South Flank VO Dome Workplace Inspection

• Client/Site

• Conducted on

  Date

• Prepared by

• Location
  Address

Section A - LV's & Trailers

• 1. Are vehicles parked in the correct location?

  Yes

  No

  N/A

• 2. Are loads secure on vehicles?

  Yes

  No

  N/A

• 3. Are vehicles clean and free from rubbish inside and out?

  Yes

  No

  N/A

• 4. Are spill kits on board and fully stocked?

  Yes

  No

  N/A

Section B – Roads / Intersections

• 1. Are roadways sign-posted and signs easily readable?

  Yes

  No

  N/A

• 2. Are bunds and windrows in good condition and correct height?

  Yes

  No

  N/A

• 3. Are workshop roads compliant with the require watering, rolling or grading?

  Compliant

  Non-Compliant

  N/A

• 4. Check operation of FEM swipe access gate, ensure to clean the sensors

  Compliant

  Non-Compliant

  N/A

Section C – Barricading / Isolations

• 1. Barricading Entry points have appropriate Name & Contact details (days/nights)

  Yes

  No

  N/A

• 2. Barricading Entry points have Information Tag –With Outline of Task Details and Hazards

  Yes

  No

  N/A

• 3. Additional Information Tags When used on barricading are to specify location of entry points

  Yes

  No

  N/A

• 4. Do all “out of service” tags have appropriate information (name, date, etc)

  Yes

  No

  N/A

• 5. Are enough Appropriate tags in stock?

  Yes

  No

  N/A

Section D – Housekeeping

• 1. Are walk ways clear of trip hazards?

  Yes

  No

  N/A

• 2. Are all hand tools in good condition?

  Yes

  No

  N/A

• 3. Do fire extinguishers have current inspection tag & correct pressure?

  Yes

  No

  N/A

• 4. Are electrical leads and tooling in good condition and tagged?

  Yes

  No

  N/A

• 5. Check all fire hoses operation

  Yes

  No

  N/A

• 6. Are items correctly stored as per 5S standard?

  Yes

  No

  N/A

• 7. Are waste segregated and suitable bins available?

  Yes

  No

  N/A

• 8. Have the bins been emptied?

  Yes

  No

  N/A

• 9. Are the parts, tooling & bolts containers tidy and doors closed?

  Yes

  No

  N/A

• 10. Are floors free from excessive dirt and oil spills?

  Yes

  No

  N/A

• 11. Is the welding bay tidy and equipment correctly stored?

  Yes

  No

  N/A

Section E – Hydrocarbons & Hazardous Materials

• 1. MSDS present and in date for all chemicals?

  Compliant

  Non-Compliant

  N/A

• 2. Chemicals in suitable and labelled container / location?

  Compliant

  Non-Compliant

  N/A

• 3. Is PPE available to handle hazardous materials?

  Yes

  No

  N/A

• 4. Are the oil reels working and free of leaks?

  Yes

  No

  N/A

• 5. Check and flush eyewash stations to ensure they are in operational condition?

  Yes

  No

  N/A

• 6. Are chemicals and hydrocarbons located on suitable bunding?

  Compliant

  Non-Compliant

  N/A

• 7. Is bunding in good condition and valves closed?

  Yes

  No

  N/A

• 8. Have bunds been emptied or evac'ed?

  Yes

  No

  N/A

• 9 Are spill kits available and fully stocked?

  Yes

  No

  N/A

• 10. Waste oil tank - record level here

  Yes

  No

  N/A

• 11. Drain Porta cool water daily

  Yes

  No

  N/A

Section F - General

• 1. Are both air compressors fuelled or switched off? (Key off when not running?)

  Yes

  No

  N/A

• 2. Is adequate water remaining in the water tank on wash pad?

  Yes

  No

  N/A

• 3. Is guarding in place on press cage?

  Yes

  No

  N/A

• 5. Are all workshop(area) lights and power points functional? (Attach photo of non-compliant lights/power points)

  Yes

  No

  N/A

• 6. Is Working at Heights equipment inspected and tagged?

  Yes

  No

  N/A

• 7. Are chains and lifting equipment inspected and tagged?

  Yes

  No

  N/A

• 8. Inspect all Oxygen and Acetylene cylinders for flash back arrestors fitted. (Ensure all bottles on vehicles and boily bay checked.)

  Yes

  No

  N/A

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