YOUR COMPANY NAME

Project Name: Project Location:

Site Details: Date: Location:
Note: Use ✓ for acceptable points, X for non-acceptable points, and N/A for not applicable points. BATTERY OPERATED HAMMER DRILL DAILY INSPECTION

HAMMER DRILL
DAYS GRAPHICAL REPRESENTATION
(Battery Operated)

S. No Inspection Points 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

1 Bit condition
2 Integrated bit holder
3 Torque control ring
4 Chuck & Functionality
5 Motor operation
6 Trigger Switch
7 Forward/Reverse switch

8 Speed control trigger

9 Gear selector switch
10 Variable Speed Control
11 Grip
12 Battery
13 Battery level indicator
14 LED Light
15 Exterior
16 Air Vents
17 Vibration
18 Noise Levels
REMARKS:
NAME NOTES: NAME Circular Saw
INSPECTED BY: REVIEWED BY:
SIGNATURE SIGNATURE

HSE INSPECTION RECORDS SCREW GUN INSPECTION DOC NO: 011

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 YOUR COMPANY NAME
Project Name : Project Location:
Site Details: Date: Location:
Note: Use ✓ for acceptable points, X for non-acceptable points, and N/A for not applicable points. BATTERY OPERATED HAMMER DRILL DAILY INSPECTION

Inspection Points
HAMMER DRILL
(Battery Operated) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 GRAPHICAL REPRESENTATION
Inspection Points

Integrated Bit Holder

Speed control trigger

Gear selector switch

Torque control ring

Forward/Reverse
Motor operation

Vibration Levels
Variable speed
Trigger switch
Functionality
Bit Condition

Battery level

Noise levels
S.NO Equipment ID

LED Light
indicator

Air vents
Exterior
Chuck &

Battery
control
switch

Grip
1

10

REMARKS: SCREW GUN

NOTES:
NAME NAME
INSPECTED BY: REVIEWED BY:
SIGNATURE SIGNATURE

HSE INSPECTION RECORDS SCREW GUN INSPECTION DOC NO: 011

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 YOUR COMPANY NAME
Project Name: Location: Date:

Doc Ref No:

Note: Use ✓ for acceptable points, X for non-acceptable points, and N/A for not applicable points. DIESEL GENERATOR MONTHLY INSPECTION

Gen 1 SL.NO Gen 2 SL.NO Gen 3 SL.NO Gen 4 SL.NO

S.NO

INSPECTION
GRAPHICAL REPRESENTATIONS
POINTS

1 General Condition

2 Fuel System

3 Engine Condition

4 Load Testing

5 Voltage Surges

6 Exhaust Manifold

All
7
Switches/Buttons

8 Maintenance

Power
9
Disturbances

Electrical
10
Connections

11 Wiring

12 Circuit Breakers

Battery and
13
Charging

14 Ventilation

15 Exhaust Systems

16 Fire Extinguishers

17 Cooling Systems

18 Lubrication System

19 Belts and Pulleys

20 Control Panel

21 Starting System

22 Sound Attenuation

23 Anti-Freeze

24 Emissions

25 Fuel Consumption

26 Air Intake System

27 Fuel Tank & Cap

28 Fuel Lines

29 Fuel Injection

30 Fuel Tank Gauge

31 Turbocharger

32 Instrumentation

33 Safety Shutdowns

Exhaust Gas
34
Temperature

HSE MONTHLY INSPECTION DIESEL GENERATOR INSPECTION DOC NO: 002

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 YOUR COMPANY NAME
Project Name: Location: Date:

Doc Ref No:

Note: Use ✓ for acceptable points, X for non-acceptable points, and N/A for not applicable points. DIESEL GENERATOR MONTHLY INSPECTION

Gen 1 SL.NO Gen 2 SL.NO Gen 3 SL.NO Gen 4 SL.NO

S.NO

INSPECTION
GRAPHICAL REPRESENTATIONS
POINTS

35 Emergency Stop

36 Vibration Isolation

37 Battery Electrolyte

38 Battery Load Test

39 Control Wiring

40 Coolant Condition

41 Radiator

42 Thermostat

43 Fan Belt Tension

44 Engine Mounts

45 Fuel Additives

46 Air Filter

47 Fuel and Oil leaks

48 Gasket and Seals

Fuel Injector
59
Nozzles

Crankshaft,
50 camshaft, and
bearings

51 Alternator

52 Voltage Regulator

53 Air Ducts & Louvers

Engine Block
54
Heater

54 Engine Hour Meter

5
REMARKS
6

10

Name: Name:
INSPECTED BY: REVIEWED BY:
Signature: Signature:

HSE MONTHLY INSPECTION DIESEL GENERATOR INSPECTION DOC NO: 002

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 YOUR COMPANY NAME
Project Name : Project Location:
Site Details: Date: Location
Note: Use ✓ for acceptable points, X for non-acceptable points, and N/A for not applicable points. FIRST AID KIT INSPECTION

FIRST AID KIT DAYS

INSPECTION
S. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 GRAPHICAL REPRESENTATION
No
Inspection Points

1 Adhesive Bandages

2 Sterile Gauze Pads

3 Adhesive Tape

4 Sterile Roller Bandages

5 Triangular Bandages

6 Sterile Eye Pads

7 Eyes Wash Solution

Disposable Non-Latex
8
Gloves

9 Scissors

10 Tweezers

11 Instant Cold Compress

12 CPR Kits and Face shield

13 First Aid Manual

14 Burn Relief Gel or Spray

15 Antiseptic Wipes

16 Pain Reliever

17 Splints, Tourniquets

REMARKS:
NAME NOTES: NAME
INSPECTED BY: REVIEWED BY :
SIGNATURE SIGNATURE

HSE INSPECTION RECORDS FIRST AID KIT INSPECTION DOC NO: 004

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 YOUR COMPANY NAME
Project Name : Project Location :
Site Details: Date: Location:
Note: Use ✓ for acceptable points, X for non-acceptable points, and N/A for not applicable points. HSE MONTHLY FIRST AID INSPECTION

Inspection Points
FIRST AID KIT INSPECTION
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

Inspection Points

Instant Cold Compress

Burn Relief Gel/Spray

Disposable Non-Latex
Triangular Bandages
Adhesive Bandages

Sterile Gauze Pads

Eye wash solution

CPR Kits and Face

Antiseptic Wipes
Sterile Eye pads
Adhesive Tape

First Aid Manual

Pain Reliever
Sterile Roller

Tourniquets
S.NO FIRST AID KIT ID

Tweezers
Bandages

Scissors
Gloves

Shield

Splits
1

10

REMARKS :

NAME NOTES: NAME

INSPECTED BY : REVIEWED BY :
SIGNATURE SIGNATURE

HSE INSPECTION RECORDS FIRST AID INSPECTION DOC NO: 004

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 YOUR COMPANY NAME
Project Name: Location: Date:

Doc Ref No:

Note: Use ✓ for acceptable points, X for non-acceptable points, and N/A for not applicable points. DIESEL GENERATOR DAILY INSPECTION
DAYS
S.NO

INSPECTION

10

11

12

13

14

15

16

17

18

19

20

21

22

23

25

26

27

28

29

30
1

9
POINTS

1 General Condition

2 Fuel System

3 Engine Condition

4 Load Testing

5 Voltage Surges

6 Exhaust Manifold

All
7
Switches/Buttons

8 Maintenance

Power
9
Disturbances

Electrical
10
Connections

11 Wiring

12 Circuit Breakers

Battery and
13
Charging

14 Ventilation

15 Exhaust Systems

16 Fire Extinguishers

17 Cooling Systems

18 Lubrication System

18 Belts and Pulleys

19 Control Panel

20 Starting System

21 Sound Attenuation

22 Anti-Freeze

23 Emissions

24 Fuel Consumption

25 Air Intake System

26 Fuel Tank & Cap

27 Fuel Lines

28 Fuel Injection

29 Fuel Tank Gauge

30 Turbocharger

31 Instrumentation

32 Safety Shutdowns

HSE DAILY INSPECTION DIESEL GENERATOR INSPECTION DOC NO: 013

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 YOUR COMPANY NAME
Project Name: Location: Date:

Doc Ref No:

Note: Use ✓ for acceptable points, X for non-acceptable points, and N/A for not applicable points. DIESEL GENERATOR DAILY INSPECTION
DAYS
S.NO

INSPECTION

10

11

12

13

14

15

16

17

18

19

20

21

22

23

25

26

27

28

29

30
1

9
POINTS

Exhaust Gas
33
Temperature

34 Emergency Stop

35 Vibration Isolation

36 Battery Electrolyte

37 Battery Load Test

38 Control Wiring

39 Coolant Condition

40 Radiator

41 Thermostat

42 Fan Belt Tension

43 Engine Mounts

44 Fuel Additives

45 Air Filter

46 Fuel and Oil leaks

47 Gasket and Seals

Fuel Injector
48
Nozzles

Crankshaft,
49 camshaft, and
bearings

50 Alternator

51 Voltage Regulator

52 Air Ducts & Louvers

Engine Block
53
Heater

54 Engine Hour Meter

REMARKS

Name : Name :
INSPECTED BY: REVIEWED BY:
Signature: Signature:

HSE DAILY INSPECTION DIESEL GENERATOR INSPECTION DOC NO: 013

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 YOUR COMPANY NAME
Project Name: Location: Date:

Doc Ref No:

Note: Use ✓ for acceptable points, X for non-acceptable points, and N/A for not applicable points. AMBULANCE MONTHLY INSPECTION

AMBULANCE Vehicle No Vehicle No Vehicle No

S. No
INSPECTION POINTS GRAPHICAL REPRESENTATIONS
VEHICLE EXTERIOR
1 Body condition
2 Paint condition
3 Door Handles and Lock
4 Headlights
5 Taillights
6 Brake lights
7 Siren lights
8 Fog lights
9 Turn signals/ indicators
10 Tires
11 Mirrors
12 Windshield and Wipers
13 Reflectors
14 License plate
VEHICLE INTERIOR
15 Dashboard condition
16 Seat condition
17 Flooring condition
18 Ceiling condition
19 HVAC systems
20 Cabin storages
EMERGENCY EQUIPMENTS
21 Light bars
22 Siren sounds
23 Defibrillator
24 Defibrillator battery charge
25 Oxygen delivery system
26 Oxygen tank Pressure
27 Oxygen mask
28 Spine board
29 Stretcher
30 Window Breaker/Hammer
31 Fire Extinguishers
32 Wheel Chairs
Name: Name:
Inspected By Reviewed By:
Signature: Signature:
HSE DAILY INSPECTION AMBULANCE INSPECTION DOC NO: 001

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 YOUR COMPANY NAME
Project Name: Location: Date:

Doc Ref No:

Note: Use ✓ for acceptable points, X for non-acceptable points, and N/A for not applicable points. AMBULANCE MONTHLY INSPECTION

AMBULANCE Vehicle No Vehicle No Vehicle No

S. No
INSPECTION POINTS GRAPHICAL REPRESENTATIONS
MEDICAL SUPPLIES
33 Bandages
34 Splints
35 Medications
36 Iv fluids
37 Supplies expiration
38 Temperature controls
39 Intravenous equipment
40 Airway management equipment
41 Sterilization supplies
42 Infection control supplies
43 Basic PPEs
HYGIENE AND CLEANLINESS
44 Overall cleanliness
45 Interior surfaces
46 Storage areas
47 Bio-Hazard Kits
48 Sharp Containers
49 Cleaning Products
50 Trash Bins
COMMUNICATION SYSTEMS
51 Radios
52 Cellular
53 Hands-Free
54 GPS
DOCUMENTATION
55 Registration
56 Insurance
57 Maintenance Records
58 Driver’s License
VEHICLE MAINTENANCE REMARKS
59 Fluid Levels
60 Engine Leaks
61 Brakes
62 Steering & Suspensions
Name: Name:
Inspected By Reviewed By:
Signature: Signature:

HSE DAILY INSPECTION AMBULANCE INSPECTION DOC NO: 001

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 YOUR COMPANY NAME
Project Name: Location: Date:

Doc Ref No:

Note: Use ✓ for acceptable points, X for non-acceptable points, and N/A for not applicable points. AMBULANCE DAILY INSPECTION
DAYS

INSPECTION
S.NO

10

11

12

13

14

15

16

17

18

19

20

21

22

23

25

26

27

28

29

30
1

9
POINTS

VEHICLE EXTERIOR

1 Body condition

2 Paint condition

3 Door handles & lock

4 Head & tail lights

5 Brake lights

6 Siren lights

7 Fog lights

8 Turn signals

9 Tires

10 Mirrors

11 Windshield/wipers

12 Reflectors

13 License plate
VEHICLE INTERIOR

14 Dashboard condition

15 Seat condition

16 Flooring condition

17 Ceiling condition

18 HVAC system

19 Cabin storage
EMERGENCY EQUIPMENTS

20 Light bars

21 Siren sounds

22 Defibrillator

23 Defibrillator battery

24 Oxygen supplies

25 Oxygen mask

26 Oxygen tank pressure

27 Spine/ Board

28 Stretcher

29 Window breaker

30 Fire Extinguishers

31 Wheel Chairs
MEDICAL SUPPLIES

32 Bandages

33 Splints

HSE DAILY INSPECTION AMBULANCE DAILY INSPECTION DOC NO: 001

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 YOUR COMPANY NAME
Project Name: Location: Date:

Doc Ref No:

Note: Use ✓ for acceptable points, X for non-acceptable points, and N/A for not applicable points. AMBULANCE DAILY INSPECTION
DAYS

INSPECTION
S.NO

10

11

12

13

14

15

16

17

18

19

20

21

22

23

25

26

27

28

29

30
1

9
POINTS

34 Medications

35 IV fluids

36 Supplies & expiration

37 Temperature controls

38 Intravenous equips

39 Airway equipment

40 Sterilization supplies

41 Basic PPEs
HYGIENE AND CLEANLINESS

42 Overall cleanliness

43 Interior surfaces

44 Storage areas

45 Bio-Hazard Kits

46 Sharp containers

47 Cleaning products

48 Trash bins
COMMUNICATION SYSTEMS

49 Radios

50 Cellular

51 Hands-free

52 GPS
DOCUMENTATION

53 Registration

54 Insurance

55 Maintenance records

56 Driver’s license
VEHICLE MAINTENANCE

57 Fluid Levels

58 Engine leaks

59 Brakes

60 Steering

61 Suspensions

Name: Name:
INSPECTED BY REVIEWED BY
Signature: Signature:

HSE DAILY INSPECTION AMBULANCE DAILY INSPECTION DOC NO: 001

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 YOUR COMPANY NAME
Project Name: Location: Date:

Doc Ref No:

Note: Use ✓ for acceptable points, X for non-acceptable points, and N/A for not applicable points. AMBULANCE DAILY INSPECTION

HSE DAILY INSPECTION AMBULANCE DAILY INSPECTION DOC NO: 001

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 YOUR COMPANY NAME
Project Name: Project Location:
Site Details: Date: Location:
Note: Use ✓ for acceptable points, X for non-acceptable points, and N/A for not applicable points. CIRCULAR SAW DAILY INSPECTION

CIRCULAR SAW DAYS

INSPECTION
GRAPHICAL REPRESENTATION
S. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
Inspection Points
No

1 Blade Condition

2 Correct Blade Type

3 Blade Alignment

4 Lever for Blade Guard

5 Lower Blade Guard

6 Main Shoe

7 Front Clamp Screw

8 Handle

Bevel Cutting Angle

9
Adjustment Knob
Cutting Depth
10
Adjustment Knob
11 Trigger Switch

12 Safety Switch

Motor Housing &

13
Function
14 Dust Port/ Collector

15 Noise and Vibration

16 Smooth Start-Up

17 Electrical Cord &Plug

REMARKS:

NAME NOTES: NAME Circular Saw

INSPECTED BY: REVIEWED BY:
SIGNATURE SIGNATURE

HSE INSPECTION RECORDS CIRCULAR SAW INSPECTION DOC NO: 010

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 YOUR COMPANY NAME
Project Name : Project Location:
Site Details: Date: Location:
Note: Use ✓ for acceptable points, X for non-acceptable points, and N/A for not applicable points. CIRCULAR SAW MONTHLY INSPECTION

Inspection Points
CIRCULAR SAW
INSPECTION 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 GRAPHICAL REPRESENTATION
Inspection Points

Lever for Blade Guard

Electrical Cord &Plug

Noise and Vibration
Dust Port/Collector
Bevel Cutting Angle
Correct Blade Type

Lower Blade Guard

Front Clamp Screw

Adjustment Knob

Adjustment Knob

Motor Housing &

Blade Alignment

Smooth Start-Up
Blade Condition

Trigger Switch
Cutting Depth

Safety Switch
S.NO Equipment ID

Main Shoe

Function
Handle
1

10

REMARKS: CIRCULAR SAW

NOTES:
NAME NAME
INSPECTED BY: REVIEWED BY :
SIGNATURE SIGNATURE

HSE INSPECTION RECORDS CIRCULAR SAW INSPECTION DOC NO: 010

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 YOUR COMPANY NAME
Project Name: Project Location:
Site Details: Date: Equipment ID:
Note: Use ✓ for acceptable points, X for non-acceptable points, and N/A for not applicable points. FULL BODY HARNESS DAILY INSPECTION

FULL BODY HARNESS DAYS

INSPECTION
S. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 GRAPHICAL REPRESENTATION
Inspection Points
No

1 Label

2 Straps/Wears

3 Buckles

4 D-Rings

5 Snap Hook

6 Large Hook

7 Strap Holders

8 Lanyard

9 Comfort

10 Weight Capacity

11 Color Coding

12 Cleanliness

13 Fit

14 Compatibility

15 Shock Absorber

16 Dorsal Anchorage

17 Stitching

REMARKS:
NOTES:
NAME NAME
INSPECTED BY : REVIEWED BY :
SIGNATURE SIGNATURE

HSE DAILY INSPECTION RECORDS Full Body Harness INSPECTION DOC NO: 007

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 YOUR COMPANY NAME
Project Name :
Site Details: Date: Location:
Note: Use ✓ for acceptable points, X for non-acceptable points, and N/A for not applicable points. FULL-BODY HARNESS MONTHLY INSPECTION

Inspection Points
POWERTOOLS INSPECTION

Inspection Points
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

Dorsal Anchorage
Weight Capacity

Shock Absorber
Strap Holders

Compatibility
Straps/ Wear

Color Coding
Large Hook

Cleanliness
Snap Hook
S.NO Equipment ID

Stitching
Lanyard

Comfort
Buckles

D-Rings
Label

Fit
1

9
18
10

REMARKS :

NOTES:
NAME NAME
INSPECTED BY : REVIEWED BY :
SIGNATURE SIGNATURE

HSE MONTHLY INSPECTION RECORDS FULL BODY HARNESS INSPECTION DOC NO: 007

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 YOUR COMPANY NAME
Project Name : Project Location:
Site Details: Date: Location:
Note: Use ✓ for acceptable points, X for non-acceptable points, and N/A for not applicable points. FIRE EXTINGUISHER MONTHLY INSPECTION

Inspection Points
FIRE EXTINGUISHERS
INSPECTION 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Inspection Points

Safety Pin & Locking

Hydrostatic Testing
Expiration Date

Discharge Hose
Instructions &

Maintenance
Accessibility
Location &

S.NO Equipment ID

Clear Path
Corrosion
Condition
Visibility

Pressure
Labeling

Signage

Weight

Handle
Nozzle

Gauge

Hose

Seal
Pin
1

10

REMARKS :

NOTES:
NAME NAME
INSPECTED BY : REVIEWED BY :
SIGNATURE SIGNATURE

HSE INSPECTION RECORDS FIRE EXTINGUISHERS INSPECTION DOC NO: 003

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 YOUR COMPANY NAME
Project Name: Project Location:
Site Details: Date: Location:
Note: Use ✓ for acceptable points, X for non-acceptable points, and N/A for not applicable points. SMOKE DETECTOR DAILY INSPECTION

SMOKE DETECTOR DAYS

INSPECTION
GRAPHICAL
S. No Inspection Points 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
REPRESENTATION

1 Adequately Installed

2 Appropriate Location

3 Interconnections

4 Power

5 Testing

6 Obstructions

7 Maintenance

8 Audibility

9 False Alarms

10 Alarm Response

Repair or Replacement
12
(MI)

13 Accessibility, Sensitivity

14 Alarm Signal

15 Reliability

16 Compatibility

17 Tamper Resistance

REMARKS:

NAME NOTES: NAME

(MI)- As Per the Manufacturer’s instructions
INSPECTED BY : REVIEWED BY :
SIGNATURE SIGNATURE

HSE INSPECTION RECORDS SMOKE DETECTOR INSPECTION DOC NO: 005

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 YOUR COMPANY NAME
Project Name : Project Location:
Site Details: Date: Location:
Note: Use ✓ for acceptable points, X for non-acceptable points, and N/A for not applicable points. SMOKE DETECTOR MONTHLY INSPECTION

Inspection Points
SMOKE DETECTOR
INSPECTION 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

Inspection Points

Appropriate Location
Adequately Installed

Tamper Resistance
Interconnections

Alarm Response
18

Compatibility
Replacement
Accessibility.
Obstructions

Maintenance

False Alarms

Alarm Signal
S.NO SMOKE DETECTOR ID

Sensitivity

Reliability

Reliability
Audibility

Repair or
Testing
Power
1

10

REMARKS:
NOTES:
NAME NAME
INSPECTED BY: REVIEWED BY :
SIGNATURE SIGNATURE

HSE INSPECTION RECORDS SMOKE DETECTOR INSPECTION DOC NO: 005

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 YOUR COMPANY NAME
Project Name : Project Location :
Site Details: Date: Location
Note: Use ✓ for acceptable points, X for non-acceptable points, and N/A for not applicable points. FIRE EXTINGUISHER DAILY INSPECTION

FIRE EXTINGUISHER DAYS

INSPECTION
S. No Inspection Points 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

1 Location & Accessibility

2 Visibility
3 Instructions & Labeling
4 Expiration Date
5 Pressure
6 Condition
7 Maintenance
8 Signage
9 Hydrostatic Testing
10 Discharge Hose Nozzle
11 Corrosion
12 Gauge
13 Hose
14 Safety Pin & Locking Pin
15 Seal
16 Weight
17 Handle

REMARKS :

NAME NOTES: NAME

INSPECTED BY : REVIEWED BY :
SIGNATURE SIGNATURE

HSE INSPECTION RECORDS FIRE EXTINGUISHER NSPECTION DOC NO: 003

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 YOUR COMPANY NAME
Project Name: Location: Date:

Doc Ref No:

Note: Use ✓ for acceptable points, X for non-acceptable points, and N/A for not applicable points. CHEMICAL STORAGE INSPECTION
DAYS
S.NO

INSPECTION

10

11

12

13

14

15

16

17

18

19

20

21

22

23

25

26

27

28

29

30
1

9
POINTS

STORAGE CONTAINERS

1 Condition

2 Labels

3 Secure

4 Ventilation

5 Compatibility

6 Quantity Limits

Secondary
7
Containment

Corrosion
8
Resistance

9 Sealing

10 Transport

Emergency
11
Information
STORAGE AREAS

12 Lighting

13 Separation

14 Fire Prevention

15 Fire Detection

16 Fire Doors

17 Smoke Control

18 Ventilation

19 Local Exhaust

20 Dilution Ventilation

21 Access Control

22 Housekeeping

Temperature
23
control

24 Humidity Control

25 Emergency Lights

26 Flooring

27 Drainage
STORAGE RACKS

28 Design

29 Anchoring

30 Inspection

31 Load Distribution

HSE DAILY INSPECTION CHEMICAL STORAGE INSPECTION DOC NO: 008

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 YOUR COMPANY NAME
Project Name: Location: Date:

Doc Ref No:

Note: Use ✓ for acceptable points, X for non-acceptable points, and N/A for not applicable points. CHEMICAL STORAGE INSPECTION
DAYS
S.NO

INSPECTION

10

11

12

13

14

15

16

17

18

19

20

21

22

23

25

26

27

28

29

30
1

9
POINTS

32 Rack Configuration

33 Rack Maintenance

34 Load Capacity

35 Defection

Loading &
36
Unloading

37 Handling tools
EMERGENCY PROCEDURES

38 Training

39 Evacuation Plan

40 Safe Exits

41 Communication

42 Spill Response Plan

43 Fire Response Plan

44 First Aids

45 Alarms

46 Medics

Reactive Chemical
47
Warning
HAZARD COMMUNICATION

48 Training

49 MSDS

50 Chemical Inventory

51 Labeling & Signage

HOUSEKEEPING

52 Cleanliness

53 Spills

54 Waste Disposal

55 Pest Control

56 Stock Rotation

REMARKS 2

NOTES

Name : Name :
INSPECTED BY: REVIEWED BY:
Signature: Signature:

HSE DAILY INSPECTION CHEMICAL STORAGE INSPECTION DOC NO: 008

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 YOUR COMPANY NAME
Project Name: Project Location:
Site Details: Date: Equipment ID:
Note: Use ✓ for acceptable points, X for non-acceptable points, and N/A for not applicable points. LADDER MONTHLY INSPECTION

Inspection Points
LADDER INSPECTION
Inspection Points
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

Inspection Tags
Locking Device
Warning Signs
Identification

Maintenance

Accessories

Accessories
Proper-Use
Materials

Electrical

& Labels
S.NO Equipment ID

Storage
Weight

Labels
Rungs

Rungs
Locks
Rails

Feet
1

10

REMARKS:

NOTES:
NAME NAME
INSPECTED BY : REVIEWED BY :
SIGNATURE SIGNATURE

HSE INSPECTION RECORDS LADDER INSPECTION DOC NO: 006

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 YOUR COMPANY NAME
Project Name: Project Location:
Site Details: Date: Location:
Note: Use ✓ for acceptable points, X for non-acceptable points, and N/A for not applicable points. ANGLE GRINDER MONTHLY INSPECTION

Inspection Points
ANGLE GRINDER
INSPECTION 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 GRAPHICAL REPRESENTATION
Inspection Points

Noise and Vibration levels

Disc rotation & RPM

Cord strain reliever

Power cord & plug

Deadman switch
Motor condition

Inspection Tag
Electrical cord
Disc condition

S.NO Equipment ID

Screw & Bolts

Off/on switch
Locking nut

Air Vents
Tool rest

Housing
Spindle

Handle
Guard

10

REMARKS: ANGLE GRINDER

NOTES:
NAME NAME
INSPECTED BY: REVIEWED BY:
SIGNATURE SIGNATURE

HSE INSPECTION RECORDS ANGLE GRINDER INSPECTION DOC NO: 013

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 YOUR COMPANY NAME
Project Name: Location: Date:

Doc Ref No:

Note: Use ✓ for acceptable points, X for non-acceptable points, and N/A for not applicable points. CHEMICAL STORAGE INSPECTION

Location Location Location Location Location Location Location Location Location

CHEMICAL STORAGE
1 2 3 4 5 6 7 8 9
S.NO
INSPECTION POINTS

STORAGE CONTAINERS

1 Condition
2 Labels
3 Secure
4 Ventilation
5 Compatibility
6 Quantity Limits
7 Secondary Containment
8 Corrosion Resistance
9 Sealing
10 Transport
11 Emergency Information
STORAGE CONTAINERS

12 Lighting
13 Separation
14 Fire Prevention
15 Fire Detection
16 Fire Doors
17 Smoke Control
18 Ventilation
19 Local Exhaust
20 Dilution Ventilation
21 Access Control
22 Housekeeping
23 Temperature control
24 Humidity Control
25 Emergency Lights
26 Flooring
27 Drainage
STORAGE RACKS

28 Design
29 Anchoring
30 Inspection

HSE DAILY INSPECTION CHEMICAL STORAGE INSPECTION DOC NO: 008

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 YOUR COMPANY NAME
Project Name: Location: Date:

Doc Ref No:

Note: Use ✓ for acceptable points, X for non-acceptable points, and N/A for not applicable points. CHEMICAL STORAGE INSPECTION

DAYS
S.NO

INSPECTION

9
POINTS

31 Load Distribution
32 Rack Configuration
33 Rack Maintenance
34 Load Capacity
35 Defection
36 Loading & Unloading
37 Handling tools
Emergency Procedures

38 Training
39 Evacuation Plan
40 Safe Exits
41 Communication
42 Spill Response Plan
43 Fire Response Plan
44 First Aids
45 Alarms
46 Medics
Reactive Chemical
47
Warning
Hazard Communication

48 Training
49 MSDS
50 Chemical Inventory
51 Labeling & Signage
52 Cleanliness
53 Spills
54 Waste Disposal
55 Pest Control
56 Stock Rotation
1

REMARKS 2
3

INSPECTED BY: Name: Name:

REVIEWED BY:
Signature Signature:

HSE DAILY INSPECTION CHEMICAL STORAGE INSPECTION DOC NO: 008

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 YOUR COMPANY NAME
Project Name: Project Location:
Site Details: Date: Equipment ID:
Note: Use ✓ for acceptable points, X for non-acceptable points, and N/A for not applicable points. LADDER DAILY INSPECTION

LADDER DAYS
INSPECTION
S. No Inspection Points 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 GRAPHICAL REPRESENTATION

1 Identification
2 Materials
3 Weight
4 Rungs
5 Rails
6 Feet
7 Locks
8 Labels
9 Electrical
10 Proper-Use
11 Maintenance
12 Storage
13 Accessories
14 Rungs
Warning Signs &
15
Labels
16 Locking Device
17 Inspection Tags
18 Dents & Bends
19 Corrosions

REMARKS:
NAME NOTES: NAME
INSPECTED BY: REVIEWED BY :
SIGNATURE SIGNATURE

HSE INSPECTION RECORDS LADDER INSPECTION DOC NO: 006

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