HSE AUDITING CHECKLIST

Conducted by Location
KJO ID NAME OF THE PARTICIPANT DESIGNATION SIGNATURE

Date Next Inspection on

SL NO DESCRIPTION Conformity minor NC Major NC Hazard REMARKS

rating
PERMIT TO WORK SYSTEM

1 Is the permit relevent for the work being carried out?

2 Is the permit holder available at the location and aware of the

necessary safety precautions to be taken?
3 Is the permit log sheet updated and maintained?

4 Is the permit signed and approved from area authorities?

HOUSEKEEPING

1 Are the work area cleared and unobstructed?

2 Is there necessary provisions for spill controls at site?

3 Is there provision to store and consume food in a clean area?

4 Material storage area available and kept clean. Safe access provided, barricades
available, Safe Exit/Entry provided.
Tripping hazards removed, cords/hoses routed properly and flagged for visibility
5
6 Waste disposed off from the site regularly

7 Availability of necessary sign boards

PERSONAL PROTECTIVE EQUIPMENTS(PPE)

1 Approved PPE's worn, approved hard hat, safety shoes and safety
goggles as per requirements
2 Hearing protection worn at areas where noise is above 85 decibel?

3 Insulated tools and materials used for electrical works

4 Gum boots during hydro jetting and chemical handling

LIFTING ACTIVITIES

1 Lifting plan maintained at site?

2 Are the necessary precautions taken during lifting activities?

3 Belts, shackles and other lifting gears inspected and have valid 3rd
party certificate?
4 Are the operators and the riggers competent enough to identify the
risk?
5 Necessary sign boards placed around the lifting area?
SL NO DESCRIPTION Conformity minor NC Major NC Hazard REMARKS
rating
6 Appropriate checklist for crane and lifting activities updated and
maintained at the location?
7 Are the lifting gears colour coded?

FALL PROTECTION

Personal working above 1.8 m height use fall protection and anchoring properly
1
above shoulder level and trained in height work
2 Full body harness with shock absorbers used properly and color
coded
3 Elevated work area is properly secured, hand rails/ guard rails
provided.
4 Employees given training for fall protection systems

5 Elevated work area protected with materials, tools fall, warning signs

EXCAVATION

1 Physical barricade with safety sign provided around excavated area.

2 Blinkers and warning light provided at the night

3 Excavations more than 4ft deeper provided with gas test before
entry
4 Approved excavation permit available on site

SCAFFOLD AND LADDERS

1 Only 3rd party certified scaffolder shall erect the scaffold

2 Visual inspection of scaffold components/ladders completed before erecting the

scaffold
3 Ground stability and overhead hazards analyzed to avoid collapse of
scaffold and electrical shocks
4 Scaffold tags are updated weekly

5 Proper erection of scaffold/tagged and ladder at 75 degree and 1 meter above

the landing platform and secured with couplers
FIRE EXTINGUISHER

1 Is the fire extinguisher monthly inspection conducted/tagged?

2 Is fire extinguisher maintained neat and protected from corrosion?

3 Is the area around fire extinguisher kept clear for easy accessibility

4 Availability of appropriate Fire Extinguishers depending on the activity

5 Is fire extinguisher protected from harsh weather conditions?

6 Employees awareness on the location of fire extinguishers and its use

FIRE PREVENTION

1 Location of fire hoses identified

2 "No Smoking Area" identified and marked

Flammable materials stored in appropriate containers and quantity kept to a

3
minimum
4 Are electrical outlets or cords not overloaded? Only allowable number of
connections
SL NO DESCRIPTION Conformity minor NC Major NC Hazard REMARKS
rating
EQUIPMENTS

Proper guarding of any pinch points, rotating collars, cams, chucks, couplings,
1
shafts flywheels, spindles, bolt ends, rotating mechanisms, etc.?
2 Do air nozzles have relief valves to decrease pressure to 29 psi or lower?

3 Are the hoses in good condition and 3rd party certified?

4 Air lines and hydraulic lines free of damage?

5 Whip arrestor provided for compressed air connections?

6 Routine inspection and maintenance done for the equipments

CONFINED SPACE

1 Is joint inspection made and CSE permit obtained?

2 "NO CSE WITHOUT PERMIT" maintained

3 CSE procedure made aware to all attendant/entrant?

4 Appropriate PPE provided to all employees

5 Training provided to the workers regarding CSE

6 CSE procedure followed?

7 Continuous gas test required

8 Proper ventilation, illumination available

9 Appropriate sign boards available

ELECTRICAL WORK

1 Joint inspection and isolation of power supply done by area authority and
contractor
2 Safe access to elevated work area provided?

3 Prior to electrical work approval obtained from the area authority

4 Electrical hazards and control measures identified

5 Appropriate PPE's used by workers while working on power

line/splicing?
6 Is there a provision for insulated type ladders?

7 Are the PPE's provided and are rated for electrical activities?

8 Training provided for electrical hazards?

9 Tools used are free from any damage and are insulated type

EMERGENCY PREPAREDNESS AND READINESS

1 First aid kits available?

2 Availability of a nurse

3 Eye wash station available?

4 Eye wash stations are easily accessible

SL NO DESCRIPTION Conformity minor NC Major NC Hazard REMARKS
rating
5 Availability of spill kit

6 Availability of standby vehicle

7 Training provided to the workers regarding Emergency preparedness and

readiness
8 Emergency contact information displayed at site

DOCUMENTATION

1 Availability of training records

2 Availability of MSDS at site

3 Approved JSA and MS

Additional Remmarks: