Information

  • Document No.

  • Audit Title

  • Location
  • Name of Section

  • Conducted on

  • Engineer-in-Charge

  • BU Head

  • PUB Officer-in-Charge of the site

  • PUB Term Contractor

  • Inspected by

Section A Documentation Review Score: 0 - Non-Compliant 1 - Compliant

  • Safety Policy

  • Add media

  • Follow-Up/Remark

  • Add media

  • Safe Work Procedures

  • Add media

  • Follow-Up/Remark

  • Add media

  • Training, awareness and communication

  • Add media

  • Follow-Up/Remark

  • Add media

  • Group Meetings

  • Add media

  • Follow-Up/Remark

  • Add media

  • Incident Investigation and Analysis

  • Add media

  • Follow-Up/Remark

  • Add media

  • In-House Safety Rule

  • Add media

  • Follow-Up/Remark

  • Add media

  • Safety Promotion

  • Add media

  • Follow-Up/Remark

  • Add media

  • System for Evaluation, Selection and Control of Contractors

  • Add media

  • Follow-Up/Remark

  • Add media

  • Safety Inspection

  • Add media

  • Follow-Up/Remark

  • Add media

  • Maintenance Regime

  • Add media

  • Follow-Up/Remark

  • Add media

  • Risk Assessment

  • Add media

  • Follow-Up/Remark

  • Add media

  • Control of Movement and Use of Hazardous Chemical

  • Add media

  • Follow-Up/Remark

  • Add media

  • Occupational Health Programme

  • Add media

  • Follow-Up/Remark

  • Add media

  • Emergency Preparedness

  • Add media

  • Follow-Up/Remark

  • Add media

  • Environmental Control Management

  • Add media

  • Follow-Up/Remark

  • Add media

Section B Preventive Actions Against Different Types of Hazard Score 0 - Unacceptable 1 - Unsatisfactory (follow-up) required 2 - Satisfactory but there is room for improvement 3 - Satisfactory

  • Physical Hazard -A factor within environment that can harm the body without necessarily touching it. Example<br>Noise, vibration, radiation, vacuum<br>

  • Add media

  • Follow-Up/Remark

  • Add media

  • Mechanical Hazard -This could be cutting, shaping, boring or forming of stock. Regardless the type or work, the point of operation of the work must be safeguarded. Example<br>Missing of machine guard<br>

  • Add media

  • Follow-Up/Remark

  • Add media

  • Chemical Hazard -Exposure to chemicals can cause acute or long term detrimental health effect. Example<br>Toxic, explosive, flammable<br>

  • Add media

  • Follow-Up/Remark

  • Add media

  • Electrical Hazard - A dangerous condition where a worker can or does make electrical contact with energized equipment or a conductor. Example<br>Electrocution <br>

  • Add media

  • Follow-Up/Remark

  • Add media

  • Ergonomic Hazards - A physical factor within the environment that harms the musculoskeletal system Example<br>Repetitive movement, uncomfortable workstation height<br>

  • Add media

  • Follow-Up/Remark

  • Add media

  • Fire/Explosion -A material, substance, or action that increases the likelihood of an accidental fire occurring. Example<br>Large number of dead trees poses a fire hazards<br>

  • Add media

  • Follow-Up/Remark

  • Add media

  • Fall from Height Hazard - Anything in the workplace that could cause an unintended loss of balance or bodily support and result in a fall. Example<br>People falling and objects falling onto people below.<br>

  • Add media

  • Follow-Up/Remark

  • Add media

  • Confined Space Hazards - Has limited or restricted means of entry or exit and is not designed for continuous occupancy.<br>Example<br>Poor air quality, toxic atmosphere<br>

  • Add media

  • Add media

  • Slip, Trip and Fall Hazards - Falling on the same level. Example<br>Stepping on slippery surface, foot striking against an object, stepping on an uneven surface and losing balance.<br>

  • Add media

  • Add media

Section C Other Observations Score 0 - Unacceptable 1 - Unsatisfactory (follow-up) required 2 - Satisfactory but there is room for improvement 3 - Satisfactory

  • Compliant with PUB requirements & Contract Specifications on safety - Example<br>Lifting Pass,<br>Safety Induction Sticker<br>Life Saving Rules<br>

  • Add media

  • Follow-Up/Remark

  • Add media

  • Housekeeping - Poor housekeeping can be a cause of accidents - Example<br>Slip, Trip and Fall or being hit by objects.<br>

  • Add media

  • Follow-Up/Remark

  • Add media

  • Customer Relations & Management - Example<br>Notice of nature of work,<br>Information signage, warning signage<br>

  • Add media

  • Follow-up/Remark

  • Add media

  • Traffic Control Management - Generally come from the interaction between vehicles and pedestrians. Example<br>Road accident<br>

  • Add media

  • Follow-Up/Remark

  • Add media

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.