SHE Inspection-General - SafetyCulture

3/3/23, 12:57 PM SHE Inspection-General - SafetyCulture
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Information
Date & Time of Inspection: 
Type of Inspection:
Departmental/ SHE SHE Manager/ Branch SHE

Supervisory Committee Executive Coordinator
Inspection Inspection Inspection Inspection
Country:
Brunei China Hong India Indonesia Korea Malaysia Philippines Singapore T

Kong
Branch:
Inspected By/ Inspection Team (Name, Job Title):
Inspection Area:
Customer’s Premise Head Office Branch Other
https://public-library.safetyculture.io/products/she-inspection-general 1/36
Customer's Company Name:
RI Branch Name:
Please indicate which other area. If for residence, please indicate Residence Name/
Address.
A. Work Hours & Rest Hours
A. Work Hours & Rest Hours
Spot check with 1 or 2 Technician/ Storeman/ Other RI Personnel at the inspection area.
Technician/ Storeman/ Other RI Personnel
Name:
Job Title:
A1 What is your routine work hours per day?
4 hours per day 8 hours per day Other
Please specify in details.
A1.1 What is your number of workdays per week?
3 workdays per week 5 workdays per week 5.5 workdays per week
6 workdays per week Other
A2 Do you carry out overtime (OT) work or night work?
Yes NA, I do not carry out OT or night work
A2.1 How frequent do you carry out overtime work or night work?
Once a 1-2 times a 2-3 times a

NA Occasional week week week Other
A3 How many hours do you usually take to do OT & night work?
1-2 2-3 3-4 4-5 5-6 6-7 7-8

hours hours hours hours hours hours hours Other
A4 After night work or OT, do you usually get sufficient rest before return to work?
Yes No
Please indicate the reasons below.
A4.1 After night work or over-time work, usually how many rest hours / time-off do you
have, before you return to work?
1-2 2-3 3-4 4-5 5-6 6-7 7-8 More

hours hours hours hours hours hours hours than 8 Other
hours
1. Housekeeping
INSPECTION GUIDE
1. Answer "Yes", "Partial", "No", "NA" on the questions below.

2. Add photos and notes for your findings by clicking on the paperclip icon.
3. For any Non-Conformance (NC) or Area for Improvement (AFI), please add in
Corrective Actions. Click on the paperclip icon, then select "Add Action". Write down the
finding & action to take, assign to a designated person (from the given list in iAuditor or
enter the email address of the person), set priority level and due date.
4. Complete audit by providing digital signature.
5. Share your report by exporting as PDF and/or Word format.
1. Housekeeping
Is this section applicable to your business?
Yes No
1.1 Are work areas in clean & tidy state?
Yes Partial No NA
1.2 Are floor, aisles, passageways kept clean & dry?
Yes Partial No NA
1.3 Are floor holes eg. drains covered?
Yes Partial No NA
2. Material Handling & Storage
INSPECTION GUIDE

2. Material Handling & Storage
Yes No
2.1 Workers observed safe manual handling technique?
Yes Partial No NA
2.2 Regular examination conducted for heavy lifting equipment eg. forklift, hoist?
Yes Partial No NA
2.3 Competent persons to operate lifting equipment ?
Yes Partial No NA
2.4 Authorised, trained operators for forklifts?
Yes Partial No NA
2.5 SWL (Safe Working Load) indicated on lifting equipment & appliances?
Yes Partial No NA
2.6 Lifting gears & safety devices in good order?
Yes Partial No NA
2.7 Service tags displayed?
Yes Partial No NA
2.8 Proper storage for lifting gears & other accessories?
Yes Partial No NA
2.9 Is adequate clearance at passageway where material must be moved?
Yes Partial No NA
2.10 Are storage area free from ignition source, fire, explosion and pest?
Yes Partial No NA
2.11 Materials stacked on firm foundation/ support & do not appear unsteady?
Yes Partial No NA
3. Personal Protective Equipment
INSPECTION GUIDE

3. Personal Protective Equipment
Yes No
3.1 Suitable PPE provided e.g. safety goggles, glasses, ear muff, gloves, safety shoes,
respirator, high visibility vest?
Yes Partial No NA
3.2 Are workers using the PPE correctly?
Yes Partial No NA
3.3 PPE are stored and maintained properly?
Yes Partial No NA
4. Emergency Preparedness
INSPECTION GUIDE

4. Emergency Preparedness
Yes No
4.1 Fire fighting equipment (eg. Fire hose reel, extinguishers) provided adequately?
Yes Partial No NA
4.2 Fire fighting equipment prominently marked & labeled with signage?
Yes Partial No NA
4.3 Fire fighting equipment maintained & in good order?
Yes Partial No NA
4.4 Are all fire fighting equipment free from obstruction?
Yes Partial No NA
4.5 Emergency response signage displayed where necessary?
Yes Partial No NA
4.6 Are means of escape free from obstruction?
Yes Partial No NA
4.7 Are first aid boxes inspected & replenished?
Yes Partial No NA
4.8 Is First Aid Room properly maintained, if any?
Yes Partial No NA
4.9 Emergency shower & eyewash provided & in good condition, if any?
Yes Partial No NA
4.10 Are there adequate employees on each shift who are trained in first aid?
Yes Partial No NA
4.11 Are exit routes clearly marked & equipped with emergency lighting?
Yes Partial No NA
4.12 Are evacuation route, procedure displayed & maintained at various locations?
Yes Partial No NA
5. Machinery
INSPECTION GUIDE

5. Machinery
Yes No
5.1 Are dangerous parts of machine guarded eg. rollers, cutters, punch, high voltage?
Yes Partial No NA
5.2 Guards / Safety devices properly adjusted & in good condition?
Yes Partial No NA
5.3 Emergency button unobstructed and safety interlock and sensors tested in order?
Yes Partial No NA
5.4 No spillage of coolant / oil on the floor?
Yes Partial No NA
5.5 Are tools kept in toolbox or designated area?
Yes Partial No NA
5.6 Qualified person engaged for inspection & maintenance?
Yes Partial No NA
5.7 Are lockout device and warning sign used during repair / maintenance work on
machine?
Yes Partial No NA
6. Electrical Safety
INSPECTION GUIDE

6. Electrical Safety
Yes No
6.1 Are plugs, sockets & cables in good condition?
Yes Partial No NA
6.2 No crawling cable at the working area?
Yes Partial No NA
6.3 Cables placed away from sharp edges & wet area?
Yes Partial No NA
6.4 Circuit breakers installed?
Yes Partial No NA
6.5 Are electrical panels enclosed?
Yes Partial No NA
6.6 Are warning signs appropriately displayed at high voltage area?
Yes Partial No NA
6.7 Earthing provided for tools in operation eg. drill, screw driver, disc cutter?
Yes Partial No NA
7. Chemical Safety
INSPECTION GUIDE

7. Chemical Safety
Yes No
7.1 A designated area for chemical storage?
Yes Partial No NA
7.2 Adequate ventilation for chemical storage?
Yes Partial No NA
7.3 Acidic, alkaline and flammable chemical stored separately?
Yes Partial No NA
7.4 All chemical, including chemical waste containers properly labeled and covered?
Yes Partial No NA
7.5 No sign of chemical spills or leakage?
Yes Partial No NA
7.6 Competent person in-charge of the chemical substances?
Yes Partial No NA
7.7 Chemical spill kit for spill/ leakage control provided and in good condition?
Yes Partial No NA
7.8 Unused or waste chemical containers covered?
Yes Partial No NA
7.9 SDS (Safe Data Sheets) kept for each chemical used & are available to staff?
Yes Partial No NA
7.10 No chemicals stored near or above the drains or public/ open water course?
Yes Partial No NA
7.11 No disposal of chemicals into the sink, drain/ sewage unless with authority
approval?
Yes Partial No NA
8. Fumigation Safety
INSPECTION GUIDE

8. Fumigation Safety
Yes No
8.1 Can fumigator explain the 5 Golden Rules on “Fumigation”?
Yes Partial No NA
ANSWER:
1. Always read and follow fumigant label instructions before each and every use.
2. Always protect yourself from exposure to fumigants by using suitable respiratory
protective equipment (RPE).
3. Tasks designated to be carried out by two people must never be carried out by one.
4. Only confirm an environment is 'gas free' after verified by a calibrated digital
equipment.
5. Never try to deal with any emergency where it could endanger your life. Raise the
alarm, evacuate to a safe area and allow emergency services to make the situation safe.
8.2 The fumigator has been properly trained by competent manager and competent
(and licensed where required by local law) to carry out fumigation work?
Yes Partial No NA
8.3 Suitable RPE (Respirator & Cartridge) has been used by fumigator during the
fumigation, and they are in good condition?
Yes Partial No NA
8.4 Suitable Gas detector (e.g. for methyl bromide or phosphine) is available, used
during fumigation, and after fumigation before any gas clearance certification?
Yes Partial No NA
8.5 Fumigation Equipment (gas detector, personal gas monitoring device, SCBA - Self-
Contained Breathing Apparatus, etc) has been regularly inspected internally by
competent person such as fumigation manager/ designated fumigator?
Yes Partial No NA
8.5(a) Indicate the frequency of internal inspection of fumigation equipment checked

during this inspection.
8.6 Fumigation Equipment (gas detector, personal gas monitoring device, SCBA - Self-
Contained Breathing Apparatus, etc) has been regularly calibrated by competent person
such as qualified vendor?
Yes Partial No NA
8.6(a) Indicate the frequency of calibration of the fumigation equipment checked during
this inspection.
8.7 Is the PPE (respirator, cartridge, gloves, goggles etc) used by fumigator regularly
inspected internally and before any use?
Yes Partial No NA
8.7(a) Please indicate the frequency of inspection for the PPE check.
8.8 Phosphine deactivation is carried at a controlled site that is agreed with the
customer, or at a RI site approved by RI and local authority?
Yes Partial No NA
8.9 Fumigant are stored properly at designated, approved storage area, and within the
approved quantity specified by local authorities?
Yes Partial No NA
8.10 Fumigant in the vehicle are properly stored to prevent accidental release/ spillage?
Yes Partial No NA
9. Compressed Gas Safety
INSPECTION GUIDE

9. Compressed Gas Safety
Yes No
9.1 Empty and full gas cylinders properly labeled and stored separately?
Yes Partial No NA
9.2 Valve caps provided during transfer?
Yes Partial No NA
9.3 Stored away from heat sources, electrical areas and have flashback arrestors for
flammable gases cylinders?
Yes Partial No NA
9.4 Stored upright and chained/ strapped to prevent toppling?
Yes Partial No NA
9.5 Regulators used and in good condition?
Yes Partial No NA
9.6 No physical damage on the cylinder?
Yes Partial No NA
10. Pressure Vessels (eg. compressor, boiler)
INSPECTION GUIDE

10. Pressure Vessels (eg. compressor, boiler)
Yes No
10.1 Subjected to examination regularly? Label of last test date & pressure rating
displayed?
Yes Partial No NA
10.2 Is belt drive totally enclosed to cover the front, back, top, and sides?
Yes Partial No NA
10.3 Valves are clean and free from damage?
Yes Partial No NA
10.4 Trained and qualified person in-charge?
Yes Partial No NA
10.5 Area kept clear of combustibles, oil, grease and other chemicals?
Yes Partial No NA
10.6 Any shifting, rusty or loose support brackets for piping supports?
Yes Partial No NA
10.7 Indicating devices eg. pressure gauge & glass, thermometer in good condition?
Yes Partial No NA
10.8 Compressor/ Boiler Room access restricted and labeled Hearing Protection Area?
Yes Partial No NA
11. Employee Work Stations and General Areas
INSPECTION GUIDE

11. Employee Work Stations and General Areas
Yes No
11.1 Are working environment clean & free from known hazards & diseases?
Yes Partial No NA
11.2 Are lighting sufficient for the type of work? Eg. rough, fine work, paper work etc.
Yes Partial No NA
11.3 Are fresh air supply, good ventilation & proper exhaust system provided?
Yes Partial No NA
11.4 Exposure to noise hazards controlled?
Yes Partial No NA
11.5 No overcrowding observed in work area?
Yes Partial No NA
11.6 No slip, trip and fall hazard in the work area?
Yes Partial No NA
11.7 Reduce, reuse and recycling of paper in practice?
Yes Partial No NA
11.8 Power e.g. for lights, air-con, computer are switched off when not required?
Yes Partial No NA
11.9 Recycling practices for other materials eg. plastics, metal observed?
Yes Partial No NA
12. SHE Promotion
INSPECTION GUIDE

12. SHE Promotion
Yes No
12.1 SHE policy, rules, regulations and procedures displayed appropriately?
Yes Partial No NA
12.2 SHE posters / signage displayed appropriately?
Yes Partial No NA
12.3 Staff understands and can explain the SHE Golden Rules well?
Yes Partial No NA
12.4 Staff understands and can explain the relevant Zero Tolerance Policy (ZTP)
completely?
Yes Partial No NA
13. Vehicle & Pedestrians Routes (at RI Premises)
INSPECTION GUIDE

13. Vehicle & Pedestrians Routes (at RI Premises)
Yes No
13.1 Are routes for vehicles & pedestrians clearly marked and safely apart?
Yes Partial No NA
13.2 Are there suitable pedestrian crossing points on vehicle routes where needed?
Yes Partial No NA
13.3 Are there hump, traffic mirrors & signage where needed?
Yes Partial No NA
13.4 Are roads wide enough, avoid sharp / blind bends?
Yes Partial No NA
13.5 Are the roads well constructed, ie. have firm, even surfaces & well maintained?
Yes Partial No NA
13.6 Are the roads and pedestrian walkway free from obstructions & other hazards?
Yes Partial No NA
13.7 Speed Limit sign displayed at the service road around the head office / branch
where appropriate?
Yes Partial No NA
13.8 Road marks eg. arrow signs, yellow lines are clearly visible to road users?
Yes Partial No NA
14. Provisions in the Service Vehicles
INSPECTION GUIDE

14. Provisions in the Service Vehicles
Yes No
14.1 Vehicle Inspection Certificate displayed?
Yes Partial No NA
14.2 Vehicle equipped with adequate First Aid Items?
Yes Partial No NA
14.3 Vehicle equipped with Spill Control Kit, where hazardous chemical substances are
stored?
Yes Partial No NA
14.4 Spill Control Kit in good condition with sufficient items?
Yes Partial No NA
14.5 Vehicle equipped with fresh water supply?
Yes Partial No NA
14.6 Vehicle equipped with extinguisher, especially where hazardous chemical

substances are stored?
Yes Partial No NA
14.7 SDS (Safety Data Sheets) provided in the vehicle?
Yes Partial No NA
14.8 Suitable PPE provided in the vehicles eg. safety goggles, gloves, respirator, safety
harness, high visibility vests?
Yes Partial No NA
14.9 Antidotes provided are properly maintained in the vehicle?
Yes Partial No NA
14.10 Good housekeeping observed in the vehicle?
Yes Partial No NA
15. Vehicles Activities
INSPECTION GUIDE

15. Vehicles Activities
Yes No
15.1 Speed Limit sign displayed at the service vehicle?
Yes Partial No NA
15.2 Are warning signs adequate and sufficient for the road users?
Yes Partial No NA
15.3 Only trained and qualified drivers are engaged to drive the service vehicles?
Yes Partial No NA
15.4 Driver carried with him valid driving license?
Yes Partial No NA
15.5 Does the driver use the designated parking areas?
Yes Partial No NA
15.6 No speeding observed?
Yes Partial No NA
15.7 Driver obeyed traffic rules while working at or near public roads?
Yes Partial No NA
15.8 No black smoke observed from the vehicles?
Yes Partial No NA
15.9 Driver and passenger use seat belt?
Yes Partial No NA
15.10 Motorbike rider is provided with and wore motorbike helmet, gloves and jacket?
Yes Partial No NA
16. Incident Reporting & Investigation
INSPECTION GUIDE

16. Incident Reporting & Investigation
Yes No
16.1 No accident happened in the last month?
Yes Partial No NA
Please indicate the number of Lost Time Accident (LTA) and First Aid (FA) incidents under
the branch.
16.2 No near miss (with no injury) over the last month e.g. vehicular near hit incident?
Yes Partial No NA
Please indicate the number of Near Miss (NM) incidents under the branch.
16.3 No poisoning or illness case affecting person (staff/ customer/ public) due to
exposure to our chemical agents?
Yes Partial No NA
Please indicate the number of poisoning or illness case under the branch.
16.4 No dangerous occurrence?
Yes Partial No NA
Please indicate the number of dangerous occurrence under the branch.
16.5 If any case in 16.1 to 16.4 happens, is the incident report submitted to the Branch
Manager & SHE Manager/ Coordinator ?
Yes Partial No NA
16.6 If any case in 16.1 to 16.4 happens, is the incident investigated?
Yes Partial No NA
16.7 Has corrective / preventive actions been taken to improve the areas/ equipment/
facilities where the incident happen?
Yes Partial No NA
17. Others
17. Others
Please indicate below if there are other hazards or safety concerns identified from the
inspection, but not listed in this inspection checklist.
Signature
Inspection Done By
Person
Name & Signature (click on pen icon to sign): 
Job Title:
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3/3/23, 12:57 PM SHE Inspection-General - SafetyCulture

Date & Time of Inspection: 

Departmental/ SHE SHE Manager/ Branch SHE

Brunei China Hong India Indonesia Korea Malaysia Philippines Singapore T

Inspected By/ Inspection Team (Name, Job Title):

Customer’s Premise Head Office Branch Other

Customer's Company Name:

A. Work Hours & Rest Hours

A. Work Hours & Rest Hours

Technician/ Storeman/ Other RI Personnel

A1 What is your routine work hours per day?

4 hours per day 8 hours per day Other

Please specify in details.

A1.1 What is your number of workdays per week?

6 workdays per week Other

Please specify in details.

A2 Do you carry out overtime (OT) work or night work?

Yes NA, I do not carry out OT or night work

Once a 1-2 times a 2-3 times a

Please specify in details.

A3 How many hours do you usually take to do OT & night work?

1-2 2-3 3-4 4-5 5-6 6-7 7-8

Please indicate the reasons below.

1-2 2-3 3-4 4-5 5-6 6-7 7-8 More

Please specify in details.

1. Answer "Yes", "Partial", "No", "NA" on the questions below.

Is this section applicable to your business?

1.1 Are work areas in clean & tidy state?

1.2 Are floor, aisles, passageways kept clean & dry?

1.3 Are floor holes eg. drains covered?

2. Material Handling & Storage

1. Answer "Yes", "Partial", "No", "NA" on the questions below.

2. Material Handling & Storage

Is this section applicable to your business?

2.1 Workers observed safe manual handling technique?

2.3 Competent persons to operate lifting equipment ?

2.4 Authorised, trained operators for forklifts?

2.6 Lifting gears & safety devices in good order?

2.7 Service tags displayed?

2.8 Proper storage for lifting gears & other accessories?

2.9 Is adequate clearance at passageway where material must be moved?

3. Personal Protective Equipment

1. Answer "Yes", "Partial", "No", "NA" on the questions below.

3. Personal Protective Equipment

Is this section applicable to your business?

3.2 Are workers using the PPE correctly?

3.3 PPE are stored and maintained properly?

1. Answer "Yes", "Partial", "No", "NA" on the questions below.

Is this section applicable to your business?

4.3 Fire fighting equipment maintained & in good order?

4.4 Are all fire fighting equipment free from obstruction?

4.5 Emergency response signage displayed where necessary?

4.6 Are means of escape free from obstruction?

4.7 Are first aid boxes inspected & replenished?

4.8 Is First Aid Room properly maintained, if any?

1. Answer "Yes", "Partial", "No", "NA" on the questions below.

Is this section applicable to your business?

5.2 Guards / Safety devices properly adjusted & in good condition?

5.4 No spillage of coolant / oil on the floor?

5.5 Are tools kept in toolbox or designated area?

5.6 Qualified person engaged for inspection & maintenance?

1. Answer "Yes", "Partial", "No", "NA" on the questions below.

Is this section applicable to your business?