Safety Audit Format-1SAFETY AUDIT : 5 STAR RATINGDept : E&IDATE OF AUDIT :24/10/11STAR RATING :FourSrl NoDescriptionMarks allotedMarks obtainedRemarks1Safety Organisation1.11Safety PolicyaSafety Policy display in deptt.1010bAwareness among employees3026cDistribution of safety policy card.1081.12Safety/Hygiene coordination.aAppointment of Coordinator & its responsibility.55bCompliance records for hygiene.541.15Safety sub committee (SSC)aWhether SSC exists in the department.2524bFrequency of meeting & compliance.2520cCompliance of SSC meeting minutes.50451.16On Job safety communication.aOn job safety communication.2520bWeekly safety talk.25201.17&1.18First AidaCondition of First aid box.3030bLocation of First aid box.1512cDisplay of First aiders name in the department.1514dFirst aid training record.53eFirst aid record & investigation.3029fDisplay of artificial respiration procedure.551.19Medical ExaminationaCompliance of periodic madical examination.2520bAvailability of Medical examination records.25201.2Disply of posters/slogans in the department.1081.21Safety suggestions & impelementation.1081.27Plant InspectionaDepartmental round by Safety Engineer.1512bObservation & comliance report.15141.28Internal safety auditaAudit frequency and compliance.1515bCompliance of Internal safety audit points.15121.31Risk assesmentaIdentification of potential risk factors.108bJob safety analysis.1081.33Work permit/Line clearEffectiveness of system10102Machine Gaurding,Electrical & Personal safe gaurding2.11Machine GaurdingaAll nip & rotating parts gaurded108bAll gaurds as per standard.108cAll gaurds are numbered.108dAvailability of inspection records & compliance.1082.22Effectiveness of lockout system.552.13Labelling of switches and isolators.1042.14Ladders/Stairs/walkways/ScaffoldingaGeneral condition107bIdentification on ladders/stairs/walkways/scaffolding.54cDistance between the steps and angle of steps.54dAll ladders as per standard.54eDistance between wall and hand rail.54fAvailability of inspection records & compliance.542.15Lifting gear and recordsaIdentification ( Inspection date/Max cap./due insp. date).55bAvailability of inspection records & compliance.552.16Compressed Gas cylinder : pressure vessel & recordsaIdentification ( Inspection date/Max cap./due insp. date).54bAvailability of inspection records & compliance.542.17Hazardous substance controlaIdentification54bSafe handling procedure.552.18Motorised equipment checklist.licensingaAvailibility of inspection checklist & compliance.2016bLicense for operation.20182.19Portable Electrical equipmentaIdentification No & Condition.1010bAvailability of inspection records & compliance.1010cProper earthing.10102.2Earth leakage relays : Use & CheckaWhether ELR are numbered equipment wise.1010bAvailability of inspection records & compliance.109csafe testing procedure.1092.21General Electrical installation & flame proof fittingsaCondition of earthing1010bWhether wiring/cables properly laid.1010cCondition of switch boards1010dCondition of MCBs.1010eFlame proof fittings provided wherever required.108fcondition of distribution boards.108gAvailability of records & compliance.1082.22Hand tools, hammers & chieselsaAvailability of loose tool register.1010bCondition of tools.108cTools inspection frequency and compliance.1082.24 -2.32Personal protective equipmentaRecord of PPE(Halmet,Shoes,eye protector,clothing)1010bUsage of PPE.109cCondition of PPE.109dRecord of respiratory eqpt,hend gloves & hearing conservation.1010ePeriodic replacement & compliance.1092.33Radio active substanceaSafe working procedure for handling.10not applicablebAdequacy of PPE for Radioactive substance.10not applicablecCompetent person to handle Radio active substance.10not applicable2.34Manual handlingawhether Risk assesment done.1010bProvision of Mechanical aids.109cProvision of adequate lighting & ventilation.109dTraining for safe working methods.10102.35Display screen equipmentaEye test for users1010bRoutine checks of work station for seating.lighting,ventilation.10103Fire protection and prevention.aRecords for fire fighting training.109bList of fire extinguishers in the department.1010cLocation of fire extinguishers.109dRecords for fire incidents.109eMaintenance of fire extinguishers as per schedule.109fColour coding of fire extinguishers.108gSafe operating procedure for Fire Extinguisher.108hWhether Alam/ other warning system is available.109IEmergency plan108jMock drill frequency and record.109kAvailability of Emergency exit.108lstorage of flammable explosive material as per licence.10Not applicablemRisk assesment1010nTest of earthing/Lightening arrestor.1010oFencing, notices and sign boards.1094Accident Investigation and Recording.aCompliance of recommendations after accident investigation.1010bAvailability of records.1010cNear miss accidents & investigation.1010dCommunication in the safety forum like safety talk etc.10105Premises and Housekeeping8goodaCondition of structure and buildings.109bCleanliness of floor.109cNatural lighting & Ventilation.108dSufficient illumination in the workplace.109eRecords for checking and repairs of light fittings.109fCleaning of pits/silo top etc.1010gFrequency of cleaning of various workplace.1010hCleanliness of Urinals/Lavatories/wash basin etc.1010ICondition of sewage system/waste disposal system.1010jCondition of tool room as per 5 S.1010kcondition of store room as per 5 S principle.1010lCondition of scrap yad/ scrap bins.1010mColour coding on pipelines.10105Isolation & Lock out procedure following status by deptt.10106Confined space entry displayed & register maintained1087SOT resopnse from deptt.1068Regular Safety talk in the Deptt. & Record1010Total1250112389.84Name & Sign of AuditeeVivek SinghName & Sign of AuditorSK Verma