TEST PA Division HSE Audit Tooll

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Control Of Visitors & Contractors

Control of Visitors

• are there documented rules in place for control of visitors

  Safe

  At Risk

  N/A

• are visitors briefed on the site risks (induction)

  Safe

  At Risk

  N/A

Personal Protective Equipments

• are PPE worn when required and used in a proper manner

  Safe

  At Risk

  N/A

Safety Of Work Equipment & Machinery

Safety of Electrical Risk Activities

• are all power cables isolated, properly connected and properly stored

  Safe

  At Risk

  N/A

• are heavy vehicles or lifting vehicles movements carried out at safe distance from power lines

  Safe

  At Risk

  N/A

Portable tools and appliances

• are portable tools and appliances in good conditions

  Safe

  At Risk

  N/A

• Yes

  No

  N/A

Lift truck operations

• are ropes/chains subject to periodical examination - records held

  Safe

  At Risk

  N/A

• regular maintenance schedule and records held

  Safe

  At Risk

  N/A

Pressure systems

• storage of compressed gases adequate with fuel gases separated from oxygen and cylinders secured.

  Safe

  At Risk

  N/A

• is a color coding or similar procedure applied for periodical maintenance

  Safe

  At Risk

  N/A

Machinery

• provision of isolation and lock off of energy sources (electrical, mechanical, hydraulic etc)

  Yes

  No

  N/A

• use of lock out and tag out procedure

  Yes

  No

  N/A

• general ergonomics (seating, lighting, heating and ventilation)

  Safe

  At Risk

  N/A

• inspection and maintenance regime in place-records held

  Safe

  At Risk

  N/A