Doc# F-L3-MR-188

WEEKLY WORKPLACE INSPECTION SHEET Issue# 03

Issue Date: 22-02-2020

Quality Department

Name Of Inspector:______________________________

Date: ____________________

Performance
Domain Activities / Work Place Conditions Yes No Observation Counter Action Target Date
Marks
Floor: Clean and Signs are posted when floors are
wet (e.g. when floor are washed, spills)
Aisles are marked clear and unobstructed
Stairs kept clear and unobstructed
Safety instructions signs are in good condition

Furniture / office equipment's secure from tipping;

appropriate for work being done / Chairs conditions.

Emergency lighting: In good condition & Charging

light on
Fire extinguishers: appropriate type, on its place and
pressurized.
Fire
Fire exit doors: in good condition, unlocked & free
Protection
from obstruction (Both Sides)
& Warning
Check Nozzle with Hose pipes, Hydrant points, &
System
call points.
Check fire panel for (abnormal indication, lose wiring
etc.)
Workers Know the Evacuation Plan (ask worker)
Washrooms are clean
Electronic tap, Dryer, hand wash in working
condition
First aid Box at its place with required items.
Hygiene & List of first aiders are posted.
First Aid Closure operators are using Sanitizer, Hair net,
Shoe net
Emergency Eyewash (or shower) available & in
working order
Employees know to get First aid when needed (ask
from worker)
Materials are shelved/Staked properly as per limit.
Material Work done Above 2m follows "Work At Height"
Handling & Procedure.
Storage
Fork lifter operators are trained (Ask Worker)
During manual loading / unloading follows WI.
Hazardous substance are properly labeled, stored
and disposed off (observe)
MSDS is pasted / available in areas where
Hazardous chemicals are stored & worker are well aware &
Substance trained on safety and remedial actions.
Hazardous material are kept at designated place.
Flammable product stored properly
PPE's is available & worn
Personal
PPE's is maintained (Ask Worker)
Protective
Equipment PPEs requirement MMC available in depts.
Workers train in Use Of PPE's (Ask Worker)
No multi plugging.
Avoid Extension boards, if required use only PASS
made Extension board
Electrical Electrical cords are properly insulated
Safety Machines properly grounded
Clear access to electrical panels and no
combustible material stored / posted within 24
inches around.
Guarding , Fencing & Safety devices in place on
machines
Tools & Portable equipment has safety guarding
Machinery Emergency switches clearly marked and easy to
reach
Lockout / Tag out available.
Emergency numbers for internal & external contacts
Security are easily available.
Visitor / Contractor rules are in place.
Total Marks

Total ____ marks obtain out of 40 marks.

Total Compliance Percentage: ______%

Note: Every "Yes" is considered as "1" mark & "No" is considered as "0" mark.

Prepared By:____________________ Checked By:____________________