VGM werkplekinspectie SAAone ENG

• Documentnr.

• Audit-titel

• Klant/Locatie

• Uitgevoerd op

  Date

• Samengesteld door

• Locatie
  Address

• Personeel

Measures last report(s)

• Are the actions from the last report(s) (see appendix) completed?

  Yes

  No

  N/A

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Last minute risk analysis

• Are the employees familier with the LMRA and is LMRA implented on the basis of the LMRA-card respectively LMRA book?

  Yes

  No

  N/A

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Building site

• Practicability public highway / access road

  Yes

  No

  N/A

• Practicability building site / construction road

  Yes

  No

  N/A

• Practicability construction work

  Yes

  No

  N/A

• Parking

  Yes

  No

  N/A

• Outdoor lighting

  Yes

  No

  N/A

• Work lights

  Yes

  No

  N/A

• Stable storage material

  Yes

  No

  N/A

• Space on-site to unload

  Yes

  No

  N/A

• Escape route

  Yes

  No

  N/A

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Safety environment

• Site closure

  Yes

  No

  N/A

• Stability site closure

  Yes

  No

  N/A

• Lockability gate

  Yes

  No

  N/A

• Traffic measures in- / exit.

  Yes

  No

  N/A

• Signage

  Yes

  No

  N/A

• Safety nets / walls

  Yes

  No

  N/A

• Enclosure slots / holes

  Yes

  No

  N/A

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Building tub

• Visual inspection

  Yes

  No

  N/A

• Stamping

  Yes

  No

  N/A

• Escape routes

  Yes

  No

  N/A

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Hoisting work

• Crane / shovel approved

  Yes

  No

  N/A

• Crane registry

  Yes

  No

  N/A

• Visual state of hoisting tools

  Yes

  No

  N/A

• Certificates

  Yes

  No

  N/A

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Stairways(tower) / ladders

• Tamping / smooth surface

  Yes

  No

  N/A

• Inspected (label on stair tower)

  Yes

  No

  N/A

• Quality stair / ladder

  Yes

  No

  N/A

• Locked / secured

  Yes

  No

  N/A

• Stability

  Yes

  No

  N/A

• Lenght / height

  Yes

  No

  N/A

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Scaffholding- / support constructions

• Approved

  Yes

  No

  N/A

• Tamping / smooth surface

  Yes

  No

  N/A

• Floor- and kick- / side plank

  Yes

  No

  N/A

• Abutment and anchoring

  Yes

  No

  N/A

• Stability

  Yes

  No

  N/A

• Railing

  Yes

  No

  N/A

• Fall floor (closed floor) above 6 m1

  Yes

  No

  N/A

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Protection of savings

• Floors and roofs

  Yes

  No

  N/A

• Elevator- and pipe shafts

  Yes

  No

  N/A

• Walls

  Yes

  No

  N/A

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Drainage

• Deploy pump

  Yes

  No

  N/A

• Junction

  Yes

  No

  N/A

• Runoff

  Yes

  No

  N/A

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Shacks, containers and saw location

• Accessibility

  Yes

  No

  N/A

• Neatness (hygiene)

  Yes

  No

  N/A

• Enough space

  Yes

  No

  N/A

• Fire extinguishers available

  Yes

  No

  N/A

• Lockability

  Yes

  No

  N/A

• Lighting

  Yes

  No

  N/A

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Electric installations

• Main switchbox and mini boxes approved

  Yes

  No

  N/A

• Lockability main switchbox

  Yes

  No

  N/A

• State of the cables

  Yes

  No

  N/A

• Cables approved

  Yes

  No

  N/A

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Storage

• Neatness

  Yes

  No

  N/A

• Gas ensured / selected

  Yes

  No

  N/A

• Stable / windproof

  Yes

  No

  N/A

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Environment

• Reduction measures electricity / energy use applied

  Yes

  No

  N/A

• Reduction measures fuel usage applied

  Yes

  No

  N/A

• Measures noise pollution applied

  Yes

  No

  N/A

• Measures dust nuisance applied

  Yes

  No

  N/A

• Measures vibration hinder applied

  Yes

  No

  N/A

• Measures smell pollution applied

  Yes

  No

  N/A

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Dangerous substances (environment)

• Labels good readable

  Yes

  No

  N/A

• Garbage separation and carrying off of garbage

  Yes

  No

  N/A

• Personal protective equipment available

  Yes

  No

  N/A

• Leak free storage fuel and oils

  Yes

  No

  N/A

• Dangerous substances safety stored

  Yes

  No

  N/A

• Application of drip-tray

  Yes

  No

  N/A

• Spill kit present and complete

  Yes

  No

  N/A

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(Hand)tools

• Approved

  Yes

  No

  N/A

• State

  Yes

  No

  N/A

• Capability relating tot the work

  Yes

  No

  N/A

• Use necessary personal protective equipment

  Yes

  No

  N/A

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Personal protective equipment

• Use helmet

  Yes

  No

  N/A

• Safety gloves

  Yes

  No

  N/A

• Safety glasses

  Yes

  No

  N/A

• Hearing protection

  Yes

  No

  N/A

• Safety harness

  Yes

  No

  N/A

• Safety clothing

  Yes

  No

  N/A

• Life jackets

  Yes

  No

  N/A

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First-Aid (BHV)

• First-aid on the site

  Yes

  No

  N/A

• First-aid box

  Yes

  No

  N/A

• Eyewash

  Yes

  No

  N/A

• Alarm card in contruction shack

  Yes

  No

  N/A

• Fire-extinguichers approved

  Yes

  No

  N/A

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