TK-HSE-01

SHE REPRESENTATIVE MONTHLY INSPECTION REPORT

AREA______________________________________________

SHE REPRESENTATIVE___________________________________ DATE: __________________ MONTH: ___________________

HOUSEKEEPING

1.1 BUILDINGS AND FLOORS YES NO LOCATION AND OBSERVATION

1.1.1 Are all buildings clean and in good condition?
1.1.2 Are the floors of workshop and stores in a good state of repair?
1.1.3 Are the floors clean and free form oil and grease?
Are all holes and obstruction on the floor clearly barricaded or
1.1.4 covered?
Are all walkways, stacking areas and working areas demarcated in the
1.1.5 stores and workshops, and are the walkways free of obstructions?
1.1.6 Is the demarcation adhered to?
How is the general condition of the floors, walls, Doors, Windows and
1.1.7 Ceiling?
1.1.8 Is there Refuse/Waste Bins available and regularly removal?
1.1.9 Are the Toilets and Wash bins Clean?
1.1.10 Storage on cupboards and window sills?
1.1.11 All safety and Firs Aid signs visible and in good condition?
1.1.12 First Aid Equipment clean and access kept clear?
1.1.13 Cupboard doors and desk drawers kept closed when not in use?
1.1.14 General condition of stairs and Handrails?
1.1.15 Is the work areas pollution free?

AREA_________________________________________________

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 SHE REPRESENTATIVE___________________________________ DATE: __________________ MONTH: ___________________

HOUSEKEEPING

1.2 LIGHTING YES NO LOCATION AND OBSERVATION

1.2.1 Is the lighting in the building adequate?

1.2.2 Are the windows and translucent sheeting regularly cleaned?

1.2.3 Are the lights and light fittings clean and in good state of repair?
1.2.4 Is Toughened or laminated glass used in hazardous areas?
1.2.5 Are there any dark areas creating hazards?

1.3 VENTALATION
1.3.1 Is Welding carried out in a building that is adequately ventilated?
1.3.2 Are vehicle pits adequately ventilated?

1.3.3 Are all the work areas adequately ventilated?

1.3.4 Is there a record of checks carried out on ventilation openings?
1.4 ABLUTION FACILITIES
1.4.1 Are ablutions, Toilets and urinals kept in clean and hygienic state?

1.4.2 Are lockers where food is stored kept clean?

1.4.3 Regular inspections carried out?
1.5 POLLUTION
1.5.1 Scrap and waste bins supplied / Available?

1.5.2 Is all waste and scrap dumped in the designation areas?

AREA_________________________________________________

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SHE REPRESENTATIVE___________________________________ DATE: __________________ MONTH: ___________________

HOUSEKEEPING

1.6 AISLES AND STORAGE AREA YES NO LOCATION AND OBSERVATION

1.6.1 Is standard colour coding used?

1.6.2 Are the floors clearly demarcated?

1.6.3 Is all the material stacked neatly?

1.6.4 Are all the material stacks level and stable?

1.6.5 Are circular items checked with proper wedges?

1.6.6 Are bin racks and pallets in a good condition?

1.6.7 Is the distance between stacks sufficient for easy and safe access

1.6.8 Is there sufficient storage space?

1.7 YARD AND WORKSHOP

1.7.1 Are the yard / workshop neat and tidy?

1.7.2 Are the work areas and yard free of superfluous material?

1.8 SCRAP AND REFUSE REMOVAL

1.8.1 Are there sufficient bins for scrap and refuse?

1.8.2 Is scrap / refuse bins used?

1.8.3 Are bins regularly emptied?

1.8.4 Is the standard colour code used?

AREA______________________________________

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SHE REPRESENTATIVE___________________________________ DATE: __________________ MONTH: ___________________

MECHANICAL; ELECTRICAL AND PERSONAL GUARDING

2 MACHINE GUARDING YES NO LOCATION AND OBSERVATION

2.1.1 Are all nip-points completely guarded?

2.1.2 Are defective guard upgraded?

2.1.3 Are all guard firmly fixed in position?

2.2 LOCK-OUT SYSTEM

2.2.1 Is there a written lock out procedure available?

2.2.2 Does all machinery have lockable isolators?

2.3 LABELING OF SWITCHES, ISOLATERS AND VALVES

2.3.1 Are all switches clearly marked as to where they are fed from?

2.4 LADDERS, STAIRS, WALKWAYS AND SCAFFOLDING

2.4.1 Are all ladders numbered and on register?

2.4.2 Are scaffold structures erected properly?

2.4.3 Are there toe boards, handrails, etc?

2.4.4 Are walkways obstructions free?

2.5 LIFTING GEAR

2.5.1 Are al slings, chains, hooks, shackles, etc. numbered and registered?

AREA______________________________________

SHE REPRESENTATIVE___________________________________ DATE: __________________ MONTH: ___________________

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 MECHANICAL; ELECTRICAL AND PERSONAL GUARDING

YES NO LOCATION AND OBSERVATION

2.5.2 Is the lifting gear correct try stored?

2.5.3 Safe working load (SWL) mark indicated on all lifting gear?

2.6 COMPRESSED GAS CYLINDERS AND PRESSURE VESSELS

2.6.1 Are all gas cylinders secured individually in a vertical position?

2.6.2 Is gas cylinders stored protected from the elements?

2.6.3 Are the pipes correctly colour coded and in good condition?

2.6.4 Are there proper extensions, correct connections used?

2.6.5 Are all gauges / regulations in good condition?

2.6.6 Are all air operated machines on register?

2.6.7 Are all pressure gauges clearly marked on the faces?

2.6.8 Are all safety valves locked?

2.7 HAZARDOUS SUBSTANCES CONTROL

2.7.1 Are storage facilities for chemical adequate?

2.7.2 Are data sheets available for hazardous chemicals?

2.8 MOTORISED EQUIPMENT

2.8.1 Does each driver hold a valid site license?

AREA______________________________________

SHE REPRESENTATIVE___________________________________ DATE: __________________ MONTH: ___________________

MECHANICAL; ELECTRICAL AND PERSONAL GUARDING

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 YES NO LOCATION AND OBSERVATION
Is the daily/weekly/monthly vehicle checklist in place and is it
2.8.2 recorded?

2.9 PORTABLE ELECTRICAL EQUIPMENT

2.9.1 Is all portable electrical equipment numbered and on register?

Are all extension cables numbered and included in portable electrical
2.9.2 equipment register?

2.9.3 Is all equipment with a flexible cord numbered and on register?

2.9.4 Are all power sources protected by earth leakage?

2.9.5 Is each leakage unit tested monthly and trips recorded?

2.9.6 Is the earth continuity and polarity checked regularly?

2.9.7 Are main isolators accessible?

2.10 HAND TOOLS/EXPLOSIVE POWER TOOLS

2.10.1 Are hand tools checked monthly?

2.10.2 Are there any unsafe hand tools being used?

2.10.3 Is each explosive powered tool numbered?

2.10.4 Are the explosive powered tools and cartridges properly stored?

2.10.5 Does the signage used comply with SABS specifications?

2.10.6 Does the mandatory signage comply with the OHS ACT?

AREA______________________________________

SHE REPRESENTATIVE___________________________________ DATE: __________________ MONTH: ___________________

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 MECHANICAL; ELECTRICAL AND PERSONAL GUARDING

2.11 PERSONAL PROTECTIVE EQUIPMENT YES NO LOCATION AND OBSERVATION

2.11.1 Are all workers issued with and using hard hats, etc?

2.11.2 Are hearing protectors used where the noise exceeds 85dB (a)?

2.11.3 Are all noise zones demarcated with symbolic signs?

2.11.4 Is there a copy of the noise survey?

Are employees who are exposed to excessive noise given audiometric
2.11.5 tests?
Do workers sign an undertaking to wear and maintain personal
2.11.6 protective equipment?

2.11.7 Is there a good record of personal protective equipment issued?

Do foreman and line managers explain the meaning of symbolic signs
2.11.8 and poster to their employees?

FIRE PREVENTION AND PROTECTION

3.1.1 Are there an adequate number of fire extinguishers?

3.1.2 Are the fire extinguishers locations demarcated?

3.1.3 Is all fire equipment correctly sited?

3.1.4 Is all fire equipment numbered and on register?

3.1.5 Is all fire equipment regularly serviced?

3.1.6 Are all flammable substances stored correctly?

AREA______________________________________

SHE REPRESENTATIVE___________________________________ DATE: __________________ MONTH: ___________________

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 FIRE PREVENTION AND PROTECTION

YES NO LOCATION AND OBSERVATION

3.1.7 Are signs indicating emergency exits in offices clearly displayed?

3.1.8 Are emergency telephone numbers displayed?

3.1.9 Are the employees aware of what to do in case of a fire?

3.1.10 Do employees know how to use the available fire equipment?

3.1.11 Is there an evacuation plan available?

INCIDENT / ACCIDENT RECORDING AND INVESTIGATION

Are all injuries recorded and reported to SSF safety for Fluor
4.1.1 Construction site?

4.1.2 Are all injuries being investigated?

4.1.3 Are all non-injury / near misses incidents being reported?

SAFETY ORGANISATION
5.1.1 Is first aid equipment available?

5.1.2 Are there employees with valid first-aid certificates?

5.1.3 Are first aid boxes allocated to qualified first-aiders?

5.1.4 Are first aiders in charge of boxes indicated?

5.1.5 Are first aid boxes location indicated?

AREA______________________________________

SHE REPRESENTATIVE___________________________________ DATE: __________________ MONTH: ___________________

SAFETY ORGANISAITON

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 YES NO LOCATION AND OBSERVATION

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 5.1.6 Are safety committee meetings held?

5.1.7 Are safety committee meetings minutes submitted to construction site?

5.1.8 Are safety representative inspection reports submitted to?

Is there adequate safety propaganda? I.e. posters films, safety boards,
5.1.9 suggestion scheme, etc?

5.1.10 Participation in safety competitions?

I, the Employer........................................................................ have reviewed

SHE Representative: the defects as describe in this document and agree to have the Item,
....................................................................................... which pose as hazard to the SHE of personnel in this area, repaired or removed
Signature: ............................................ Date: ........................................

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Signature: .......................................................................
................

Area of
Inspection: ..................................................................................... I do agree that the following points are SHE matters.
... Points: ...................................................................................................

Date: ........................................................................ .................................................................................................................

................
Signature: ........................................................................
The following items were identified by me, and should be brought SHE Committee Chairman
under the attention of the responsible person.

This Inspection was done in accordance with the OHS Act.

ELEMENTS DEFECT DESCRIPTION Action Taken / To be Taken Responsible Person Target Date

ELEMENTS DEFECT DESCRIPTION Action Taken / To be Taken Responsible Person Target Date

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