Checklist for D-Level Safety Meeting HSE Unit

PFL-SAF-DLC-001, Rev-03, Rev Date 07.11.12

Date: Unit / Section Audited:

Auditor Name: Sign:

Topic Discussed:

1. Safety talk started and finished on time (05)

(In General Duty Safety Talk Time: 0740 – 0815 am)
Score = □
2. All intended participants / unit audience (15)/ Incharge present (05) Score = □
3. Flash reports / Incidents of relevant area discussed (15) Score =
(Admin, Accounts, Civil Colony, Medical Centre, Club, Horticulture, Security, IT Section etc. to discuss only their relevant reports.)
□
4. Mandatory safety bulletin / PSRM bulletin discussed (25) Score = □
5. Number of hazards identified and rectified within the week (20)
(Less than 5 hazards = 50% score and above 5 full score shall be given)
Score = □
1) __________________________________________________________________________
2) __________________________________________________________________________
3) __________________________________________________________________________
4) __________________________________________________________________________
5) __________________________________________________________________________

6. Any other safety initiatives (15)

(Full score on a single initiative)
Score = □
1) __________________________________________________________________________
2) __________________________________________________________________________
3) __________________________________________________________________________

Score Obtained = _____________ % age = _______________

Received by: Name: ____________________

Date: ____________________ Signature: _________________

Cc: UM/SH of the Audited Unit/Section