Adi rom hse assessment - v2 checklist
Conducted by rom's :: leadership when making a branch visit
O que este formulário inclui?
Este formulário contém 18 seções:
Fire Extinguishers and Exits
- First, take a look at the Evacuation Map that should be posted. Take a count of the extinguishers and exits to ensure you walk them all during your review. Check the box when you have made your notes in the next field.
Add any pictures if needed
Emergency Exits
- Are all exits marked properly and exit signs unobstructed?
- Is the path to the exit free of obstruction? (36" minimum)
- Are exit signs illuminated?
Warehouse Review (5-S and Chemical Storage)
- Is paint usable, stored away from heat sources, organized and properly identified?
- Are all cleaning chemicals labeled?
- Confirm no flammable material, i.e. propane, sterno or charcoal lighter fluid found in branch?
Warehouse Electrical and Stair
- Are all circuit breakers labeled?
- Do circuit breaker boxes have ARC Flash stickers affixed?
- Is there at least 36 inches clearance in front of electrical panels?
- Confirm no flammable material, i.e. propane, sterno or charcoal lighter fluid found in branch?
- If the site is equipped with a rolling stair, is it in good condition?
Warehouse Racking / Storage
- If building is sprinklered, is storage at least 18 inches below sprinkler head height?
- Are there dents in the supporting legs of the warehouse racking?
- Is the load capacity 2500lbs posted on all pallet racking?
Environmental
- Is there a designated staging area for battery storage?
- Are terminals on recycled batteries taped down?
Powered Industrial Truck (Excludes Pallet Jacks that are only powered for lifting)
- Does the site have powered industrial trucks such as Forklifts and Pallet Jacks. (Pallet Jacks that are only powered for up and down movement do not apply)
Office / Record Review
- Branch has 5 HSE postings required as shown in reference. (Copies can be found in BSS-001)
See reference
Questions anyone should know in the branch...ask the following:
- When questioned, do employees know how to report an incident or share safety observations?
General HSE / Breakroom and Common Area
- Is the current version of the Honeywell "Commitment to Health, Safety and the Environment" signed by the site leader, posted at the main entrance and throughout the facility at all key communication points?
- Are all safety documents posted as per Policy BSS-001? (5 documents)
- Refrigerator, microwave, toaster and other breakroom appliances appear to be cleaned on a regular basis?
- Is there a separation between storage of food and chemicals?
Add media
General Electrical Safety
- Are GFCI used for electrical outlets at sinks? Check Restrooms, Breakroom, Hospitality, or any locations within 8ft of a water source.
- Are electric cords being used as permanent wiring?
First Aid Cabinet
- Is the first aid kit being checked for expired medications? Are all inside the kit within the expiration date?
- Is a log being used for the first aid kit to determine if event/injury is work related? And is the log current
Upload picture(s) for items found as best practices
Upload picture(s) for items found as UNSAFE conditions or Practices. Add actions as necessary.
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