Workshop Inspection 1

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• 1 Jun 2012

  Date

Permit to Work

• Is permit to work open at time of inspection?<br><br>

  Safe

  At Risk

  N/A

• Is work description accurate?

  Safe

  At Risk

  N/A

• Are all authoring signature on the permit?

  Safe

  At Risk

  N/A

• Have all hazards been identified?

  Safe

  At Risk

  N/A

• Is a JSA attached where required?

  Safe

  At Risk

  N/A

• Is work permit displayed at work site?

  Safe

  At Risk

  N/A

• Other comment

  Safe

  At Risk

  N/A

Job Safety Analysis

• Is the JSA at work site?

  Safe

  At Risk

  N/A

• Dose JSA relate to reviewed work permit?

  Safe

  At Risk

  N/A

• Is the team aware of the JSA content&precautions?

  Safe

  At Risk

  N/A

• Other comment

  Safe

  At Risk

  N/A

Emergency Respond

• Dose the team know where the ESD station is located?

  Safe

  At Risk

  N/A

• Dose the team know his action in the event of emergency?

  Safe

  At Risk

  N/A

• Is the clearly sign at muster station location?

  Safe

  At Risk

  N/A

• Is there any obstruction to emergency response equipment

  Safe

  At Risk

  N/A

• Is there fire extinguisher on site?

  Safe

  At Risk

  N/A

• Other comment

  Safe

  At Risk

  N/A

General Working Area Condition

• Is the ladder fit for purpose and secured?

  Safe

  At Risk

  N/A

• Dose the surface walkway clean and non slip?

  Safe

  At Risk

  N/A

• Is the cover grating or floor without trip hazard?

  Safe

  At Risk

  N/A

• Are the stairway and handrail good condition?

  Safe

  At Risk

  N/A

• Is there a good housekeeping?

  Safe

  At Risk

  N/A

• Are the safety signs good condition?

  Safe

  At Risk

  N/A

• Are there the shower station and eyewash station on the worksite properly?

  Safe

  At Risk

  N/A

• Is there any specific finding?

  Safe

  At Risk

  N/A

• Are all safety equipment good condition and ready to use?

  Safe

  At Risk

  N/A

• Other comment

  Safe

  At Risk

  N/A

Storage Area

• Is the chemical storage posted the proper warning sign?

  Safe

  At Risk

  N/A

• Is the material stored safely?

  Safe

  At Risk

  N/A

• Are the shelving and storage bins safe for working?

  Safe

  At Risk

  N/A

• Is there adequate emergency response equipment?

  Safe

  At Risk

  N/A

• Chemical container in good condition

  Safe

  At Risk

  N/A

• Chemical container labeled properly and clearly?

  Safe

  At Risk

  N/A

• Container closed unless activity being use

  Safe

  At Risk

  N/A

• Chemical storage rooms ventilated

  Safe

  At Risk

  N/A

• Ignition source avoid when using flamable

  Safe

  At Risk

  N/A

• Corrosive chemical stored in acid cabinets and label properly

  Safe

  At Risk

  N/A

• Compressed gas cylinders stored upright and properly secured

  Safe

  At Risk

  N/A

• Compressed gas cylinder area is dry and well ventilation

  Safe

  At Risk

  N/A

• Other comment

  Safe

  At Risk

  N/A

Welding & Grinding

• JSA conducted

  Safe

  At Risk

  N/A

• Fire watcher is competent and trained

  Safe

  At Risk

  N/A

• Combustible substance moved away form other side or wall

  Safe

  At Risk

  N/A

• Hot work equipment in good condition

  Safe

  At Risk

  N/A

• Work area is clear from flammable liquids or oily deposits

  Safe

  At Risk

  N/A

• Wear appropriated PPE

  Safe

  At Risk

  N/A

• Fire watch will monitor the area for 30 minutes after work stop

  Safe

  At Risk

  N/A

• Safety equipment in service

  Safe

  At Risk

  N/A

• Proper barricaded area

  Safe

  At Risk

  N/A

• Electrical power connection in good order

  Safe

  At Risk

  N/A

• Cable, electrode holder, ground clamp in safe condition

  Safe

  At Risk

  N/A

• Are all earthing connection in suitable distance?

  Safe

  At Risk

  N/A

• Welding screen, fire blanket, barrier in place

  Safe

  At Risk

  N/A

• Is the work area dry?

  Safe

  At Risk

  N/A

• Are all sparks contained

  Safe

  At Risk

  N/A

• Gas cylinder secured and certificated

  Safe

  At Risk

  N/A

• Flash back arrestors fitted

  Safe

  At Risk

  N/A

• Gauge in good working order

  Safe

  At Risk

  N/A

• Hose in good condition and no leak

  Safe

  At Risk

  N/A

• Is house keeping good

  Safe

  At Risk

  N/A

• Other comment

  Safe

  At Risk

  N/A

Pressure Testing

• Are all barriers and warning signs in place

  Safe

  At Risk

  N/A

• Is the safety valve in place and certified

  Safe

  At Risk

  N/A

• Is the pressure testing equipment certified

  Safe

  At Risk

  N/A

• Have all personnel been informed to stay clear of the are

  Safe

  At Risk

  N/A

• Is the testing been carried out in according with piping specification

  Safe

  At Risk

  N/A

• Appropriate PPE

  Safe

  At Risk

  N/A

• Other comment

  Safe

  At Risk

  N/A

Scaffolding

• Is scaffold erected to Chevron standard?

  Safe

  At Risk

  N/A

• Are scaffolders trained?

  Safe

  At Risk

  N/A

• Are scaffolders wearing a full body safety harness with double land yard?

  Safe

  At Risk

  N/A

• Is scaffold tagged?

  Safe

  At Risk

  N/A

• Is scaffold materials correctly stored?

  Safe

  At Risk

  N/A

• Appropriate PPE

  Safe

  At Risk

  N/A

• Other comment

  Safe

  At Risk

  N/A

Painting and Sand blasting

• Painting equipment in good order

  Safe

  At Risk

  N/A

• Area isolated from other area

  Safe

  At Risk

  N/A

• Barricaded and warning signs posted

  Safe

  At Risk

  N/A

• Separate paint and solvent flammable storage

  Safe

  At Risk

  N/A

• MSDS label posted

  Safe

  At Risk

  N/A

• First aid kid on site

  Safe

  At Risk

  N/A

• Safety shower and eyewash on site

  Safe

  At Risk

  N/A

• Good house keeping

  Safe

  At Risk

  N/A

• Appropriated PPE

  Safe

  At Risk

  N/A

• Compressor in good working order and certified

  Safe

  At Risk

  N/A

• Hose , connector, grounding in safe condition

  Safe

  At Risk

  N/A

• PPE breathing , blasting hood in safe condition

  Yes

  No

  N/A

• Dust control in place and effective

  Safe

  At Risk

  N/A

• Is sand blasting isolated from other work location?

  Safe

  At Risk

  N/A

• Whip line fitted to all pressures hoses

  Safe

  At Risk

  N/A

• Other comment

  Safe

  At Risk

  N/A

Waste Management

• Is the waste stored safely?

  Safe

  At Risk

  N/A

• Is the waste storage posted the proper warning sign?

  Safe

  At Risk

  N/A

• Waste container in good condition

  Safe

  At Risk

  N/A

• Waste containment label properly and clearly.

  Safe

  At Risk

  N/A

• Other comment

  Safe

  At Risk

  N/A

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