FACILITY: DATE:
DESCRIPTION
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REMARKS
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FIRE
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Are the numbers of fire extinguishers adequate (check the
minimum requirement)?
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What is the due date for re-inspection of the fire
extinguishers?
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Check the condition of the extinguishers(not rusted or
damaged?)
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4
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Are the extinguishers’ safety pin in place?
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5
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Check that there are no powders in the extinguishers
discharge hose.
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6
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Are the fire pumps working ? (test to confirm)
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7
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Are the pumps maintained according to an approved
maintenance schedule?
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8
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Are the fire pumps tested & records available?
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9
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Are the fire pumps appropriately labeled? |
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10
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Are the valves on the discharge lines of the fire pumps in open or closed position? |
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11
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Is there any access control to the valve on the discharge (keys etc)? |
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12
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Are the fire hydrant tanks maintained according to an approved maintenance schedule? |
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13
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Are inspection dates present on all fire tanks? |
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14
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Are the tanks adequately filled according to minimum requirements? |
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15
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Are the fire hydrants in place and functional (test to confirm)? |
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16
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Are the fire hydrant valves functional? (test to confirm) |
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17
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Are the fire hydrant lines rusted? |
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18
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Have all the personnel been trained in basic fire fighting? |
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19
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Has a fire drill been conducted in the facility in the last one year and record available? |
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20
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Did the personnel present in the facility at the time of inspection participate in the drill? |
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MEDICAL |
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21
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Is a first aid box available & well stocked? |
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22
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Have the personnel been trained in basic first aid in the past three years? |
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23
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Has a medical evacuation drill been conducted in the past one year in the facility being inspected? |
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24
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Did the personnel present at the time of inspection participate in the drill? |
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25
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Are the eye wash facilities available & functional? |
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SPILL/GAS RELEASE |
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26
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Is the minimum stock of spill response materials available? |
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27
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Are the various MSDS available? |
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28
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Are sump tank evacuation plan in place? |
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29
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Do other personnel know what to do in the event of a spill? |
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SECURITY/COMMUNITY INVASION |
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30
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Do facility personnel know what to do in the event of an invasion?Are there adequate security coverage? |
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31
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Have security/community invasion drills been conducted in the past one year and did the personnel present at inspection time participate? |
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DETECTION & COMMUNICATION |
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32
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Is there a telephone facility available & functional? |
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33
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Are the emergency telephone posted conspicuously close to the telephone? |
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34
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Is there a back-up communication facility in the event of the failure of the regular telephone line? |
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35
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Is there a fire alarm? |
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36
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Has it been tested and records available? |
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37
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Is there a maintenance schedule for the alarm and it is maintained according to the schedule? |
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38
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Are smoke detectors maintained according to an approved maintenance schedule? |
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39
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Are there adequate smoke detectors present in critical locations? |
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40
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Are there gas detectors installed in the facilities? |
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41
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Are the gas detectors maintained in line with the approved maintenance schedule? |
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Are gas detectors available, functional and periodical tested ? |
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When was the last calibration date of the gas detectors? Is the calibration valid and when is the next due date? |
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EMERGENCY LIGHTING |
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42
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Is the emergency lighting periodically maintained
according to a maintenance schedule?
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43
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Is the emergency lighting periodically tested and records
available?
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MUSTERING/EVACUATION |
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44
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Are Muster points
adequately labeled?
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45
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Are the emergency telephone numbers posted on site?
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46
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Are the emergency telephone numbers conspicuously
displayed on noticeboards?
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47
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Is there evidence of this?
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Are the safety
signs (emergency exits, escape routes, etc) prominently displayed?
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Are
evacuation/emergency notices strategically located throughout the
site/accommodation
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48
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49
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Are permits properly displayed at worksite?
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50
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Are all permits properly filed(3-12) months after
completion of task?
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51
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Is JSA attached to every permit?
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52
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Is JSA reviewed by the work team and properly documented?
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53
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Is there an evidence of tool box meeting before
commencement of task?
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54
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Is permit revalidation being signed and dated by the PIC?
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55
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Is permit handover been done between PIC and WRP at shift
change?
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WASTE MANAGEMENT
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§ Are all sources and types of waste clearly
identified/inventorised /segregated with evidence of Waste Manifest?
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§
Management of oily
waste and produced sand from cradle to grave with use of Waste Consignment
Note?
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§
Cleanliness of Waste
storage areas and drains including saver pit.
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§ Are all sources and types of waste clearly
identified/inventorised /segregated with evidence of WCN
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Evidence
of usage of ear muffs/plug in areas with noise level in excess of 80dBA
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Adequacy and clarity of Safety signs
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PPE
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Are all PPE signs visible?
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Are the warning signs in hazardous areas visible?
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Are PPE’S provided for Staff and contractors
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Are the PPE provided in good condition and valid?
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Are the PPE provided ANSI standard?
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FENCING
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Is the fencing adequate to keep unauthorised people out of restricted
operation areas?
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Is a 3 metre fire break surrounding n the perimenter fence provided to
prevent the spread of an accidental bush fire?
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HOISTING AND LIFTING
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Are Safe Working Loads (SWLs) clearly indicated on all lifting equipment? |
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Are Inspection/examination dates clearly labelled? |
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Is all lifting equipment appropriately colour coded using the SPDC system? |
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If any lifting operations are undertaken during the site visit, are these carried out under supervision? |
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