/A

• Are all the materials, tools and equipments are kept free from obstructions?

  Yes

  No

  N/A

• Are the materials storages area properly barricaded and provided with signages?

  Yes

  No

  N/A

• Are there a suitable waste disposal and waste management systems are implemented?

  Yes

  No

  N/A

Workplace Condition

• Is adequate Lighting provided (where appropriate)?

  Yes

  No

  N/A

• Is the working area free from dust and noise exposure?

  Yes

  No

  N/A

SIMOPS (Simultaneous Operations)

• Is there any simultaneous operations (SIMOPS) planned to be conducted?

  Yes

  No

  N/A

• SIMOPS risks are identified and controls are set for all works prior to engaging multiple parties to the worksite?

  Yes

  No

  N/A

• Are the high risk activities / interfaces controlled through the Permit to Work system?

  Yes

  No

  N/A

• Is competent supervisors are available in the field at all times to manage SIMOPS activities?

  Yes

  No

  N/A

• Is there a formal Toolbox talk meeting conducted to communicate and agreed the control measures are being implemented?

  Yes

  No

  N/A

Safety Compliance Overall

• Select from range

Photo Evidences

• Add media

  Media