HSE-CHECKLIST-SA-REV00

HSSE AUDIT CHECKLIST

Project Title Date

Contractor PH Name

Inspection Items Inspection Remark

Result
N/A
Public to Project Site Isolation
Hoarding erected outside project site above 2m in
height and levelled
Separate access door for machinery and workers
Lock-able access door for machinery and workers
Traffic controller
Vehicle wash through
Project Signboard that display client, consultant,
and contractor for the project
Safety Signage outside entrance including
1. Company Logo
2. Rigid safety signage as stated below:

Security Post
Positioned at location near machinery and
personnel entrance
Sheltered and covered with direct sunlight
Adequate chair and table for security personnel
Well ventilated
Personnel wear proper uniform
PPE for visitor (minimum 3 set of safety hat,
reflective vest and safety boots)
Rest Area / Green Zone
Isolation / Cordon off from red zone (work area)
Green Zone set up on even and firm ground
Adequate shelter with chair and table for workers
Functioning water dispenser with adequate water
supply
Clean with specific rubbish bin for glass, plastic,
paper and domestic waste
Minimum 2 functioning fire extinguisher
12 Life Saving Rules poster displayed
Separate sanitary services for men and women

First Aid Room

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Accessible first aid room with signage displayed

Available lighting and ventilation (fan)
Adequate bed, pillow, chair and table
First Aid Box with content description
Incident report book for any use of first aid box
Clinical waste rubbish bin with lid
HSSE Information Board (Meinhardt Fuel for thought 12 Aug 2017)

WCF, Permit to Work, JHA for the day

Meinhardt mandatory high-risk checklist
Atmospheric gas test log (if required)
Machinery / Equipment prestart checklist
Technical guidance documents
Fuel for thought bulletins
Policies (HSE policy, Drug & Alcohol Policy &
etc.)
Site Layout
Project Schedule & Daily work progress
First aider detail with photo
ERP Procedure
Emergency Contact Numbers
HSSE Statistics (Exposure hours, NMPI’s
recorded
Activity Carried Out for the day
Blue board (Hazard, risk, incident and control
measure)
Visitor Log & Comment Book

Hand and Power Tools

List / summary of power tools
Inspection record
Green / Red tag on power tools
Cable extension weatherproof IP68
Cable are in good condition (double insulation
protection)
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Cable hang overhead or minimum >2m

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Electrical Safety
Notified generator set with DOE
Generator set provided drip tray
Adequate earthing
Generator set isolated with hard barricade
Generator idling in normal condition
Carbon emission is contained with exhaust filter
Signage of electrical warning and authorised
personnel displayed
Designated personnel installing DB Board
Circuit breaker installed
Wire secured with cable tight
Cable extension weatherproof IP68
All wire hangs above head level >2m
Electrical danger signage displayed at all DB
board
Machinery
Lifting Activity (Mobile, Crawler)
WCF, Permit, JHA, Lifting Plan
Valid certificate of fitness (PMA)
Operator Competency
Lifting Supervisor
Signalman and banksman
Machinery guarding
Machinery daily inspection record and tagging
Hoisting appliances daily inspection record and
tagging
Lifting Warning Signage
Maintenance and inspection record (logbook)
Operator health declaration
Pressure Vessel (FMA Sect 19)
Valid certificate of fitness (PMT)
Machinery cordon / barricade
Machinery daily inspection and tagging
Lanyard at every hose connection
Maintenance and inspection record (logbook)
Forklift / Bobcat
Machinery daily inspection and tagging
Maintenance and inspection record (logbook)
Operator Competency
Operator health declaration

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Scaffolding & Work Platform

Design and load calculation (PE design if
required)
Weekly inspection record and tagging
Stable and firm foundation
Jack base, base plate secured and rigid
Ledger, transom and bracing rigidly installed
Adequate ladder and staircase with handrail
Top rail, mid rail and toe board install
WAH and body harness signage displayed
Competent scaffolder erector and inspector
Formwork / Falsework
Formwork levelling and verticality checklist
Calculation and design by PE
Inspection by PE designer / appointed personnel
Access to formwork area with handrail
Cleanliness and tidiness
Material Storage
Designated storage area with barricade and
signage
Material stacking in firm condition
Arrangement of material with signage (rebar,
wood, pvc pipe and etc.)
Cleanliness and tidiness of storage yard
Chemical Storage
Chemical register
Designated chemical storage area provided
Separate of chemical storage area >3m (Argon,
Oxygen, Nitrogen, Diesel, Petrol)
Drip tray provided for liquid base chemical
Adequate ventilation and lighting
Sheltered and covered from all sides
Lock-able and accessible by designated personnel
Signage and SDS displayed at entrance
Fire Extinguisher and Spill kit
Specific PPE (based on SDS)
Rebar Cutting & Bending Yard
Barricade of work area with 2 entry point
Displayed authorised personnel signage
Rebar stack above ground (not in contact with
ground)
Rebar covered by waterproof sheet
Bending and cutting machine rotating parts
covered
Green / Red tag displayed
Drip tray provided
Cleanliness and tidiness

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Slump & Cube Test Area

Designated sheltered area provided with chair and
table
Work platform layered with water resistant sheet
Cleanliness and tidiness
Personal Protective Equipment
Prestart work PPE inspection
Safe use of PPE (helmet with chin strap and etc.)
Covered PPE storage area
Trenching, Excavation & Shoring
WCF, Permit, JHA
Hard barricade on excavated area
Double hard barricade (>2m from 1sr barricade)
Safe and adequate access with handrail (Min. 2)
Shoring
Excavation design and planning (>2m)
Excavation design by Professional Engineer
(>4m)
Excavation person in charge standing supervision
Safe position of machinery
Machinery green / red tag displayed
Piling
Competent Machine Operator
Operator health declaration
Work platform clean from mud and excessive soil
Material stacking and storage in firm ground
Adequate functioning water pump provided
Standing supervision and monitoring by PIC
Opening covered by hard barricade (bore hole)
Pile driving rigs properly erected and tagged
Ladder fixed at frame
Banksman and Signalman available and
competent
Pile lifting hook and latch functioning
Cofferdams rigid (if required)
Sling and air hose

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Confined Space
WCF, Permit, JHA, Health declaration
Competent Personnel (AESP & AGTES)
Approval to enter work area from PIC
Pre task briefing conducted
Emergency evacuation briefed
Emergency safety appliances installed (tripod
stand, SCBA, First Aid, Fire Extinguisher & etc.)
Confined space warning signage displayed
Gas tester functioning with bump test conducted
Continuous gas test conducted and recorded
Adequate ventilation system
All electronic appliances examined to avoid fire
ignition
Communication devices tested before entering
Lock out Tag out system implemented when
entering confined space
Standing supervision by Entrance Supervisor
Lock Out Tag Out Test Out (LOTOTO)
WCF, Permit, JHA
Water, air pressure / electrical entrance identified
Isolation to 1 entry point to pressure / electrical
area
LOTOTO sign visible after turning off supply
End supply tested for double confirmation
Excessive product contained and disposed if
required
Hot Work
WCF, Permit, JHA
Fire Extinguisher & Fire blanket
Hoses and welding kit tested and functioning
Adequate earthing
Gas cylinder secured / chained tight with the
trolley
Gas cylinder placed >3m away from ignition
sources
Flashback arrestor installed
Regulator, hose, torch inspected to prevent leak
(soap test)
Ventilation prepared to remove fume
Vapour barrier installed (hazardous area)
Continuous gas testing conducted and recorded
Additional PPE Required prepared (Face mask,
welding glasses, leather glove, welding jacket /
apron & etc.)

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Working at Height
Suitable PPE (Body harness)
Safe working platform with edge protection
Provision of falling preventing and protection
Lifeline and anchorage PE design
WCF, Permit, JHA
Signage displayed
Safety, Health & Welfare
Adequate ingress and egress to work area without
obstruction
Safe access provided with overhead protection
cover
Adequate lighting
Safe ladder with handrail
Separate route for machinery and workers access
Adequate water and electrical supply to site
Unidentified water stagnant for potential mosquito
breeding
All floor opening is firm barricade with signage
All edge of work platform is firm barricade with
signage
Work area is free from construction waste and
debris
Available specific rubbish / dumping area for
construction waste and domestic waste
Traffic Management
Public Road
Approval from authority
Road closure and diversion checklist displayed
(based on JKR requirement)
Flagman trained and certified
Flagman provided whistle, full reflective PPE and
light baton / flag
Adequate reflective cone
Adequate blinker
Adequate signage
Site Traffic
Traffic route plan displayed at entrance
Designated access for vehicle
Flagman trained and certified
Speed limit signage displayed and visible
No vehicle left unattended

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Emergency Response & Preparedness

Emergency Evacuation route plan displayed
Emergency Response Team organization chart
and contact number displayed
Emergency alarm functioning
Haler functioning
Emergency drill conducted once every 6 months
Access and egress are free from obstruction
Assemble point outside working area accessible
and easily identified

● Any “X” recorded represents the potential breach of regulation or improvement needed and
details of nonconformity (NC) shall be recorded in the Remarks.

● The responsible personnel shall identify the root cause of NC and adopt appropriate
corrective/ preventive actions for mitigation. Confirmation of the effectiveness of the
corrective/ preventive actions shall be verified by contractor representative within an agreed
time.

Recommendation:

Findings Target to rectify

Inspected by:
Name Designation Signature Remark

Acknowledge by:
Name Designation Signature Remark

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