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Inspected by:
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Date of inspection
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Date of Report
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Report #
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Pages
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Area Manager:
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Area Inspected:
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General
This EHS Workplace Inspection was conducted by:
Scope of the Inspection:
Write what is covered
and what¶s not.
Inspection Observations:
(Write the inspection observations and recommendations
here)
Summary / Inspectors' Comments
Your comments and suggestions regarding improvements to the above areas or the inspection process would also be much appreciated.
Code for Checklist:
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O
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=
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Observation, i.e. observed during
the audit
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R
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=
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Rectified immediately
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N/A
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=
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Not applicable or not observed / not covered
at this audit
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DR
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=
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Deviation Report
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Use Risk Assessment Matrix on Page 6 of Inspection Checklist
to document and rate identified hazards
WORK ENVIRONMENT
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Item
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Code
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Comments
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Is lighting adequate for the tasks
completed?
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Is the noise level
too high / hearing protection in place
if required?
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Is appropriate PPE easily
available for tasks
if required?
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Is thermal comfort satisfactory?
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Is the layout of the areas
satisfactory?
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Is there safe access
/ egress?
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Are floor surfaces adequate for the tasks
completed?
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Are there dusts / fumes
/ odours?
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Is there a confined space within
the area? Does it require entry?
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Is there pallet racking / are they inspected regularly?
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Other Comments
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WORK ORGANISATION
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Item
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Code
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Comments
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Does the workflow look
right and allow
smooth task completion?
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Is the right equipment available for the job?
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What is the rate of work?
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Does the operator
work
alone?
If
so,
are
there
additional
communication measures in place?
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Are jobs rotated regularly?
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Other Comments
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FIRE AND EXPLOSION HAZARDS
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Item
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Code
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Comments
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Are flammable materials used
in the area?
If so are there
adequate precautions / controls?
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Are there potential sources of ignition within
the work area?
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Are extinguishers in place
with appropriate signage
& clearly
marked for type of fire?
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Have extinguishers been
recently serviced?
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Do employees know location of extinguishers?
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Do employees know location of exits and
evacuation procedure?
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Are there adequate direction notices, evacuation maps
and signs
for Fire Exits?
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Do exit doors easily
open from inside?
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Are exits clear of obstructions?
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Are evacuation instructions available and displayed?
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Other Comments
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ELECTRICAL HAZARDS
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Item
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Code
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Comments
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Are there broken plugs,
sockets or switches?
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Are there frayed or damaged or strained leads?
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Are there temporary leads
on floor?
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Is there water or water sources
near electrical equipment?
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Is it possible to touch live
conductors?
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Are emergency stops visible
/ marked and tested
regularly?
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Are emergency stops easily
accessible from operating positions?
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Are all electrical cabinets marked appropriately?
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Are electrical leads tagged?
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Can the electrical supply
be easily isolated?
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Other Comments
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MECHANICAL / MOVING MACHINERY HAZARDS
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Item
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Code
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Comments
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Could there be entanglement injuries?
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Could there be crushing / shearing injuries?
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Could there be cutting
or stabbing injuries?
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Are all moving parts,
pinch points, nip points, etc.
guarded?
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Are all guards in good condition and interlocked?
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Are interlocks working properly?
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Are all pipes labelled?
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Are all controls and switches clearly labelled?
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Are there obvious water,
steam or compressed air leaks?
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Does it take some
time for machine
components to stop?
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Does it take some
time for air to be dumped?
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Other Comments
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BURN HAZARDS
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Item
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Code
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Comments
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Are all hot pipes
lagged or guarded?
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Are all hot machine
surfaces guarded &
identified through
signage?
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Other Comments
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ERGONOMIC AND MANUAL HANDLING
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Item
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Code
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Comments
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Are controls easily accessible?
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Is adequate lifting equipment available if required and staff trained
in correct use?
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Are no static / awkward positions required or maintained for
prolonged periods?
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Have seating / displays / ergonomics been designed to
accommodate different demographics and
minimise stress / error?
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Are there repetitive body movements required?
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Is there no repetitive reaching / pushing / pulling / bending /
twisting / reaching over or arm raising required?
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There is no excessive vibration /
friction?
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Do working positions appear
comfortable?
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Other Comments
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Item
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Code
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Comments
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Is there adequate illumination for tasks?
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Is there direct or reflected glare?
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Are light fittings clean
and in good
condition?
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All light switches working correctly and positioned appropriately?
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Are there energy saving
practices / equipment in place?
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Other Comments
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HAZARDOUS SUBSTANCES
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Item
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Code
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Comments
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Do employees know where
to access MSDS?
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Do employees know how to dispose of used chemicals and
containers?
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Are there sharps / appropriate disposal containers readily
available?
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Are all containers clearly labelled?
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Is storage suitable for different chemical types?
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Are chemicals of incompatible classes stored separately?
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Are cabinets located more
than 3 metres
from ignition sources?
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Is appropriate PPE available and worn by employees?
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Is there appropriate ventilation?
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Is there an emergency shower / eye shower? Are they tested?
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Other Comments
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FIRST AID
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Item
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Code
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Comments
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Are employees aware of location of First Aid kits / rooms?
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Do employees know first
aid / emergency procedure?
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Are cabinets and contents clean, orderly and
adequately stocked?
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Other Comments
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SLIP TRIP AND FALL HAZARDS
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Item
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Code
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Comments
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Are surfaces even ± No cracks,
holes, frayed carpet
or other trip
hazards?
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Are floor surfaces slippery?
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Are walkways adequately lit and clearly marked?
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Are walkways unobstructed?
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Are stairways fitted with
handrails and grip
tape if needed?
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Is there unobstructed vision
at intersections, stairs
and risers?
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Is the housekeeping standard good?
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Is there adequate fall
protection for high
work?
|
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Is work required at heights or in areas
with limited / confined
space?
|
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Other Comments
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WASTE HANDLING
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Item
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Code
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Comments
|
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Are appropriate bins available for various waste
types?
|
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Is waste separated for recycling where
possible?
|
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Is waste removed / emptied regularly?
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Other Comments
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EHS MANAGEMENT SYSTEM
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Item
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Code
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Comments
|
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Are employees aware of EHS policy?
|
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Do employees know how to identify and report a EHS hazard?
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Is there a recognised supervisor for the area / plant?
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Are there SOPs for the plant
/ equipment?
|
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Have employees been trained
in the use of the plant / equipment?
|
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Do employees know who their EHS Committee member
is?
|
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Other Comments
|
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HAZARD IDENTIFIED
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LIKELIHOOD
Very likely Likely Unlikely
Very Unlikely
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SEVERITY
Kill or disable
Several days off First aid
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Risk
Level
1 - 6
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Risk Controls
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