Safety Inspection Checklist - On-Site Activities

This checklist is designed to assist OH&S Representatives, Employees and Management confirms that safety standards of buildings, fixtures and
equipment are being maintained. Tick the appropriate box or mark N/A for not applicable. For issues ticked No include brief description of problem,
suggested corrective action and nominate responsible person and realistic timing to have correction completed.
Copy of the completed checklist must be filed in the Site Safety Manual.

Location:CHILLER ROOM

Date of Inspection:25 juli 2022

Signature:
Inspector [1]: Teguh S Contr. / Pos.:CV SDA
Signature:
Inspector [2]: Contr. / Pos.:
Signature:
Inspector [3]: Contr. / Pos.:
Person
Workplace and Equipment issues Yes No Problem / Corrective Action Timing
Responsible
1. Clothing and Protective equipment
1.1. Hard Hat worn correctly and as required ✓
1.2. Safety footwear worn in all designated areas, no ✓
exposed Steel toecaps
1.3.
Eye Protection worn in all designated areas ✓
1.4. Gloves used as required for sharps, abrasives, ✓
chemicals
1.5. Hearing protection worn correctly and in all designated ✓
areas
1.6. Long sleeved shirt and long trousers or equivalent ✓
overall worn on all GEA sites
1.7. Hat with minimum 100mm brim, sun screen & UV ✓
protection used when exposed to the sun
1.8. Specific hygiene protective items i.e. overshoes, ✓
hairnet etc. worn in designated areas

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 Safety Inspection Checklist - On-Site Activities

2. Person
Yes No Problem / Corrective Action Timing
Personal Behaviour Responsible
2.1. Workers refraining from practical jokes, horseplay
2.2. Workers refraining from consumption of alcohol,
drugs
2.3. Workers refraining from using mobile phones
other than in breaks or for emergency calls
2.4. Signage and instructions followed
2.5. Rings, watches, long hair secured to avoid
catching on equipment or moving/rotating parts
2.6. Radio receivers used in moderation and to no
annoyance for the general working environment
3. Housekeeping
3.1. Clean and tidy – tripping/slipping hazards ✓
3.2. Gas bottles stored in stand and/or tied off ✓
3.3. Gas bottle valves turned off when not in use ✓
3.4. Tools and equipment not in use stored correctly ✓
3.5. Overhead work areas clear of loose objects ✓
3.6. Material that could be dislodged by wind etc. ✓
securely weighted or tied down
4. General Safety & Administration
4.1. General access/egress and emergency lighting ✓
installed and adequate
4.2. Access/egress clear, free of obstacles and well- ✓
marked
4.3. Floor openings and penetrations guarded by ✓
adequate barriers, railings and covering material
4.4. Workers and visitors sign in and out daily ✓
4.5. Work permits in use where applicable – and ✓
registered
4.6. JSAs in use for all major/significant tasks ✓

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 Safety Inspection Checklist - On-Site Activities

4.7. JSA on the job and signed and understood by ALL ✓

workers

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5. First Aid Person

Yes No Problem / Corrective Action Timing
Responsible
5.1. Locations of first aid kits labelled, easily visible, ✓
easily accessible and known to all workers
5.2. Listings of qualified First Aiders prominently ✓
displayed and current
5.3. All product within the first aid kit are in date and ✓
sterile
6. Fire & Emergency
6.1. Fire Extinguishing equip. – Visible. Fit for purpose ✓
and serviced
6.2. Emergency Procedures prominently displayed ✓
and current
6.3. All workers aware of the emergency/ evacuation ✓
alarm signals, procedures and plans
7. Electrical Safety
7.1. Leads and appliances checked and tagged ✓
7.2. Leads in good condition free of kinks and damage ✓
7.3. Extension leads off the ground – insulated hooks, ✓
not tied to scaffold, across sharp edges, not
running between floors
7.4. Extension leads across roadways etc. protected ✓
7.5. No double adaptors or piggy back fittings ✓
7.6. No joined leads (unless screwed water proof ✓
fittings)
7.7. Leads are run out of bottom of temporary boards ✓
7.8. Power tools not hoisted, unplugged or dragged by ✓
pulling power cord
7.9. Earth leakage circuit protection provided (ensure ✓
portable generators fitted with RCD are earthed)

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8. Dangerous Goods / Hazardous Substances Person

Yes No Problem / Corrective Action Timing
Responsible
8.1. Material Safety Data Sheets for all Hazardous ✓
Substances on site, and are they less than five
years old and emergency contacts within Australia
8.2. Storage and handling of Hazardous Substances ✓
consistent with the Material Safety Data Sheets

8.3. Containers with Hazardous Substances properly ✓

labelled
8.4. Hazardous Substances properly stored and ✓
protected from spillage or damage
8.5. Appropriate type of PPE available and in good ✓
condition
8.6. Absorbent material for spills available ✓
9. Machinery Safety
9.1. All guarding in place and in good condition ✓
9.2. All controls/switches marked and serviceable ✓
9.3. Warning devices operable ✓
9.4. Operators trained and competent ✓
10. Crane and Mobile Plant Safety
10.1. Maintenance/ test documentation provided and ✓
Risk Assess./Lift Study available
10.2. Operators have valid licenses / competent ✓
10.3. All lifting carried out and controlled by certified ✓
dog men and riggers
10.4. Lifting gear recorded and regularly inspected ✓
10.5. Log books / inspections filled in / carried out daily ✓

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11. Working at heights Person

Yes No Problem / Corrective Action Timing
Responsible
11.1. All edges and penetrations provided with fall ✓
protection e.g. covers, hand and kick rails
11.2. Areas below are barricaded ✓
11.3. Scaffolding used where practicable ✓
11.4. Safety harness worn where practicable and ✓
secured above wearer (mandatory in crane boxes,
swing stages and boom lifts)
11.5. Harnesses correctly stored and regularly ✓
inspected
11.6. Ladders footed or tied off at top ✓
11.7. One handed work only done off a ladder (three ✓
point contact required)
11.8. Work no higher than 900 mm from top of ladder ✓
11.9. Belt buckle within ladder stiles ✓
12. Hot Work
12.1. Area free of combustible/flammable materials ✓
12.2. Appropriate fire extinguisher available ✓
12.3. Screens / tarpaulins in place to contain weld flash ✓
or sparks
12.4. Hot work Permit obtained where required ✓
12.5. Gas bottles fitted with flash back arrestors ✓
13. Isolation and Confined Space
13.1. Confined Space procedures being followed ✓
13.2. Emergency plan available for confined space work ✓
13.3. Isolation procedures being followed ✓
13.4. Isolations tagged and padlocked with correct locks ✓

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14. Amenities Person

Yes No Problem / Corrective Action Timing
Responsible
14.1. Sufficient toilets and washing facilities ✓
14.2. Food consumption separated from work areas ✓
14.3. Waste bins clean and emptied regularly ✓
14.4. Work areas free from displays that may incite ✓
racial, religious or sexual denigration
14.5. All areas clean, free from damage and well ✓
maintained
15. Security
15.1. Area perimeter Secure and in good condition ✓
15.2. - gates / roller doors ✓
15.3. - fences ✓

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