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Hse Checklist Format

The document is an HSE audit checklist designed to assess compliance with health, safety, and environmental standards at a worksite. It includes various checkpoints across categories such as risk assessment, manpower deployment, personal protective equipment, and emergency preparedness. Each section requires a compliance status of YES, NO, or NA to ensure all safety measures are adhered to by the vendor and workmen on site.

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0% found this document useful (0 votes)
85 views10 pages

Hse Checklist Format

The document is an HSE audit checklist designed to assess compliance with health, safety, and environmental standards at a worksite. It includes various checkpoints across categories such as risk assessment, manpower deployment, personal protective equipment, and emergency preparedness. Each section requires a compliance status of YES, NO, or NA to ensure all safety measures are adhered to by the vendor and workmen on site.

Uploaded by

nitebhawsar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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HSE AUDIT CHECKLIST

Site Name & Location : Date & Time :

Vendor Name : No of Workmen Deployed :

S. NO. CHECK POINTS COMPLIANCE STATUS

RISK ASSESSMENT & ONSITE DOCUMENTATION YES / NO / NA


1 Is the project prestart inspection checklist completed?
2 Is there HSE Management plan & Risk Assessment available on site?
3 Is workplace inspections by RRL - EIC and equipment HSE inspection carried out?
4 First Aid & Near Miss Record Maintained?
MANPOWER DEPLOYMENT YES / NO / NA
1 Have the dedicated Engineer/supervisor deployed by vendor for site?
2 Have pre-employment medical examination done for all the workmen deployed at site?
3 Are HSE induction conducted for all workmen & staff and record maintained?
4 Is daily toolbox talk been conducted and signed by all personnel involved in the task?
PERSONAL PROTECTIVE EQUIPMENTS YES / NO / NA

1 Are all people on site wearing the mandatory & Job Specific personal protective equipment?
2 Are the PPEs inspected and maintained as per the manufacturer(s) recommendations?
HSE PROMOTION & WELFARE EMINITIES YES / NO / NA

1 Mandatory Display of Shock Treatment and First Aid Chart in English and Local Language provided?

2 HSE Awareness Poster & Slogan and Emergency Contact No. displayed at site?
Are welfare facilities e.g. urinals/toilets and canteen/drinking water, adequate and are they kept clean?
3

4 Are the facilities equipped with hand wash facility and Sanitiser availale at site?
ELECTRICAL SAFETY YES / NO / NA

1 Is licensed electrician deployed by vendor for handling electrical connections / maintenance?


Is there a provision of industrial electrical distribution board with 30 mA RCCB, industrial plug - top and male
2 / female connector provided?
No domestic wooden/PVC electrical board/junction box shall be allowed.
3 Are double insulated electrical cable used for construction power supply and electrical cable routed properly?

4 Are the distribution board and other equipments earthed properly?


Is site illuminated adequately?
5
Are lamps for general illumination protected against breakage?
6 Is rubber mat provided infront of electrical panel/boads?
WORK AT HEIGHT & FALL PROTECTION YES / NO / NA
Is MS standard scaffolds working platform with guard rail, mid-rail and toe guard provided for working at
1 height?
No wooden / Bamboo platform shall be allowed at site.
2 Do mobile scaffold have 6" caster wheel with locking arrangement?
Have the gratings/chali secured with scaffolds properly and safe access/egress provided?
3
Only fully boarded platform is allowed.

4 Is area below the work location barricaded and indicated to avoid the movement of men & machineries?

5 Is full body safety harness provided for working at height and used as required?

6 Is scaffolds inspected by a competent person and the results recorded and RED/GREEN tag provided?

7 Are all the wall & stair case opening, Lift shaft opening / floor opening barricaded/covered properly?

8 Are standard Aluminium ladders provided? No self made ladders/wooden ladders shall be allowed.

9 Are rungs/side rails on ladders, anti - skid rubber pad and spreader lock free from damage?
ERECTION & LIFTING SAFETY YES / NO / NA

1 Are all lifting tools & tackles certified by competent person and valid TPI certificate available.

2 Are all lifting equipment marked with a SWL and unique ID number?
Are the lifting cranes are equiped with all safety devices & load chart etc?
3
Old generation hydra shall not be allowed. Only new generation hydra shall be used.
4 Are the Crane Operators, Rigger and foreman adequately trained and qualified?
5 Do personnel fully understand markings / instructions for operating lifting equipment?
6 Do personnel cordon off and make secure, areas where lifting operations are taking place?
POWER TOOLS AND EQUIPMENTS YES / NO / NA
Have the all power and other tools inspected and tagging done before use ? Verify the record for
1
inspection.
2 Are defective tools and equipment withdrawn from use?
3 Do the Power tools are properly guarded as required? No make shift of hand tools?
4 No make shift of hand tools?
5 Are Usage of safety glasses, face shields, gloves, etc. where required.
WELDING, CUTTING & BRAZING YES / NO / NA
Is hot work in or near area that involve flammable, combustible or explosive materials or
1
chemicals being performed under a hot work permit?
2 Is DCP or CO2 fire extinguishers always available near hot work spot ?
Are welding machines grounded properly through lugs and welding cables & ground cables free
3
from damage?
Are all the gas cylinders kept in upright position with the valve cap?
4
Is trolley used, to carry both empty and full gas cylinders?
Are all gas cutting set fixed with Flash back aresstor/NRV, standard regulator & pressure gauge
5
which are in working condition?
6 Are friction lighters, not match sticks, used for lighting the torches?
Are oxygen & flammable (Acetylene/LPG) cylinders stored separately?
7
LPG shall not be allowed for cutting/brazing work.
EXCAVATION SAFETY YES / NO / NA
1 Have all existing utilities been identified & removed / isolated / protected?
Is safe angle of repose maintained ? If the excavations are deeper than 1.5 metres, is there shoring or
2
benching in place?
3 Is excavated soil or other materials stored or retained at least 1m or more from the edges of the excavation?

4 Are all excavations barricaded properly and safe means of access (ramps/ladders) provided?

CONFINED SPACE ENTRY YES / NO / NA

Is the CSE Permit properly filled out (with appropriate signatures) and posted near all entry points to the
1
confined space? Is there any task being performed that requires an additional permit (hot work)?
Emergency rescue plan prepared and people involved in activity trained? Is confined space entry register
2
maintained?
Is continuous forced ventilation equipment being used and Oxygen level maintained over 19.5% but less than
3
23.5%? Is gas test done?
4 Rescue equipment, emergncy alarms and fire extinguisher available at the confined space?
Is the trained attendant with communications device available at his proper post during the entire
5
observation?
Has the atmospheric monitoring equipment been properly calibrated and atmospheric monitoring being
6
conducted?
7 Are all entrants wearing harnesses and lifelines while in the confined space?
8 Are the portable lighting and electrical tools used in the confined space either battery powered or 24V DC?

HOUSEKEEPING & STORAGE YES / NO / NA


1 Are Chemical/Paint containers without leaks or damages and properly labeled ?
2 Display of MSDS and appropriate warning signages & emergency Contact no. ?
3 Are walkways and passageways clear and adequately marked and free from obstruction?
4 Are combustible waste scheduled for frequent collection and removal ?
5 Material properly stacked /stored?
EMERGENCY PREPAREDNESS YES / NO / NA
1 Are emergency telephone numbers displayed at site?
2 Are First –aid kit properly stocked, checked and replenished?
Are adequate no. of fire extinguisher / fire bucket provided at strategic locations on each floors separately at
3
site?
4 Are fire extinguishers periodically inspected, checked and being recorded?
ADDITIONAL ITEMS / PRECAUTIONS

Name & Sign of Auditor: Date :

Name & Sign of Auditee: Date :

Name & Sign of Vendor Site I/C Date :


RRL/EPC/HSE/C002
Ver No: 1.02
Date: 27.09.2023

UDIT CHECKLIST
Date & Time :

No of Workmen Deployed :

VENDOR'S NAME / REMARKS


Date :

Date :

Date :

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