Health & Safety Checklist

HEALTH & SAFETY AUDIT CHECKLIST

Site:

[Company Name], [Work Location]

Audit Date(s):

[DD/MM/YYYY]

Lead Auditor:

[Auditor Name]

Audit Team:

[Names]

Scoring:

0 = Not in place, 1 = Partly in place, 2 = Fully in place with evidence

A. Leadership and Policy

B. Hazard Identification and Risk Control

C. Training and Competence

SAFETY COMPLIANCE CHECKLIST

Establishment:

[Company Name], [Work Location]

Review Date:

[DD/MM/YYYY]

Reviewed by:

[EHS / Admin Head]

Licences and Approvals

Statutory Tests and Certificates

• Lifts and hoists tested by competent person – due [DD/MM/YYYY]
• Lifting machines, chains, slings tested – due [DD/MM/YYYY]
• Pressure vessels and air receivers tested – due [DD/MM/YYYY]
• Boiler certificate (if any) – due [DD/MM/YYYY]
• Electrical installation inspection – due [DD/MM/YYYY]
• Fire extinguishers and hydrant system serviced – due [DD/MM/YYYY]
• Work environment monitoring (noise, dust, lux) – due [DD/MM/YYYY]

Organisation and Policy

POSH INQUIRY CHECKLIST

Complaint Ref. No.:

[Reference Number]

Date of Receipt:

[DD/MM/YYYY]

Presiding Officer:

[Presiding Officer Name]

Target Completion:

[DD/MM/YYYY]

Phase 1 – Intake (Presiding Officer)

• Complaint received in writing and logged in POSH register
• Acknowledgement issued to complainant with reference number
• Required copies and supporting documents received
• Each member has declared no conflict of interest, or recused
• Quorum for this case confirmed, including external member
• Case file opened and stored securely

Phase 2 – Conciliation (Committee)

• Complainant informed of option of conciliation
• Complainant's written choice recorded
• If conciliation: settlement recorded without any monetary element
• Copies of settlement given to both parties and employer
• If no conciliation or it fails: inquiry initiated

Phase 3 – Notice and Reply (Committee)

WORKPLACE SAFETY POLICY

Policy No.:

[Reference Number]

Effective Date:

[DD/MM/YYYY]

Version:

[Number]

Owner:

[Safety Officer / Admin Head]

1. Purpose

[Company Name] is committed to providing a safe and healthy workplace and to preventing injuries, ill health and damage to property. This policy sets out the minimum safety standards that apply at all our premises and work activities.

2. Scope

This policy applies to all employees, trainees, contract workers, vendors and visitors at [Work Location] and any other premises, sites or vehicles operated by the company, including client sites where our staff are deployed.

3. Definitions

OCCUPATIONAL HEALTH POLICY

Policy No.:

[Reference Number]

Effective Date:

[DD/MM/YYYY]

Owner:

[HR Head / Factory Medical Officer]

1. Purpose

This policy sets out how [Company Name] protects and promotes the health of its workforce by identifying work-related health risks, monitoring the health of exposed employees, and supporting employees to work safely and return to work after illness.

2. Scope

It applies to all employees and, where specified, to contract workers engaged at [Work Location] and other company premises.

3. Definitions

WORKPLACE SAFETY INCIDENT REPORT

Incident No.:

[Reference Number]

Date of Report:

[Date]

Reported by:

[Employee Name], [Designation]

Part 1 – Incident Details

• Fire / smoke / explosion
• Electrical incident
• Chemical / gas / oil leak or spill
• Equipment, vehicle or machine failure
• Structural failure / falling object
• Injury to person (attach injury report)
• Property damage only
• Other: [Details]

Part 2 – Immediate Action

SAFETY TRAINING ATTENDANCE SHEET

Site / Plant:

[Work Location]

Date:

[DD/MM/YYYY]

Time / Duration:

[Time] / [Number] minutes

Trainer:

[Trainer Name], [Designation]

Language:

[Hindi / English / Regional]

Training Type

• Toolbox talk
• Safety induction (new joiner / contractor)
• PPE use and care
• Machine-specific / LOTO
• Forklift / material handling
• Chemical handling
• Work at height
• Electrical safety
• Other: [Details]

Topic and Key Points

Attendance

EMERGENCY EVACUATION CHECKLIST

Premises:

[Work Location]

Date:

[DD/MM/YYYY]

Type:

[Mock Drill / Actual Emergency]

Emergency Coordinator:

[Name]

Assembly Point:

[Assembly Point Location] (Alternate: [Location])

Before – Preparedness (Admin / Safety Officer)

• Evacuation plan with exits displayed on every floor
• Exit routes and staircases clear, doors open outward and unlocked
• Exit signs and emergency lighting working
• Fire alarm and public address system tested
• Floor marshals and sweepers named for each shift
• Persons needing assistance identified with a buddy assigned
• Visitor and contractor registers up to date

During – Evacuation (Floor Marshals)

• Alarm raised and emergency services called (112 / 101)
• Machines and gas supply shut down if safe to do so
• Occupants directed to nearest safe exit; lifts not used
• Sweepers checked rooms, toilets, pantry and storerooms
• Persons needing assistance helped by buddies
• Doors closed behind (not locked) to slow fire spread
• Marshals reported floor clear to the coordinator

At the Assembly Point (Coordinator / HR / Security)