Approved & Issued by MR EHS AUDIT CHECKLIST ISO 45001 : 201

Date: 07.02.2017 OHS - 1

Location/Area: PIONEER PRECAST CONCRETE LLC Date:
ITEM CHECKED REMARK ITEM CHECKED REMARKS
S
Administrative Control
Safe Operating (SOP) Compliance Trainings
SOS Awareness ✔ Safety training ✔
TOOL BOX Talk ✔ Emergency ✔
Response
Work PERMIT NA Safety Equipment ✔
Use
Emergency Plan ✔ First Aid Training ✔
Lockout/ Tag out ✔ Records
Safety Inspection ✔ Training ✔
Material Safety Data sheets(MSDS ) ✔ Incidents ✔
Health and Environment Regulation ✔ Inspections ✔
Equipment ✔
Inspection
Physical Control
Machinery & Equipment Electrical
Condition ✔ Condition ✔
Safeguarding ✔ Protection ✔
Labeling ✔ Housekeeping
Hand & Power Tools Slip, trip and fall ✔
Condition ✔ Drain Channels ✔
Use ✔ Waste Disposal ✔
Storage ✔ Any Spill/ Leak ✔
Safe ✔ Storage of Items ✔
Personal Protective Equipment (PPE) Emergency Exist ✔
Availability ✔ Material Handling & Storage
Condition ✔ Equipment ✔
Compliance ✔ SOP Followed ✔
FIRE PROTECTION EQUIPMENT (PPE) Storage Condition ✔
Identification ✔ Health & Environment Controls
Availability ✔ Ventilation ✔
Condition ✔ Illumination ✔
Accessibility ✔ Noise Level ✔
Inspected ✔ Spill Control/Sec. ✔
Containment
Knowledge to Use ✔ Hygiene ✔
Conditions

Approved & Issued by MR EHS AUDIT CHECKLIST ISO 45001 : 2018

Date: 07.02.2017 OHS - 12
ITEM CHECKED REMARKS ITEM CHECKED REMARKS
Safety Shower/Eye-Washer/First Aid Box (as applicable) Other Unsafe Conditions
Availability ✔
Accessibility ✔
Condition ✔
Inspection ✔

Audit Team Members

Signature:
NAME / DESIGNATION SUBHADATTA NAYAK
(HSE OFFICER)

Approved & Issued by MR EHS AUDIT CHECKLIST ISO 45001 : 2018

Date: 07.02.2017 OHS - 12
EHS AUDIT CHECKLIST OF BUILDING
Area/ Building / Floor No.- PIONEER PRECAST CONCRETE Inspection Date: 25/06/2022
Inspected By: SUBHADATTA NAYAK Location:
Satisfactory X = Needs improvement N/A - Not applicable
AREA ACTIVITY FINDING
WORK ENVIRONMENT
1. Office well Illuminated, YES

Ergonomic hazards, e.g. awkward posture, prolonged YES

2. repetitive motion, etc.

3. Work area is clean, orderly and don't present any hazard YES

4. Area Ventilation and Humidity Level YES

Clean Environment (free of cigarettes smoke, fumes or YES
5. bad smell etc.)
6. Smoking habits & provisions NO
Computer monitors are positioned or guarded to avoid YES
7. glare.

8. AC thermostats are working property. YES

9, Unobstructed air movement and vents YES

10. Chairs and chairs caster are in good conditions YES

11. Noise Pollution NO

12. Paper shredder guarded YES

Common use office items within easy reach of employee
13. while seated YES
14. Sharp edge office items stored with sharp side down YES
15. Dustbins available and cleaned up regularly YES
Rubber or plastic floor mat are provided to prevent the YES
16. chair from rolling off?
Employees tea/coffee habits while working on Personal YES
17. Computer

18. Others:

Approved & Issued by MR EHS AUDIT CHECKLIST ISO 45001 : 2018

Date: 07.02.2017 OHS - 12
REMARKS
= Satisfactory
 OFFICE LAYOUT
Furniture is arranged to avoid any potential hitting YES
1. hazard
Furniture posing no obstruction during emergency YES
2. evacuation
Furniture with no potential hitting hazard (sharp YES
3. edges or corners)
Furniture layout facilitates employees for easy YES
4. movement
5. Others:
REMARKS

= Satisfactory

WALKING SURFACES (SLIPSTRIPSFALLS)

1. Aisles correctly established and clear YES

Are passageway and work areas dear of obstructions? YES

2.
No tripping hazards.
3. Floors dry - not slippery YES
Cords (Electrical, Telephone etc.) not stretched across YES
4.
aisles or under carpet
5. Entrance mats available and used in wet weather YES

Carpet is secure and free of tears, lumps or loose YES

6.
pieces.
7, Trash bins are not posing any tripping hazard YES

8. Floor level posing no tripping hazard YES

9. Others:

Approved & Issued by MR EHS AUDIT CHECKLIST ISO 45001 : 2018

Date: 07.02.2017 OHS - 12
NO. AREA ACTIVITY FINDING

REMARKS = Satisfactory

ELECTRICAL SAFETY
 1. Electrical outlets not overloaded YES
Equipment property grounded (3 pronged plugs) YES
2.
3. Electrical cords and plugs are in good condition YES
4. Extension cord are not substituted for permanent wiring YES
5, Electrical sockets /switch are visible & accessible YES
6, The multiple outlet strips have a circuit breaker YES
7. Cord guards are provided across an aisle or other pathways YES
8. 3 way switches are safe and of good quality YES

All extension cords connected direct' to wall socket, no multiple YES

9,
extensions
10. Others:
REMARKS = Satisfactory

STAIRWAYS, AISLES, STORAGE ROOMS, HALLS,

1. Adequate lighting in stairways, aisles and storage mms NA
2. Stairways clear- not cluttered NA
3. Stair treads in good condition NA
4. Handrails installed and in good condition NA
5. Halls kept clear of equipment and supplies NA

Approved & Issued by MR EHS AUDIT CHECKLIST ISO 45001 : 2018

Date: 07.02.2017 OHS - 12

NO. AREA/ACTIVITY FINDING

6 Housekeeping good in storage rooms NA
7 Others NA
REMARKS = Satisfactory

EMERGENCY PROTECTION

1 Emergency exit doors clearly marked and accessible YES

2 Emergency exit doors closed securely all the times YES
3 Emergency contact number clearly posted YES
4 Fire extinguishers available and fully charged YES
5 Fire extinguishers are visible and accessible YES
6 Fire extinguishers inspected regularly YES
7 Fire alarm call points visible & accessible YES
8 Smoke detectors & sprinklers clear from any obstruction YES
9 Smoke detectors & sprinklers test program YES
10 Accident/incident reporting form available? YES
11 Others
REMARKS = Satisfactory

COOKING AREA

1 General hygiene conditions NA

2 Electric appliance condition NA

Approved & Issued by MR EHS AUDIT CHECKLIST ISO 45001 : 2018

Date: 07.02.2017 OHS - 12
AREA ACTIVITY FINDING
3. Electric Connections & Fittings NA

4. Grounding Provided as Required NA

5. Potential contact with Electrical/hot equipment NA

6. Potential hazard of water contact leading to electric shock NA

7. Drinking Water Filter condition and change frequency NA

8. Waste disposal NA

9. Others:

REMARKS = Satisfactory
 MATERIAL STORAGE & HANDLING
1. Bookcases, cabinets and shelves are not overloaded YES

2. Heavy storage shelves are property secured to wall YES

3. Only one drawer in a file cabinet is opened at aw one time to prevent tipping YES

4. File drawers closed when not in use YES

5. Bookcases and cabinets secured against tipping YES

File cabinets positioned to avoid being caught in between to object when YES
6. opened
File cabinets drawers, doors positioned to avoid opening into an aisle or YES
7. walkway.
8. Safe step stools and ladders property used when needed YES

9. Items are stored on shelves property stacked & weight distributed evenly YES
10. Tables & drovers are in good conditions YES

11. Waste combustible material (papers, files etc.) not pileup in office cabinets. YES
YES
Cabinets are positioned to avoid any accidental fall of stored materials on
12. employee

13. Files/folders are stored property in cabinets to avoid any accidental fall while YES
handling
A roved & Issued b EHS AUDIT CHECKLIST ISO 45001 : 2018
Date: 07.02.2017 OHS - 12
NO.
ACTIVITY FINDING
Portable machines & temporary devices are positioned for not to YES
14.
knocked over
YES
15. Employees are aware about safe lifting techniques
YES
16. Material storage is not obstructing light or ventilation
YES
17. No unsafe practice e.g. using chairs as step stools improper storage, etc.
YES
18. Chemicals (toilet cleaners, detergent etc.) are stored separate & secured

19. Others:
REMARKS: = Satisfactory

AUDIT TEAM
NAME SIGNATURE DESIGNATION DATE
SUBHADATTA NAYAK HSE OFFICER