HSE AUDIT CHECKLIST








Company Name
Q.A  Department
HSE AUDIT CHECKLIST
\Form No.
Revision No.: “0”
Issue Date:



                                       Compliance Item:                      √ = compliance    X = non  compliance   blank = not applicable                                         Frequency: Annually
Sr. #
Checklist
Status
Comments
A)    HOUSEKEEPING
1.        
Floors, cleaning & condition




2.        
Cleanliness of windows & serviceability




3.        
Cleanliness of work benches




4.        
Tidiness of work areas




5.        
Cleanliness of storage areas




6.        
Tidiness of rest areas




7.        
Provision of waste disposal




8.        
Adequacy of ventilation




9.        
Passageways free from obstruction (No slippery area)




10.     
Exits - accessibility & marked




11.     
Adequacy of suitable lighting




12.     
Adequacy of warning signs




B)    FIRE PROTECTION
  13.
Fire equipment - serviceability




14.
Fire equipment - adequacy




15.
Fire equipment - accessibility




16.
Storage of flammable materials




17.
Operation of fire escape facilities






                                       Compliance Item:                      √ = compliance    X = non  compliance   blank = not applicable                                         Frequency: Annually
Sr. #
Checklist
Status
Comments
18.
Accessibility & adequacy of fire escapes




19.
Employees aware of correct use of equipment




20.
Fire Warning/No smoking signs




21.
Emergency drills - practice




C)    PERSONAL PROTECTIVE EQUIPMENT
 22.
Eye protection (Goggles etc.)




23.
Hearing protection




24.
Regular monitoring of areas Noise




25
Face shields




26
Protective clothing availability/condition




27
Safety shoes, glasses, Safety gloves, ladder, safety belts & helmets




28
Respirators accessibility & serviceability




29
Safety Installations (deluge showers , eye wash stations ) adequacy / operation




D)    ELECTRICAL EQUIPMENT
30.
Serviceability of light fittings




31.
Adequacy of lighting




32.
Serviceability & adequacy of power outlets/leads




33.
Machines with proper earth




34.
Accessibility of main switch/circuit breakers




35.
Labeling of switches/fuses/circuit breakers





                                       Compliance Item:                      √ = compliance    X = non  compliance   blank = not applicable                                         Frequency: Annually
Sr. #
Checklist
Status
Comments
36.
Electrical shock resuscitation drill, notices instructions




37.
Storage of electrical equipment




38.
Electrical drawings available




39.
Proper protection of Electrical Instruments




E)    MACHINERY
40.
Adequacy of guards




41.
Operating controls protected from inadvertent operation




42.
Hazard areas clearly defined




43.
Flying object protection




44.
Regular cleaning & record




45.
Safety notices clearly displayed




46.
Competence of operators




47.
Adequacy of guards over critical areas




48.
Emergency Safety Switch accessible




49.
User manuals available




50.
Regular preventive maintenance of machines




F)     STORAGE AREAS
51.
Accessibility to storing areas




52.
Condition of shelves & cupboards




53.
Condition of lifting & stacking aids





                                       Compliance Item:                      √ = compliance    X = non  compliance   blank = not applicable                                         Frequency: Annually
Sr. #
Checklist
Status
Comments
54
Ventilation and cleanliness




55.
Lighting and ventilation in storage areas




56.
Condition of items in storage areas (shelf life)




57.
Isolation & Labeling of hazardous chemicals




58.
Warning signs displayed




59.
Chemicals/flammable stored correctly




G)    LIFTING DEVICES AND CRANES
60.
Condition of ropes, hawsers, slings, chain pulley & hooks 




61.
Labeling of load rating (in metric units)




62.
Competence of operators




63.
Clear ways and load movements control




64.
Safety helmets in use




H) FIRST AID AND HYGIENE
65.
First aid kits, availability and condition




66.
Change room cleaning & adequacy for all workers




67.
Regular medical checkup




68.
Clothing storage




69.
Cleanliness of eating area




70.
Provision of contaminated material bin




71.
Is there a trained first aider






                                       Compliance Item:                      √ = compliance    X = non  compliance   blank = not applicable                                         Frequency: Annually
Sr. #
Checklist
Status
Comments
72.
Proper ventilation in ablution




H)    GENERAL
73.
Availability of Company Safety Policy




74.
Safety posters & warning signs




75.
Condition & availability of personal protective notices.




76.
Zoning of noise or other hazard areas




77.
Emergency procedures and drill




78.
List of emergency phone numbers displayed




79.
General consciousness of personnel to safety




80.
Effluent testing being conducted especially COD & BOD




81.
Are accidents reported and recorded & Vehicle available for person deputed for night shift mishap




82.
Animal house/  Pyrogen lab. away from building




83.
Cleaning of pre-filters and record maintained




I)       GROUNDS AND BUILDINGS
84.
Free of refuse, scrap, overgrown vegetation




85.
Stairs and handrails soundly constructed




86.
Do doors open outwards




87.
Entrances, emergency exits, roadways kept clear




88.
Does everyone have clear access to an exit





                                       Compliance Item:                      √ = compliance    X = non  compliance   blank = not applicable                                         Frequency: Annually
Sr. #
Checklist
Status
Comments
89.
Fumigation of plant & surrounding areas




90.
Are floors free from tripping hazards




91.
Electrical, service pipes & sewerage drawings available




92.
Service pipes lines properly protected, labeled & identified with color scheme 






Checked By:
Reviewed By:
Verified By:                           

QA OFFICER  

QA Manager_    

QA / QC  MGR___            




PLANT MANAGER: 
Approved By

No comments:

Post a Comment