Monthly EHS Checklist

Department: For the Month/Date:

Yes No
(Every NO should be
or N/A explained in the SuggestedCorrective/Preventive Target
Topics Elements to be Inspected observation column) Observation Action Completion Date

Clear Walkways are clear and free

from slip/trip hazards

Any water leakage observed

Proper Stacking of stored material

House Keeping

Timely collection of Waste

Waste bins are available and

labelled
All materials, tools, and equipment
are kept in marked designated
location/ bins/ pallets/ racks

Any other observation

   All the required PPEs available
Personal Protective Equipments

in the area.

PPEs stroed in designated areas

Any damaged PPE in the area

Appropate signs of PPE on the entry

points specially Mask/Respirators

Any expired/chocked cartridge

found with re-usable respirators

Any other observation

A current emergency plan is
displayed and clearly legible
Smoke detectors are in working
order (Refer last check by
Emergency Preparedness &

Electronics Dept)
Emergency lights in working
condition providing appropraite
visibility
Emergency Shower in working
condition/with signage and clear
access

Appropraite Fire Extinguishers

avaiable and checked
Response

Appropriate directional signs

directing towards emergency exits
 Emergency exit doors are labelled

Emergency Response (Cont)

and connected to security alarm
system
Display of fist aiders & fire fignters
current and updated
Near Miss Form Available in the area
within easy access of all
First aid box filled with required
items

Any other observation

LOTO station equiped with provided
Locking devices

Sufficient Tags available

Personal Locks (Padlocks) are

avaialble with every LOTO
responsible personal
Lockout Tagout

Update & current list fo LOTO

responsible staff maintained in the
area

Effective use of LOTO

Any other observation

All the moving parts of machines

are covered with appropraite guards
Daily machine garud checklist is
filled timely
Any damaged/non-functional
Machine Guarding

machine guard in your area

All the machine guards are

All emergency Stops Clearly

labeled and functional

Any other observation

All the chemicals are in properly

Chemical Hazard Communication & Spill Controll

identified and labelled containers

Chemicals are stored in designated

storage areas.
Current and updated list of
chemicals manitained by the area
MSDS available in the designated
area
Spill handling kit availabe and
maintaned
Approriate PPEs provided with spill
kit
Any new chemical introduced in
your area
 Chemi
designated bin present for chemical
spills
Provided Secoundry
containment(trays) in use effectively
Comm/Spill Controll

Compressed gas cylinders kept in

Chemical Hazard

upright position and secured?

Valves fo the Cylinders not in use

are covered with provided Caps
(Cont)

Any other observation

Are the High Noise areas marke
with proper signage (if any)

Staff provided with ear protection

(plugs) in high noise areas.
Are the dust/cehmical exposure
control devices (LEV/Laminar flow?
chemical fume hood) operational
and effective
Occupational Hygiene

Is sufficient light maintained in the

& Ergonomics

area so that all task are performed

easily.
(Refer: GEHS T16)

Any machine producing abnormal

vibrations

Any ergonomic conern oberved

Any other observation

Daily inspections timely done

Electrical Safety Powered Industrail Trucks

Only Trained/Licensed personal are

allowed to drive PIT

Any physical defect seen

If charging done indoors provided

ventilation is opertional

The chargind wires are free from

damage

Any other observation

All the electrical boards/panels are
locked or access control
Electrical Safety mate present with
every electrical DB

Any loose/open wiring in the area

Any other observation

Inspected By:_____________________ Signature:__________________________ Date:______________________

Approved by:________________________ Signature:__________________________ Date:______________________

(EHS Coordinator)