SITE/ WORKSHOP INSPECTION FORM

Date: 29/10/2015

Name of Site/Area: Tabreed- District Cooling Scheme-AD16, Presidential Guard District Cooling Plant ETS
Date and Time of Inspection: 07:30 AM (Tick Box) Priorit Action Party
y
Inspected By: Ajas Hamsa (Safety Officer) YES NO N/A H/M/L Comments
HOUSEKEEPING
Is the work area clean and orderly? √
Are floors clean and dry? √
Are floors free of protruding nails, splinters, holes & √
loose boards?
Is pedestrian & vehicular traffic routes obstruction free? √
Are these traffic routes clearly marked? √
Are guardrails or covers in place for pits, tanks, drains,
etc?
Are drains free from debris?
Are rubbish/waste containers emptied regularly?
Are tools and equipment stored properly? √
Are there trip hazards in and around work areas? √
WORKPLACE
Are there sufficient guards/railings around stairs, ladders
and doors?
Are stairways stable?
Are stairways adequately illuminated?
Are stair treads slip-resistant?
Are work areas well illuminated?
 SITE/ WORKSHOP INSPECTION FORM

Date: 29/10/2015

Name of Site/Area: Tabreed- District Cooling Scheme-AD16, Presidential Guard District Cooling Plant ETS
Date and Time of Inspection: 07:30 AM (Tick Box) Priorit Action Party
y
Inspected By: Ajas Hamsa (Safety Officer) YES NO N/A H/M/L Comments
Are benches and work surfaces safe and in good repair?
Are the work areas at a comfortable temperature?
Are the work areas sufficiently well ventilated?
Are there excessive levels of noise?
MEANS OF EXIT (normal & emergency)
Are any exits obstructed?
Are exits unlocked during normal working hours?
Are exits clearly marked?
Are exit routes clearly marked?
Are exits equipped with emergency lighting?

PERSONAL PROTECTIVE EQUIPMENT

Do signs indicate what PPE should be used?
Is such equipment readily available in the workplace?
Is the PPE clean, well maintained and fit for purpose?
Is the appropriate PPE being used?
FIRST AID PROVISION
Are first aid supplies easily accessible?
Are eye wash bottles clean, within date & properly
labeled?
 SITE/ WORKSHOP INSPECTION FORM

Date: 29/10/2015

Name of Site/Area: Tabreed- District Cooling Scheme-AD16, Presidential Guard District Cooling Plant ETS
Date and Time of Inspection: 07:30 AM (Tick Box) Priorit Action Party
y
Inspected By: Ajas Hamsa (Safety Officer) YES NO N/A H/M/L Comments
Are first aiders identified and able to be quickly
contacted?
EMPLOYEE FACILITIES
Is drinking water marked and readily available?
Are toilets clean and sanitary?
Are food and drink consumed in the work area?
FIRE PROTECTION
Are enough fire extinguishers available of the correct
type?
Are they conspicuously marked?
Are they properly mounted and accessible?
Are they fully charged & inspected?
Are flammable materials stored and labeled properly?
Are waste materials disposed of properly?
MECHANICAL AND ELECTRICAL EQUIPMENT
Are moving/rotating parts properly guarded?
Are all guards serviceable and being used?
Are cutting machines kept clear of swarf/debris/dust?
Are electrical tools, cables and plugs in good condition?
Are electrical tools grounded or double insulated?
 SITE/ WORKSHOP INSPECTION FORM

Date: 29/10/2015

Name of Site/Area: Tabreed- District Cooling Scheme-AD16, Presidential Guard District Cooling Plant ETS
Date and Time of Inspection: 07:30 AM (Tick Box) Priorit Action Party
y
Inspected By: Ajas Hamsa (Safety Officer) YES NO N/A H/M/L Comments
Are hand tools in good condition?
Are junction boxes closed and accessible?
Are cables and hoses away from where they may be
damaged?
Are extension cables being used as permanent wiring?
Is mobile equipment stored properly when not in use?
Are Fork Lift Truck inspection records current?
SCAFFOLDS, OVERHEAD CRANES AND LIFTING GEAR
Are control pendants in good condition with controls
clearly marked?
Is the Safe Working Load (SWL) clearly marked?
Do limit switches and emergency stops function
properly?
Are the brakes effective?
Is the safety catch on the hook functioning properly?
Can all lifts be made vertically?
Is the lifting gear recently inspected?
HAZARDOUS CHEMICALS
Is there suitable localized ventilation of vapors and
fumes?
 SITE/ WORKSHOP INSPECTION FORM

Date: 29/10/2015

Name of Site/Area: Tabreed- District Cooling Scheme-AD16, Presidential Guard District Cooling Plant ETS
Date and Time of Inspection: 07:30 AM (Tick Box) Priorit Action Party
y
Inspected By: Ajas Hamsa (Safety Officer) YES NO N/A H/M/L Comments
Are there arrangements for spill containment?
Are all containers appropriately labeled?
Are the size of containers suitable for the application?
Are gas cylinders secured?
Are Material Safety Data Sheets readily available?
Are COSHH assessments readily available?
ADDITIONAL HAZARDS AND UNSAFE ACTS
Describe any additional hazards and unsafe acts
observed during the inspection.

Inspector’s Signature: