Subsea North American Region

• Audit Title

• AkerSolutions SubSea North America

• Conducted on

  Date
• Location
  Address

• Personnel

0.1 - Previous inspection

• 1.1 - Has the the previous HSE / 5S inspection been reviewed?

  Yes

  No

  N/A

• 1.2 - Are all outstanding actions completed,updated or closed out?

  Yes

  No

  N/A

1.0 - Application of HSEQ tools, initiatives etc

• Active observation programme in place (HSEQ Card/WorkSafe Card)?

  Yes

  No

  N/A

2.0 - Emergency Preparedness

• 2.1 - Evacuation plan displayed and understood by all employees?

  Yes

  No

  N/A

• 2.2 - Extinguishers in place, clearly marked for type of fire?

  Yes

  No

  N/A

• 2.3 - Extinguishers recently serviced? (Check 6 monthly punch mark on tabs.)

  Yes

  No

  N/A

• 2.4 - Extinguishers clear of obstructions?

  Yes

  No

  N/A

• 2.5 - Indicator signs 2.1 m above floor level?

  Yes

  No

  N/A

• 2.6 - Adequate direction notices for fire exits?

  Yes

  No

  N/A

• 2.7 - Exit doors easily opened from inside?

  Yes

  No

  N/A

• 2.8 - Exits clear of obstructions?

  Yes

  No

  N/A

• 2.9 - Fire alarm system functioning correctly?

  Yes

  No

  N/A

3.0 - Building Safety

• 3.1 - Floor surfaces even and uncluttered?

  Yes

  No

  N/A

• 3.2 - Entry and walkways kept clear?

  Yes

  No

  N/A

• 3.3 - Walkways adequately and clearly marked?

  Yes

  No

  N/A

• 3.4 - Intersections kept clear of boxes etc?

  Yes

  No

  N/A

• 3.5 - Stair and risers kept clear?

  Yes

  No

  N/A

• 3.6 - Are there spill kits available in the event of a spill?

  Yes

  No

  N/A

• 3.7 - Are railings in good condition?

  Yes

  No

  N/A

• 3.8 - Are footpaths in good condition?

  Yes

  No

  N/A

4.0 - Hand Tools and Portable Equipment

• 4.1 - Work benches are clear of debris and trash?

  Yes

  No

  N/A

• 4.2 if tools are not being used are the stored properly?

  Yes

  No

  N/A

• 4.3 - Are all hand tools in use free of noticeable damaged?

  Yes

  No

  N/A

• 4.4 - tools free of sharp edges or mushroomed heads?

  Yes

  No

  N/A

• 4.5 - Are all guards and Safety features in place and good condition?

  Yes

  No

  N/A

• 4.6 Are all hoses ,connections,and gauges in good working order?

  Yes

  No

  N/A

5.0 - Electrical Tools and Equipment

• 5.1 - Are all power tools free from noticeable damaged?

  Yes

  No

  N/A

• 5.2 - Extension and power cords in proper condition with out damage to the outer sheath?

  Yes

  No

  N/A

• 5.3 - Are tools properly stored when not in use?

  Yes

  No

  N/A

• 5.4 - Are all guards and Safety features in place and good condition?

  Yes

  No

  N/A

• 5.5 - Are cable protectors being used to protect electrical cables in forklift or heavy walking paths?

  Yes

  No

  N/A

• 5.6 - Are extension cords ran in an organized manner and overhead when possible?

  Yes

  No

  N/A

6.0 - Waste management

• 6.1 - Bins located at suitable points around site?

  Yes

  No

  N/A

• 6.2 - Bins emptied regularly?

  Yes

  No

  N/A

• 6.3 - Oily rags and combustible refuse in covered metal containers?

  Yes

  No

  N/A

• 6.4 Has the liquid storage area outside of the shop been inspected and is clean,clear of debris?

  Yes

  No

  N/A

7.0 - Storage Design and Use

• 7.1 - Materials stored in racks and bins wherever possible?

  Yes

  No

  N/A

• 7.2 - Storage designed to minimise lifting problems?

  Yes

  No

  N/A

• 7.3 - Floors around racking clear of debris?

  Yes

  No

  N/A

• 7.4 - General condition of racks and pallets?

  Yes

  No

  N/A

• 7.5 - Are gas bottles secured?

  Yes

  No

  N/A

8.0 - Equipment / Cranes

• 8.1 - Is equipment kept clean?

  Yes

  No

  N/A

• 8.2 - Is the parking brake set and forks lowered to the ground when lift is not in use?

  Yes

  No

  N/A

• 8.3 - Operators trained/inducted into the operation of the machines?

  Yes

  No

  N/A

• 8.4 - Do operators comply with all training?

  Yes

  No

  N/A

• 8.5 - Are inspection checklists on forklifts and cranes available and conducted conducted on each shift prior to use?

  Yes

  No

  N/A

• 8.6 - Is there any suspended load left unattended?<br>

  Yes

  No

  N/A

• 8.7 - All hooks have a safety latch

  Yes

  No

  N/A

• 8.8 - Are all areas barricaded where lifts are being performed or where man lifts are being utilized?

  Yes

  No

  N/A

9.0 - Slings and Lifting Gear

• 9.1 - Are there test and /or inspection tags on all equipment in use with the safe working load clearly identified?<br>

  Yes

  No

  N/A

• 9.2 - 9.2 - Does the rigging have the current quarterly inspection (1st qtr Blue,2nd qtr Grey,3rd qtr Orange,4th qtr White)?

  Yes

  No

  N/A

• 9.3 - Is all lifting gear free from obvious or noticeable damage?

  Yes

  No

  N/A

• 9.4 - is all lifting gear stored on racks and returned after use?

  Yes

  No

  N/A

• 9.5 - Is all rigging stored properly and not left laying around the shop?

  Yes

  No

  N/A

• 9.6 - Is rigging being used for its intended purpose?

  Yes

  No

  N/A

10.0 - Fixed Equipment

• 10.1 - Are the floors around fixed equipment kept clean?

  Yes

  No

  N/A

• 10.2 - Guards in place and are in good condition?

  Yes

  No

  N/A

• 10.3 - Waste/ cut offs are removed and disposed of or stored safely?

  Yes

  No

  N/A

• 10.4 - Is equipment properly cleaned and maintained?

  Yes

  No

  N/A

• 10.5 - Is equipment turned off when not in use?

  Yes

  No

  N/A

• 10.6 - Are start/stop devices within easy reach of the operator?

  Yes

  No

  N/A

• 10.7 - Is lighting adequate?

  Yes

  No

  N/A

11.0 - Personnel /Behaviors

• 11.1 - Is the the employee wearing the proper PPE for the task being performed (Safety glasses,Gloves,Fall protection)?

  Yes

  No

  N/A

• 11.2 - Is the employee using proper body positioning ( lifting,pushing,pulling,bending)

  Yes

  No

  N/A

• 11.3 -Is the employee free from distractions and focused on the task being performed?

  Yes

  No

  N/A

• 11.4 - Is the employee free from being in harms way?

  Yes

  No

  N/A

• 11.5 - Are all employees free from walking/working under a suspended load

  Yes

  No

  N/A

12.0 - Procedures / Policies

• 12.1 - Is the the JSA filled out properly for the task being performed, and have all required signatures?

  Yes

  No

  N/A

• 12.2 - Have all the potential hazards and mitigating factors been communicated between workers and been agreed upon?

  Yes

  No

  N/A

• 12.3 - If applicable are all required permits filled out properly,signed,and understood by all before proceeding with assigned task?

  Yes

  No

  N/A

13.0 - Electrical Safety

• 13.1 - Portable equipment tested and tagged?

  Yes

  No

  N/A

• 13.2 - No broken plugs,sockets or switches?

  Yes

  No

  N/A

• 13.3 - No power leads across the walkways?

  Yes

  No

  N/A

• 13.4 - No frayed or damaged leads or cords?

  Yes

  No

  N/A

• 13.5 - Portable power tools in good condition?

  Yes

  No

  N/A

• 13.6 - Where required are emergency shutdown procedures in place?

  Yes

  No

  N/A

14.0 - Chemical Safety

• 14.0 - Material Safety Data Sheet available for all chemicals?

  Yes

  No

  N/A

• 14.2 - Risk assessments completed for hazardous substances?

  Yes

  No

  N/A

• 14.3 - All containers labeled correctly?

  Yes

  No

  N/A

• 14.4 - Unused substances disposed of?

  Yes

  No

  N/A

• 14.5 - Are special storage conditions followed?

  Yes

  No

  N/A

• 14.6 - Workers trained in the use of hazardous substances?

  Yes

  No

  N/A

• 14.7 - Are eye washes and showers easily accessed?

  Yes

  No

  N/A

• 14.8 - Are eye washes and showers in good working condition?

  Yes

  No

  N/A

15.0 - Ladders

• 15.1 - Are all ladders Industrial strength? (Non Household rated, check label.)

  Yes

  No

  N/A

• 15.2 - Are ladders in good condition?

  Yes

  No

  N/A

• 15.3 - If used for electrical work are they non conductive? (Wood or fibre glass.)

  Yes

  No

  N/A

• 15.4 - Used according to instructions?

  Yes

  No

  N/A

• 15.5 - For extension ladders are ropes, pulleys and treads in a good state of repair?

  Yes

  No

  N/A

• 15.6 - Does the ladder have the current quarterly inspection (1st qtr Blue,2nd qtr Grey,3rd qtr Orange,4th qtr White)?

  Yes

  No

  N/A

16.0 - First Aid Facilities

• 16.1 - Are cabinets and contents clean and orderly?

  Yes

  No

  N/A

• 16.2 - Are contents regularly checked?

  Yes

  No

  N/A

• 16.3 - No contents past their expiry date?

  Yes

  No

  N/A

• 16.4 - Cabinets clearly labelled?

  Yes

  No

  N/A

• 16.5 - Is there easy access to cabinets?

  Yes

  No

  N/A

• 16.6 - Employees aware of location of first aid cabinet?

  Yes

  No

  N/A

• 16.7 - Are first aid officers accessible?

  Yes

  No

  N/A

• 16.8 - Are emergency numbers displayed?

  Yes

  No

  N/A

Comments

• Yes

  No

  N/A

17.0 - Sign Off

• Management representative present during inspection

  Sign

• Auditor's signature

  Sign