Petro Rabigh II

Camp Facility Inspection Checklist

Facility Location : ____________________________________ Date of Audit : __________________

Facility In-Charge : ____________________________________ Auditing Dept : HSE Department

TYPE OF AUDIT: Regular Complaint Follow-up Survey

This applies to all Samsung Subcontractors camps and facilities.

Y – YES N – NO (Needs Correction)

SN ITEM Yes No REMARKS

1.0 GUARDHOUSE/WATCHMAN SHELTER

a. Clean? Maintained?
b. Telephone set in good condition?
c. Emergency telephone numbers posted? Readable?
d. Visitor record book provided?
e. Fire emergency alarm system in good condition? Fire
extinguisher?
f. Lighting sufficient (Outside and inside)?
2.0 BUILDINGS AND DORMITORIES
a. Perimeter housekeeping maintained?
b. Entrance, exits, hallways, corridors, stairways not obstructed?
Well lighted?
c. Emergency lighting system provided?
d. Fire protection provided?
e. Building condition maintained in good repair? (Wall paints,
lighting, window screens etc.)?
f. Free of insects, rodents, etc.?
g. Occupancy as per standard? Not overcrowded?
3.0 TOILETS, LAVATORY, URINALS, SHOWER BLOCKS
a. Clean, sanitized, free of objectionable odour?
b. Properly ventilated? Exhaust fan provided?
c. Toilet accessories (Ablution hoses, etc.) provided on each cubicle?
d. Hot and cold water provided? Water closets in good condition?
e. Shower curtain complete?
f. Doors and windows are in good condition?
g. Floor non-slippery/proper drainage? Walls clean?
4.0 LAUNDRY FACILITIES
a. Clean? Maintained?
b. Centralized (Free –services)?
c. Well ventilated?
d. Well lighted?

Inspection Monitoring Programme SECL-MP-7-022

 HSE Measurement Plan
Camp Facility Inspection Checklist

SN ITEM Yes No REMARKS

5.0 RECREATIONAL FACILITIES

a. Clean? Maintained?
b. Sufficient space? Chairs/tables provided?
c. Emergency Exit provided? Properly lighted?
d. Emergency lighting provided?
e. TV/VCR/Dish Antenna provided?
f. In-door games sufficient?
g. Fire protection provided?
h. Ash-trays available?
i. Separate toilets provided? Clean/maintained? Ventilated?
6.0 MESS HALL/DINING
a. Clean/Sanitized? Floors and walls free of dirt? Free of flies
etc.?
b. Properly lighted? Emergency lighting system provided?
c. Well ventilated?
d. Fire protection provided?
e. Flies electrocution devises provided?
f. Furniture, chairs, tables in good condition?
g. Food waste disposal maintained?
h. “No Smoking” signs posted?
i. Gas storage tanks outside the building?
j. Sufficient washbasins/water closets provided?
k. Detergents/soap provided in dispenses?
l. Paper towel provided with dispenser?
m. Food trays, others sanitized? Air-dry?
7.0 POTABLE WATER SYSTEM
a. Water from approved source? In approved/clean container?
b. Sufficient supply?
c. Filling in-let and discharge out-let of water storage tanks
properly enclosed?
d. Cleaning of tanks conducted periodically? Records available?
8.0 WASTE/GARBAGE DISPOSAL
a. Disposal of garbage done regularly? No objectionable odour,
attraction of insects, rodents?
b. Area location proper? Garbage containers lined with plastic?
c. Lugar buckets in acceptable distance from occupancy?
9.0 FIRE FIGHTING FACILITIES
a. Fire extinguishers sufficient? Alarm in good condition (If any)?
b. Emergency plan ready? Occupants aware?
c. Fire hose cabinets provided? Water pressure sufficient?

Inspection Monitoring Programme SECL-MP-7-022

 HSE Measurement Plan
Camp Facility Inspection Checklist

Remarks (Further Information)

Overall Condition: Excellent Satisfactory Unsatisfactory

Good Less satisfactory Hazardous

Names & Signature of

Audit Team Members Concurred by:

__________________________
Camp In-Charge
__________________________

Inspection Monitoring Programme SECL-MP-7-022