Format No.: HCC F 01 15 78 Rev. 01, Rev. date: 19.04.06 Page 1 of 4

S.No. DescriptionRating

A=4 B=3 C=2 D=1 E=0

PROJECT:

1 Housekeeping

a Scrap yards identified.

b

c

d

2 Staging/scaffolding (Working at height)

a Proper base plate for verticals.

b Access/egress ladders.

c Working platform with proper handrails.

d PPE like safety harness/lifelines.

3 Material handling.

a

b

c Trained operators & signal men.

4 Supply & use of electricity.

a

b Stack height of DG sets.

c Standard switchgear/ equipment.

d ELCB's and proper earthing/connections.

5 Electric welding.

a W/M connections & cable conditions.

b Insulated welding holders.

c Welding return by cable only.

d Head to toe protection.

6 Gas cutting.

a Storage of cylinders (Vertical or not).

b

c Functional regulators with pressure gauges.

d Transporting in mobile trollies.

e Head to toe protection.

7 Personal protective equipments.

a Quality of PPE's.

b

OH & S MANAGEMENT SYSTEMSAFETY AUDIT CHECKLIST

Approaches to workplace properly demarcated and kept clear.

Welding cables, power cables routed properly.Floor kept clear from water,oil spillage/ accumulation.

Third party test certificates for lifting tools and tackles.

Safety devices e.g. limit switches, SWL indicators etc.

Consent from PCB to generate the power through DG sets.

Gas cutting torches with flash back arresters .

Proper use of personal protective equipment.

Format No.: HCC F 01 15 78 Rev. 01, Rev. date: 19.04.06 Page 2 of 4

S.No. DescriptionRating

A=4 B=3 C=2 D=1 E=0

8 First aid centre.

a Qualified first aider.

b Adquate facilities/medicines.

c Display of all emergency numbers.

d Ambulance & portable stretchers.

9 Tunnelling

a Approach to workplace/locations.

b Protection against loose fall.

c Adequate vetilation.

d Housekeeping & drainage system.

e Lighting & illumination.

f Monitoring of harmful gas emission.

10 Marine works

a

b Status of water transport equipment.

c

d Housekeeping at work locations.

e Availability & use of marine PPE's.

f Commuication system.

11 Drilling/Blasting operations.

a Storage magzines & explosive van.

b License for storage & use of explosives.

c Licensed blasters.

d

12 Public/Traffic Management

a

b

c Traffic control system.13 Occupational Health check up.

a

b Training & awareness for health hazards.

Overall Rating Marks

Date: Location:

Test certificates of all marine equipment including jackup & barges etc.

Access/egress to the marine work locations.

Safety system during blasting (safe distance).

Barricading/warning signs including proper lighting.

cordon off the workplace to prevent access of public.

facility for medical checkup as per legal requirements.

Signature:

Auditor Auditee

Format No.: HCC F 01 15 78 Rev. 01, Rev. date: 19.04.06 Page 3 of 4

Remarks

PROJECT:

Format No.: HCC F 01 15 78 Rev. 01, Rev. date: 19.04.06 Page 4 of 4

Remarks

Marks

Location:

Auditor Auditee