Working in Heat Inspection Form

Prepared and Issued by:

Andrew Merrison, Group Head HSE

Reviewed and Authorised by:

Adnan Naji, Chief Operating Officer – Saif Bin Darwish

Revision History:
Revision Date Description
01 Oct 2013 Rename SMS & SMSP
02 July 2017 Revised in line with OSHAD Ver 3.0 & Changed the Group Head HSE
03 Jan 2019 Changed HSEMS to OSHEMS

SBD OSHEMS Revision: 03

OSHEMSP18/F01 Date : January 2019
Page : Page 1 of 2
 WORKING IN HEAT INSPECTION FORM
Name of Company/ Project/Division: Location of Inspection:

Name of Inspector: Date of Inspection:

Inspection of Worksite Yes No

1. Does the worksite have rest areas and shade?

2. Are there poster reminding employees (employees) to drink water?

3. Is there a communication system for informing employees (employees) of the current

environmental conditions? (e.g., flag system)

4. Is there cool fresh water (or other fluids) available

5. If cooler is used to supply water, is the lid sealed with tape and the date of filled
written on the container?
6. Are snacks/fruit available for employees (employees) during the workday to ensure
they maintain a nutrient and caloric intake needed for working in the heat?

7. Are there posters reminding employees (employees) of the signs and

symptoms of heat injuries and illnesses?

8. Are first aiders available on site?

9. Are contact phone numbers available for medical emergencies?

Training / Education Yes No

1. Do employees know the signs and symptoms of heat injuries/illnesses

2. Is there a first aid trained provider onsite (response within 3 minutes)?

Remarks

Corrective Action of Corrective Action

Close Out Date (if any): Responsible Person:

__________________________
Inspector’s Signature CC Copy to:
Project / Division Manager
HSE Manager

SBD OSHEMS Revision: 03

OSHEMSP18/F01 Date : January 2019
Page : Page 2 of 2