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7/28/2019 Hazard Audit Forms1
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KEMYA MAJOR PROJECTS
AUDIT INDEX
1. WORKING ABOVE GRADE
2. HAND PROTECTION
3. RESPIRATORY PROTECTION
4. MANUAL HANDLING
5. DRIVING
6. POWER AND HAND TOOLS
7. HOUSEKEEPING
8. HYDRAULIC PLATFORMS
9. LADDERS AND STEPS
10. GAS CYLINDERS
11. CRANES
12. EXCAVATIONS
13. CUTTING AND WELDING
14. RIGGING
15. WORK ON SCAFFOLD
16. MOBIL EQUIPMENT
17. MACHINERY
18. SCAFFOLDING
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OBSERVATION CHECKLIST NUMBER 1
WORKING ABOVE GRADE
DATE: LOCATION:
TIME SPENT: OBSERVERS:
CHECK YES NO COMMENT
PEOPLE
- Are they acting safely?- Do they need harnesses?- Are the weather conditions suitable?
WORKING POSITION/PLATFORM
- Is there a record of inspection in
place/current?- Is the platform large enough?
- Is it in the right location?
- Guardrails and toe-boards in place?
- Is the platform near hazardous equipment?
- Is more than one escape route required?
- Is the platform tidy?
- Are there holes in the platform?
- Does the area below need to be roped off?
TOOLS
- Are large tools roped off?
- Can anything fall to grade?
- Is any pulley systems safe?
- How are materials/tools lifted up?
LADDERS
- Are the rungs and stiles in good
condition?
- Are the feet/top secure?
- Does the ladder extend above the
platform?
MOBILE PLATFORMS
- Is grade level/firm?
- Is height to base ratio correct?
- Are the wheels locked?
- Are guardrails and toe-boards in place?
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OBSERVATION CHECKLIST NUMBER 2
HAND PROTECTION
DATE: LOCATION:
TIME SPENT: OBSERVERS:
CHECK YES NO COMMENT
PEOPLE
- Are they positioned correctly?
- Can they see both hands?
- What is the left hand doing?
- What is the right hand doing?
- Do they need assistance?
-Are they wearing gloves?
TOOLS- Do they need one?
- Is it right for the job?
- Is it in good condition?
- Is it being used properly?
HAZARDS- Is there a puncture hazard?
- Is there a cutting hazard?- Is there a trapping hazard?
- Is there a crushing hazard?
- Is there an electrical hazard?
- Is there a chemical hazard?
- Is there a temperature hazard?
- Can the hazard be minimized?
GLOVES
- Are they the right type?
- Are they in good condition?
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Aluminized AsbestosChain MeshKevlarCottonLeather (thin)Leather (thick)PVC
Neoprene
NeopreneNitrile
for heat resistance.
for knife cut protection.
for cut protection.
for general purpose.
for rough work.
for heat protection.
for Acids/Alkalis.
for oil work.
for Hydrofluoric Acid
for solvent and lube oil.
OBSERVATION CHECKLIST NUMBER 3
RESPIRATORY PROTECTION
DATE: LOCATION:
TIME SPENT: OBSERVERS:
CHECK YES NO COMMENT
PEOPLE
- Are they trained?
- Are they certified for this work?
- Are they confident with using the
equipment?
- Is a confined space permit required?
- Is the permit in place?
EQUIPMENT/SELECTION
- Risk from smoke and fumes?
- Risk from lack of oxygen?
- Risk from toxic gas?
- Risk from dust?
- Risk from chemical vapour?
- Are they using the right type?
EQUIPMENT CONDITION
- Facepiece OK?
- Filter correct?
- Hoses and connections OK?
- Harness OK?
- Checklist completed?
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HAZARD MINIMISATION
- Is a safety standby required?- Is safety standby in place?- Is rescue equipment available?- Is log in/out sheet being used?- Is gas/oxygen monitor required?
OTHER DANGERS
- Is visibility restricted?
- Is escape route clear?
OBSERVATION CHECKLIST NUMBER 4
MANUAL HANDLING
DATE: LOCATION:
TIME SPENT: OBSERVERS:
CHECK YES NO COMMENT
PEOPLE
- Do they need to manhandle it?
- Do they know the weight of the load?
- Do they need assistance?
- Have they a secure grip on the load?
- Can they see where they are going?
- Are they wearing protective clothing -
i.e.: Gloves & Safety Footwear ?
- Are they lifting correctly:Straight back,
knees bent ?
- Have they room to maneuver?
- Are there any obstructions on the route?
THE LOAD
- Is it suitable for manual handling?
- Have sharp edges been removed or
covered?
- Is it too hot/cold?
- Is it free from contamination?
- Is it stored in a safe place?
- Does it have a Hazchem label?
- Are there any special storage rules?
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Wheel barrows /Trolleys /Dolly
- Is equipment suitable for the task?
- Are the ground conditions suitable?
- Are there any ramps or inclines, are they
safe?
- Is the equipment under control at all times
(wont run away)?- Is the equipment in a good serviceable
condition?
OBSERVATION CHECKLIST NUMBER 5
DRIVING
DATE: LOCATION:
TIME SPENT: OBSERVERS:
CHECK YES NO COMMENT
PEOPLE
- Wearing seat belts?
- Obeying speed limits?
- Reverse parking?- Obeying road signs?
- Correct signals?
- Dipped headlights?
- Cut corners?
- Considerate to others?
- Drove past road barrier?
- Have they been assessed?
- Do they possess a current Driving Permit?
VEHICLES
- Tyres in good condition?- Generally clean and tidy?
- Windscreen and windows clean?
- Exhaust system sound?
- Lights in working order?
- Load secure?
- Suitable towing hook?
- Indicators faulty?
- Is it suitable for the ground conditions?
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AREA
- Is a permit required?
- Is the vehicle causing an obstruction to
plant or safety equipment?
- Correctly parked?
- Obscuring vision at road junction?
OBSERVATION CHECKLIST NUMBER 6
WORKING WITH POWER AND HAND TOOLS
DATE: LOCATION:
TIME SPENT: OBSERVERS:
CHECK YES NO COMMENT
PEOPLE
- Have they selected the correct tool for the job?
- Are they using the tool correctly?
- Are they wearing the correct protective
equipment?- Have they the skills to use the tool?
- Do they need further training?
- Do they recognize the hazards related to the tool?
- Do they need a permit?
- Did they disconnect the power supply prior to
changing the cutting/operating bit?
- Are they working aloft? If so are the tools secure
from falling?
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TOOLS
- Are they in good working order?
- Do the safety devices work?
- Has the guard been removed?
- Is the hose connection sound?
- Has the electric cable insulation been damaged?
- Has the service period expired?- Is the vice/holding jig secure?
- Is the hammerhead loose?
- Are the handles free from splinters?
- Is the spanner/wrench the correct type/size?
- Is the abrasive wheel suitable for the machine's
speed?
- Are the appropriate regulations displayed?
- Is the cleaning tank labeled with cleaning agent
and any hazard?
LOCATION
- Is the area free from clutter?
- Is the lighting adequate?
- Are there any tripping hazards?
- Have spills been cleared up?
- Are any temporary hazards roped off?
- Are passers-by protected by screens?
OBSERVATION CHECKLIST NUMBER 7
HOUSEKEEPING
DATE: LOCATION:
TIMESPENT:
OBSERVERS:
CHECK YES NO COMMENT
PEOPLE
- Are their work areas tidy?- Are they obstructing other people?
- Did they clean up after job completion?
- Have they returned tools and unused spareparts?
LOCATION
- General appearance of area?- Lighting satisfactory?
- Unused pieces of equipment cluttering
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area?
- Oil spills or contamination?
- Scaffolds/Excavations taped or clearly
marked?
- Areas under scaffolds - free from
combustibles?
- Drums stored correctly?
- Gas cylinders stored correctly and secured?
- Is access open to fire hydrants/ monitors?
- Are walkways clear?- Buildings - Fire Exits locked or blocked?
- Sub-Stores contents free from
contamination/neatly stored?
- Chemicals/hazardous materials clearly
labeled?
- Waste Bins overfull?- Rigging equipment hung up where
possible?
VEHICLES- Windows clean?- Cab Tidy?
- Exterior OK?- Lights and indicators clean? (NB. check
rear lights)
OBSERVATION CHECKLIST NUMBER 8
J.L.G. (MANLIFT) HYDRAULIC PLATFORMS
DATE: LOCATION:
TIME
SPENT:
OBSER
VERS:
CHECK YES NO COMMENT
PEOPLE
- Has the operator been trained for this size
of JLG?
- Is he wearing a safety harness?
- Should he have a safety standby?
- Can he see all around the vehicle from the
job location?
- Does he know what to do in an
Emergency?
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LOCATION
- Is a permit required?
- Lighting satisfactory?
- Are ground conditions suitable?
- Any overhead hazards -Electrical
lines/Obstructions?
- Can the Operator be removed in anEmergency?
EQUIPMENT
- Are the warning/instruction signs in good
condition?
- Is the rated capacity exceeded?
- Is the platform supporting plant
equipment?
- Are the check plates and hand holds free
from oil/grease?
- Is the machine stable?
- Is it fitted with a spark arrestor?
OBSERVATION CHECKLIST NUMBER 9
PORTABLE LADDERS AND STEPS
DATE: LOCATION:
TIMESPENT:
OBSERVERS:
CHECK YES NO COMMENT
PEOPLE
- Are the Ladders/Steps suitable for thejob?
- Have they been examined for defectsprior to use?
- Is the ladder secured (top & bottom)?- Is there more than one person on the
ladder?
- Have they spliced or lashed ladders
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together?
- Are they working from a ladder with both
feet on the rungs and a secure handhold?
- Are they working from steps higher than6 feet?
- If near moving vehicles, have barriersbeen erected?
- If near a door, have they secured thedoor?
EQUIPMENT
- Is a timber ladder painted?- Any undue wear or movement in the
rungs?
- Metal tie-rods correctly positioned?
- If extension ladder, is there a 4-rung
overlap?
- Is it free from oil?
- Is ladder at approx. 70 to the horizontal(4 in 1)
- Any makeshift repairs?
- Wooden steps - hinges sound and screws
tight?
LOCATION
- Does the ladder extend at least 3'6"above the landing place or the highestrung to be reached by the feet of theuser?
OBSERVATION CHECKLIST NUMBER 10
GAS CYLINDERS
DATE: LOCATION:
TIME
SPENT:
OBSER
VERS:
CHECK YES NO COMMENT
PEOPLE
- Have they secured the cylinders correctly?- Did they shut off the cylinders after use?
- Did they use a proper valve key?
- Are they rolling cylinders along the floor?
- Are they lifting it with a sling?
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- Is it being lifted using a cradle?
- Do they know what to do in an
emergency; i.e. -Leaking cylinder?Leaking and on Fire?Hot cylinder - no fire?Flashback ?
Frozen regulator or valves?
EQUIPMENT
- Are the oxygen and gas cylinders storedseparately?
- Are they protected from direct sunlightand heat?
- Empty cylinders of different gasessegregated?
- All connections are free from oil andgrease contamination?
- Hoses are free from defects?
- Flashback arrestors are fitted?- Hoses in use are not wrapped around the
cylinders?
OBSERVATION CHECKLIST NUMBER 11
CRANES
DATE: LOCATION:
TIMESPENT:
OBSERVERS:
CHECK YES NO COMMENT
PEOPLE
- Is the Plant Operating Crew aware of theplanned lift?
- Has a lifting plan been approved?
- Have the crane driver and rigger
discussed the lift?
- Any overhead obstructions?
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- Is their sufficient clearance for the lift?
- Is there a permit for the crane?
- Is it clear who is controlling the lift?
- Are the signals understood?
- Is the Driver at the controls when the
load is suspended?
LOCATION
- Have underground checks been madeunder the outriggers?
- Lifting zone barriered off?
- Clearance around the
counterweight/barriered off?
- If lifting over live plant, has risk analysis
and procedure been carried out /
approved?
- Are there any slew limitations?
EQUIPMENT
- Has Crane Inspection Register been
signed for the current week?
- Has overrun protection and a spark
arrestor been fitted?- Is rigging equipment registered and
within date?
- Are there any sharp edges cutting into
the slings?
- Should a load spreader have been used?
- Are the limit switches working?
OBSERVATION CHECKLIST NUMBER 12
EXCAVATIONS
DATE: LOCATI
ON:
TIMESPENT:
OBSERVERS:
CHECK YES NO COMMENT
PEOPLE
- Do they have a permit?
- Are they wearing correct protective
clothing?
- Have they erected barriers?- Do they have adequate means of
ascent/descent?
- Do they know the locations of
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underground services?
- Do they know what to do in an
Emergency/gas alarm?
- Are warning lights provided?
EXCAVATION
-Is general housekeeping adequate?
- Is excavation adequately shored? Orsloped
- Does the shoring project 18" above levelof excavation?
- Have exposed lines or cables beensupported?
- Is steel bridging in use where traffic is
present?
PERMITS/PROCEDURES
- Is the permit correctly filled in?
- Have checks for underground servicesbeen carried out, and markerspositioned?
- Have steps been taken to safeguardpersonnel and to protect adjacentequipment?
- Is there a need to monitor gas and
ventilation levels?
- Are special conditions being adhered to?
- Is the excavation registered in the control
room?
OBSERVATION CHECKLIST NUMBER 13
WELDING AND BURNING
DATE: LOCATION:
TIMESPENT:
OBSERVERS:
CHECK YES NO COMMENT
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PEOPLE
- Do they have the correct and valid permit?- Have they ensured that sparks will be
contained?
- Do they understand what to do in an
emergency?
- Have they the appropriate protective clothing?
-Are they using an exhaust ventilation system?
- Are they wearing respiratory protection?- Have they erected screens to protect others?- Are they competent to do the job?
- Did they turn off the bottles when leaving the
job?
- Are they working in a confined space?
EQUIPMENT
- Are the leads/hoses obstructing access ways?
- Flashback arrestors fitted?
- Hoses in good condition?
- Are hoses coiled around the cylinders?
- Hose clips in good condition?
- All hose connections tight?
- Welding cable connectors sound?
- Good earth connection made?
- Fire extinguisher within reach?
LOCATION
- Have drains been covered or sanded down?
- Are there any combustibles under the working
position?
- Is there adequate means of escape?
- Has the equipment to be welded or burnt beenadequately prepared (gas freed)?
OBSERVATION CHECKLIST NUMBER 14
SLINGS, SHACKLES AND EYE BOLTS
DATE: LOCATION:
TIMESPENT:
OBSERVERS:
CHECK YES NO COMMENT
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PEOPLE
- Are they competent in sling selection?
- Do they know the safe working load of the
slings?
- Have they ascertained/estimated the weight
of the load?
-
Did they examine the sling for defects?- Have they protected the sling from damage
by sharp edges/ corners on the load?
- Do they know the effect of sling angle on the
load?
- Have they been trained to use the
equipment?
- Have they a proper storage method to
safeguard the slings from damage?- Are they wearing gloves?
- Should they be using a Tag line to guide the
load?
EQUIPMENT
- Are the shackles/eye bolts etc in good
condition and being used correctly?
- Is the lifting equipment due for testing?- Is the SWL clearly marked?- Any broken wires?- Is the equipment suitable for the lift?- Are slings secure on the hooks?- Is the load secure?- Have the slings been in contact with
corrosive substances?
- Are the slings webbing/nylon?- Have they any defects?- Have they been exposed to high
Temperatures?
- Is the hook fitted with a safety clip?
- When two or more slings are used are they
of the same material?
- Does the load need special protection?
OBSERVATION CHECKLIST NUMBER 15
WORKING OFF SCAFFOLDING
DATE: LOCATION:
TIMESPENT:
OBSERVERS:
CHECK YES NO COMMENT
PEOPLE
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WORKINGPOSITION/PLATFORM
- Is the scaffold complete and all the
components in place?
- Is there a record of inspection?
- Is suitable ladder access provided?
- Are there loose or surplus materials on the
platform?
- Is the scaffold suitable for the purpose?
- Are there any holes in the platform?
TOOLS
- Are large tools roped off?
-Can anything fall to grade?
- Are the pulley systems safe?
- How are materials/tools lifted up?
LADDERS
- Are the rungs and stiles in good condition?
- Are the feet/top secure?
- Does the ladder extend above the platform?
- Is the ladder tied off?
MOBILE PLATFORMS
- Is grade level/firm?
- Is height to base ratio correct?
- Are the wheels locked?
- Are guardrails and toe-boards in place?
OBSERVATION CHECKLIST NUNBER l6
MOBILE EQUIPMENT
DATE: LOCATION:
TIME SPENT: OBSERVERS:
CHECK YES NO COMMENT
ROADWORTHINESS
- Tyre pressure and condition?
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- Towing assembly satisfactory?
- Lights and reflectors OK?
- Side panel clips secure?
OPERATIONAL SAFETY
- General condition OK?
-Site inspection sticker required?
- Fuel system safe? Leaking?
- STOP button operational and clearlymarked?
- Chalwyn valve fitted and operational?
- Spark arrestor fitted and operational?
- Combustible materials close to exhaust?- Air tank and pipes rusted?
- Oil spills or contamination?
- Is Owner identified?
- Where is equipment refueled?
- Fan belt condition OK?
- Fire extinguisher fitted?
ELECTRICS
- Wiring frayed?- Battery connections tight?
- Battery clamps secure?
- Are external power cables in good
condition?
- Fuses fitted and correct rating?
OBSERVATION CHECKLIST NUMBER 17
MACHINERY
DATE: LOCATION:
TIME SPENT: OBSERVERS:
CHECK YES NO COMMENT
LOCATION
- General location satisfactory?
- Does operator have sufficient access?
- Is it obstructing other people/machinery?
- Are walkways clear of tools, spares,
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materials etc?
MECHANICAL CONDITION
- General condition OK?
- Lighting satisfactory?
- Any makeshift repairs?
-
Oil spills or contamination?- Correct tools?
- Guards in place?
- Are basic operating instructions shown
on the machine?
- Procedural/safety notice displayed?
- Tool condition OK?
- Electrical fail-safe device fitted and
operable?
- STOP button operational and clearly
marked?
- Fusebox/main switch accessible and
clearly labeled?- Correct fire extinguisher nearby?
- Other safety devices fitted are
operational?
- Workpiece safely located?
- Goggles provided?
- All guards in place?
OPERATION
- Being correctly used?
- Operator fully trained?
-
Switched off when not in use?- Waste Bins overfull?
- Swarf cleared away
- Goggles provided?
OBSERVATION CHECKLIST NUMBER 18
SCAFFOLD STRUCTURE
DATE: LOCATION:
TIME SPENT: OBSERVERS:
CHECK YES NO COMMENT
LOCATION
- Are walkways, valves, plant or
equipment clear and unrestricted?
- Can the ground or structure support the
scaffold weight?
- Is the access to the working platform free
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of obstruction?
- Is the scaffold Tag/inspection record
current and displayed?
STRUCTURAL CONDITION
- Base boards and base plates supplied and
properly bedded?- Standards and ledgers level and secured
with 90 couplers?
- Transoms correctly spaced and secured?
- Joints in standards and ledgers staggered
no adjacent joints in same bay?
- Platforms fully decked boards correctly
supported?
- Structure properly braced braces at the
correct angle?
- Toe-boards on all working lifts?
- Guardrails at correct height?
-Ladders properly footed and at correctangle and securely tied?
- Ladder extends more than 1-meter (5
rungs) above landing?
- Platforms free of scrap and surplus
materials?
- Is the work platform at the correct height
for the task?
- Is the structure stable and physical ties in
place?
- Is the structure suitable for the load?
- Is the scaffold a specialist structure, are
Design calculations require?