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Safety and Health Audit Form

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Rated 4.8/5 stars on Capterra
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Safety and Health Audit Form

Signages

OSH Policy

Security post

(check name not set)

Main office, muster ground, all workplace

(check name not set)

Road signages

Speed limit, sound horn, bridges, culverts

(check name not set)

Sharp bends, right turns, left turns, junctions

(check name not set)

Guard post

Wear helmets, OSH policy, UTAMAKAN KESELAMATAN

(check name not set)

STOP, security check

(check name not set)

Compulsary signages

Wear appropriate PPE (all areas), UTAMAKAN KESELAMATAN

(check name not set)

Classification of pesticides (chemical store)

(check name not set)

PPE

Issuance of PPE

Records of PPE distribution

(check name not set)

Evidence of agreement to comply with usage

(check name not set)

Compulsory PPE for executives and staff

Executive level - helmet, safety vest, safety boots

(check name not set)

Staff level - helmet, safety vest, safety boots

(check name not set)

Implementation of PPE

Harvester - halmet, cotton gloves, safety boots

(check name not set)

Sprayer - safety goggles, apron, gloves, respirators

(check name not set)

Penalty system for non usage

Evidence of agreement between management and workers

(check name not set)

Evidence of penalty system for non usage

(check name not set)

Transportation safety

Proper transportation for workers

Transport trailer for workers

(check name not set)

PPE for drivers - helmet, safety vest, safety boots

(check name not set)

Implementation of helmets for motorcyclist

Management memo for compulsory use of helmets

(check name not set)

Evidence of helmet use in estate

(check name not set)

Condition of workers transportation

Maintenance records for transport trailers

(check name not set)

Physical inspection of transport trailers

(check name not set)

Contractors compliance to OSH

Management memo for compulsory use of PPE fro drivers

(check name not set)

Evidence of training and compliance to estate's OSH rules

(check name not set)

Workshop safety

Cleanliness and safe precautions

Evidence of 5S practices in daily work

(check name not set)

Red and white poles, color coded areas

(check name not set)

Signages

Wear appropriate PPE and UTAMAKAN KESELAMATAN

(check name not set)

OSH policy

(check name not set)

PPE compliance

Visual inspection of PPE usage

(check name not set)

PPE records for workshop workers

(check name not set)

Diesel storage tank

Signages - no smoking, highly flamable

(check name not set)

Bund wall built to hold minimum 110% capacity of diesel

(check name not set)

Chemical store

Labelling of chemicals

All labels are in place

(check name not set)

Temporary storage of chemicals are labelled appropriately

(check name not set)

Local exhaust ventilation fan installed

LEV are installed in the hazardous chemical storage

(check name not set)

Mintenance records of LEV fans

(check name not set)

Signages

Warning signages displayed for hazardous chemicals

(check name not set)

Compulsory signages are displayed (as in criteria signages)

(check name not set)

OSH notice board (MSDS, SOP, OSH, policies)

Physical display of all OSH related materials

(check name not set)

Regular updates done of OSH notice boards

(check name not set)

Pre-mix and emergency facilities

Pre-mixing facilities

Implementation of pre-mixingg procedures for pesticides

(check name not set)

Pre-mix trays are available for use

(check name not set)

PPE training for sprayers

Evidence of PPE training for sprayres

(check name not set)

Visual evidence of PPE usage among sprayres

(check name not set)

Emergency eye wash and shower

Emercency eye wash is constructed nearby and maintained

(check name not set)

Emergency shower is constructed nearby and maintained

(check name not set)

Shower room and changing room for sprayers

Shower and changing room is constructed for sprayers

(check name not set)

Evidence of usage

(check name not set)

OSH filing

Records updated

Records of DOSH related documents updated (JKKP forms)

(check name not set)

OSH committee meeting updated

(check name not set)

OSH committee letter of appointment

Appointment letter for chairman is signed by Regional Head

(check name not set)

Committee appointment letters signed by chairman

(check name not set)

Emergency respond plan

Emergency layout plan for fire evacuation

(check name not set)

Procedures for first aid/ medical emergencies

(check name not set)

Training records

Evidence of training for staff and workers

(check name not set)

Trainings are updated with evidences

(check name not set)

Health and welfare

Linesite safety and health

General cleanliness and safety are practiced

(check name not set)

No illegal extension and clogged drains

(check name not set)

Rubbish collection

Documented rubbish collection available and displayed

(check name not set)

Rubbish collection pit is available and maintained

(check name not set)

Fogging

Annual fogging schedule available

(check name not set)

Fogging is conducted in regular intervals

(check name not set)

Medical facilities

Hospital Attanden available

(check name not set)

Clinic facilities are available

(check name not set)

Disclosure

Auditor

Sustainability Unit Personel

Select date

Auditee

OPUN Personel

Select date

Manager

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