WSH AUDIT

• Audit Title

• TASK DESCRIPTIONS

• Dept / Unit

• Conducted on

  Date
• Location
  Address

• Prepared by

* INDICATE N/A IF NOT BEING AUDITED

1. DOCUMENTS

• A. Permit to Work approved and signed by Authorised Manager

  Safe

  At Risk

  N/A

• B. Toolbox meeting conducted

  Safe

  At Risk

  N/A

• C. SWP / RA available

  Safe

  At Risk

  N/A

• D. Emergency contact list available

  Safe

  At Risk

  N/A

2. WORK AREAS

• A. Work area checked and free from hazards

  Safe

  At Risk

  N/A

• B. Protected sides or holes

  Safe

  At Risk

  N/A

• C. Materials housekeep in orderly manner

  Safe

  At Risk

  N/A

• D. Turn on air ventilation (if in pump station)

  Safe

  At Risk

  N/A

3. OPENING OF MANHOLE

• A. Manhole covered with grating

  Safe

  At Risk

  N/A

• B. Back supporter used when carrying heavy manhole

  Safe

  At Risk

  N/A

• C. Permission to open Manhole permit

  Safe

  At Risk

  N/A

4. ENVIRONMENT

• A. No water receptacles / water ponding

  Safe

  At Risk

  N/A

• B. Sanitary areas cleaned

  Safe

  At Risk

  N/A

• C. Trash bins covered

  Safe

  At Risk

  N/A

5. CONFINED SPACE

• A. Personnel are trained and certified

  Safe

  At Risk

  N/A

• B. Gas testing done and record before entering confined space

  Safe

  At Risk

  N/A

• C. Confined Space Rescue Plan available

  Safe

  At Risk

  N/A

• D. Rescue equipment checked and inspected

  Safe

  At Risk

  N/A

• E. Lighting is adequate

  Safe

  At Risk

  N/A

6. EXCAVATION WORKS

• A. Trained personnel

  Safe

  At Risk

  N/A

• B. Access / Egress

  Safe

  At Risk

  N/A

• C. Shoring/shielding/sloping done

  Safe

  At Risk

  N/A

• D. Excavation area barricade

  Safe

  At Risk

  N/A

• E. Spoil pile safe

  Safe

  At Risk

  N/A

• F. Contiuous gas monitoring done ( if more than 1.5m deep)

  Safe

  At Risk

  N/A

7. WORKING AT HEIGHT

• A. Fall Prevention Plan

  Safe

  At Risk

  N/A

• B. Personnel competent and trained

  Safe

  At Risk

  N/A

• C. Fall Protection used appropriately and inspected (body harness, self-retractable line, if any in use)<br>

  Safe

  At Risk

  N/A

• D. Scaffold inspected (if in use)

  Safe

  At Risk

  N/A

• E. Ladder used appropriately and inspected

  Safe

  At Risk

  N/A

8. LIFTING WORKS

• A. Lifting plan and rescue plan available<br>

  Safe

  At Risk

  N/A

• B. Rescue equipment inspected and ready to use<br>

  Safe

  At Risk

  N/A

• C. Personnel trained and competent<br>

  Safe

  At Risk

  N/A

• D. Manual Handling

  Safe

  At Risk

  N/A

9. ELECTRICAL WORKS

• A. Equipments and power tools check and inspected

  Safe

  At Risk

  N/A

• B. Industrial type connector used

  Safe

  At Risk

  N/A

• C. Lock Out / Tag Out checked and labelled (if any)

  Safe

  At Risk

  N/A

• D. Live cables are kept and housekeep neatly<br>

  Safe

  At Risk

  N/A

10.FIRE SAFETY

• A. Is the emergency response plan in place

  Safe

  At Risk

  N/A

• B. Fire fighting equipments ( fire extinguisher, hosereel and smoke detector, others) inspected and valid

  Safe

  At Risk

  N/A

• C. Are all fire safety signs and area according to Fire Safety Act

  Safe

  At Risk

  N/A

11. ROAD TRAFFIC MANAGEMENT

• A. Traffic Control Plan

  Safe

  At Risk

  N/A

• B. Barriers, warnings signs and devices are in accordance to LTA guidelines

  Safe

  At Risk

  N/A

• C. Supervisor/workers are trained

  Safe

  At Risk

  N/A

12. OTHERS

• A.

• Safe

  At Risk

  N/A

• B.

• Safe

  At Risk

  N/A

• C.

• Safe

  At Risk

  N/A

OFFICER'S SIGNATURE

• WSHO

  Sign

• PUB OFFICER IN CHARGE

  Sign

• CONTRACTOR SUPERVISOR

  Sign

• VERIFYING OFFICER

  Sign