STATION ASSESSMENT REPORT 2013 (2.1.1)

• Document No.

• Audit Title

• Conducted on

  Date

• Prepared by

• Personnel

Station Safety & Health Assessment

• Station :

• Assessment Date:

  Date

• Assessment No :

• Accident and Incident Record

  Select RECORDED NIL RECORDED

  • RECORDED
  • NIL RECORDED

• PPE Record

  Select RECORDED NIL RECORDED

  • RECORDED
  • NIL RECORDED

• RISK POTENTIAL

• ROSH COMMENT :

1.TOW TRUCK

• 1.1 Total Equipment :

• 1.2 Asset tag/co registration logo

  YES

  NO

  Unservicsable

• 1.3 Engine condition

  YES

  NO

  Unservicsable

• 1.4 Firex (2 kg)

  YES

  NO

  Unservicsable

• 1.5 Light condition / Beacon light condition

  YES

  NO

  Unservicsable

• 1.6 Maintenance record (EDR)

  YES

  NO

  Unservicsable

• 1.7 No smoking sign

  YES

  NO

  Unservicsable

• 1.8 Paint

  YES

  NO

  Unservicsable

• 1.9 Permit

  YES

  NO

  Unservicsable

• 1.10 Speed limit

  YES

  NO

  Unservicsable

• 1.11 Tow end condition

  YES

  NO

  Unservicsable

• 1.12 Brake/Hand Brake

  YES

  NO

  Unservicsable

• 1.13 Tyres/nut/scews

  YES

  NO

  Unservicsable

• 1.14 Other.

  YES

  NO

  Unservicsable

2. BAGGAGE TRACTOR (BGT)

• 2.1 Total Equipment :

• 2.2 Daily/monthly check record

  YES

  NO

  Unservicsable

• 2.3 Asset tag/ co.registration/logo

  YES

  NO

  Unservicsable

• 2.4 Equipment condition

  YES

  NO

  Unservicsable

• 2.5 Brake / Hand brake

  YES

  NO

  Unservicsable

• 2.6 Firex (2kg)

  YES

  NO

  Unservicsable

• 2.7 Light condition/light signal/ beacon light condition

  YES

  NO

  Unservicsable

• 2.8 Permit expiry / paint / speed limit sign / no smoking sign.

  YES

  NO

  Unservicsable

• 2.9 Others

  YES

  NO

  Unservicsable

3. BELT LOADER (BL)

• 3.0 Total Equipment :

• 3.1 Daily / monthly check record

  YES

  NO

  Unservicsable

• 3.2 Asset tag / co. Registration / logo

  YES

  NO

  Unservicsable

• 3.3 Conveyor belt

  YES

  NO

  Unservicsable

• 3.4 BL Chain Cover.

  YES

  NO

  Unservicsable

• 3.5 Emergency stop button / chock

  YES

  NO

  Unservicsable

• 3.6 Firex ( 1 kg )

  YES

  NO

  Unservicsable

• 3.7 Hydraulic condition

  YES

  NO

  Unservicsable

• 3.8 Ignition switch condition/Wiring condition.

  YES

  NO

  Unservicsable

• 3.9 Rubber Padding condition

  YES

  NO

  Unservicsable

• 3.10 Tow bar / tyres condition

  YES

  NO

  Unservicsable

• 3.11 Others

  YES

  NO

  Unservicsable

4. TOILET CART

• 4.1 Total Equipment :

• 4.2 Asset tag / co. Registration / logo

  YES

  NO

  Unservicsable

• 4.3 Daily/ mountly check record

  YES

  NO

  Unservicsable

• 4.4 Coupling condition

  YES

  NO

  Unservicsable

• 4.5 Firex ( 1 kg )

  YES

  NO

  Unservicsable

• 4.6 Paint / wheel / tyres

  YES

  NO

  Unservicsable

• 4.7 Wheel / tyres condition

  YES

  NO

  Unservicsable

• 4.8 Others.

  YES

  NO

  Unservicsable

5. WATER CART

• 5.0 Total Equipment :

• 5.1 Daily/ monthly check record

  YES

  NO

  Unservicsable

• 5.2 Asset tag/co . Registration/logo

  YES

  NO

  Unservicsable

• 5.3 Coupling condition

  YES

  NO

  Unservicsable

• 5.4 Hose / Water Filter condition

  YES

  NO

  Unservicsable

• 5.5 Firex ( 1 kg )

  YES

  NO

  Unservicsable

• 5.6 Others

  YES

  NO

  Unservicsable

6. PAX STEP (PS)

• 6.0 Total Equipment :

• 6.1 Daily/ monthly check record

  YES

  NO

  Unservicsable

• 6.2 Asset tag / co registration / logo

  YES

  NO

  Unservicsable

• 6.3 Paint / ps roof condition

  YES

  NO

  Unservicsable

• 6.4 Sliding lock / sliding door rubber padding condition

  YES

  NO

  Unservicsable

• 6.5 Stabilizer/tow bar/brake condition

  YES

  NO

  Unservicsable

• 6.6 Body work / body frame condition

  YES

  NO

  Unservicsable

• 6.7 Wheel / tyres / nuts / srew condition

  YES

  NO

  Unservicsable

• 6.8 Others.

  YES

  NO

  Unservicsable

7. TOW BAR (TWB)

• 7.0 Total Equipment :

• 7.1 Daily/monthly check record

  YES

  NO

  Unservicsable

• 7.2 Asset tag / co registration / logo

  YES

  NO

  Unservicsable

• 7.3 Head of handle/tow end/tow head condition

  YES

  NO

  Unservicsable

• 7.4 Inspaction date

  YES

  NO

  Unservicsable

• 7.5 Safety pin / shear bolt condition

  YES

  NO

  Unservicsable

• 7.6 Others

  YES

  NO

  Unservicsable

8. BAGGAGE TROLLEY (BT)

• 8.0 Total Equipment :

• 8.1 Daily/monthly check record

  YES

  NO

  Unservicsable

• 8.2 Asset tag / co. Registration / logo

  YES

  NO

  Unservicsable

• 8.3 Safety lock pin / spring.

  YES

  NO

  Unservicsable

• 8.4 Brake / chock condition

  YES

  NO

  Unservicsable

• 8.5 Tyres/wheel condition

  YES

  NO

  Unservicsable

• 8.6 Tow hook / tow bar

  YES

  NO

  Unservicsable

• 8.7 Others

  YES

  NO

  Unservicsable

9. FIREX

• 9.0 Total Equipment :

• 9.1 Daily / montly check record

  YES

  NO

  Unservicsable

• 9.2 Expiry date

• 9.3 Firex certificate condition

  YES

  NO

  Unservicsable

• 9.4 Gauge/nozzel/ safety pin conditions

  YES

  NO

  Unservicsable

• 9.5 Other.

  YES

  NO

  Unservicsable

10.OFFICE

• 10.1 Operations Manual

  YES

  NO

  Unservicsable

• 10.2 Duty roster

  YES

  NO

  Unservicsable

• 10.3 Fire ext (9kg)

  YES

  NO

  Unservicsable

• 10.4 First Aid Kits / Loc

  YES

  NO

  Unservicsable

• 10.6 Others

  YES

  NO

  Unservicsable

11. STAFF WELFARE

• 11.1 Computer / network

  YES

  NO

  Unservicsable

• 11.2 Drinking water

  YES

  NO

  Unservicsable

• 11.3 Rest room

  YES

  NO

  Unservicsable

• 11.4 Ramp Storage.

  YES

  NO

  Unservicsable

• 11.5 Floors,cleaning and condition

  YES

  NO

  Unservicsable

• 11.6 Toilet

  YES

  NO

  Unservicsable

• 11.7 Others

  YES

  NO

  Unservicsable

• Assessment by

  Sign

• Head of operations,

  Sign