SMAT REPORT

• Objective To carry out a meaningful SMAT inspection to demonstratie a positive management committent to health, safety and environmental issues. items 1 to 8 are general questions. Item 9 is meant to fill in specific observations and possible questions concerning the working method.

• Document No.

• Location

  Select Peterson Chemicals Peterson HUB Peterson Recruitment Peterson BD PK Peterson IJmuiden Peterson Supply CUTI IJmuiden CUTI Den Helder Peterson office, floor 2, 3 and 4

  • Peterson Chemicals
  • Peterson HUB
  • Peterson Recruitment
  • Peterson BD PK
  • Peterson IJmuiden
  • Peterson Supply
  • CUTI IJmuiden
  • CUTI Den Helder
  • Peterson office, floor 2, 3 and 4

• Location photo(s)

  Media

• Conducted on

  Date

• Audit employee 1

  Sign

• Audit employee 2

  Sign

• Audit employee 3

  Sign

0.0 - Previous inspection

• 0.1 Has the last inspection been reviewed?

  Yes

  No

  N/A

• 0.2 Are outstanding actions completed?

  Yes

  No

  N/A

1.0 - Arrival and induction

• 1.1 Are there house rules?

  Yes

  No

  N/A

• 1.2 Were the house rules explained to employees?

  Yes

  No

  N/A

2.0 - HSE notice boards and inspections

• 2.1 Are there HSE inspections carried out?

  Yes

  No

  N/A

• 2.2 Is there a notice board and used?

  Yes

  No

  N/A

• 2.3 Is the information on the board up to date?

  Yes

  No

  N/A

3.0 - Toolbox Talks (TBT)

• 3.1 Are toolbox talks held?

  Yes

  No

  N/A

• 3.2 Are toolbox talks minuted?

  Yes

  No

  N/A

4.0 - Emergency responce (ER)

• 4.1 Is staf aware of ER procedures?

  Yes

  No

  N/A

• 4.2 Are spill kits available on site?

  Yes

  No

  N/A

• 4.3 Are the ER telephone numbers clearly displayed?

  Yes

  No

  N/A

• 4.4 First aid kit accessible

  Yes

  No

  N/A

• 4.5 Extinguisers in place, clearly marked for type of fire?<br>

  Yes

  No

  N/A

• 4.6 Extinguishers recently serviced?<br> (Check 12 monthly punch mark on tabs)

  Yes

  No

  N/A

5.0 - Site walkabout

• 5.1 Boundery fences safe and secure?

  Yes

  No

  N/A

• 5.2 Waste and cigarette butt bins available?

  Yes

  No

  N/A

• 5.3 Are walkways safe and clearly indicated?

  Yes

  No

  N/A

• 5.4 Are spill kits availeble and in good condition?

  Yes

  No

  N/A

6.0 - Office hazards

• 6.1 Electrical equipement tested, tagged and safe?

  Yes

  No

  N/A

• 6.2 Furniture safe and in good condition?

  Yes

  No

  N/A

• 6.3 Stair treads in good condition?

  Yes

  No

  N/A

• 6.4 Temperature is comfortable?

  Yes

  No

  N/A

• 6.5 Ventilation adequate?

  Yes

  No

  N/A

• 6.6 Handrails present, safe and secure?

  Yes

  No

  N/A

• 6.7 Lighting operating as designed?<br>

  Yes

  No

  N/A

• 6.8 Noise level is acceptable / adequately controlled?

  Yes

  No

  N/A

7.0 - Kitchen hazards

• 7.1 Electrical equipement tested, tagged and safe?

  Yes

  No

  N/A

• 7.2 Area is free from odours?

  Yes

  No

  N/A

• 7.3 Microwave clean and maintained?

  Yes

  No

  N/A

• 7.4 Electrical switches / sockets in good condition?

  Yes

  No

  N/A

• 7.5 Oven / stove safe and clean?

  Yes

  No

  N/A

8.0 - Housekeeping

• 8.1 Is housekeeping satisfactory?

  Yes

  No

  N/A

9.0 - Comments on working method & conditions

• 9.1 Comments

10.0 - Sign off

• 10.1 On site representative

  Sign

• 10.2 Auditor

  Sign