i engineering
TEMPLATES
EHS Inspection Checklist
Location: Name of Inspector(s): Date:
Recommended Individual
Satisfactory
Inspection Details Description Corrective Responsible Date Completed
? Y/N/NA
Action for CA
Work at Height
Working at Height
Persons working at height must be trained to Y
observe safe working practice
Equipment used in working at height must be Y
regularly inspected and well maintained
The work is supervised to check people are working Y
safely
Minimize the consequences of a fall by using nets, Y
airbags or fall arrest
Prevent a fall by using fixed walkways with guard Y
rails to get across a fragile roof or use suitable
working platforms with guard rails during work on
or near a fragile surface
Nets and airbags should be positioned as close to Y
the level at which people are working so that any
fall height is minimized
Users of personal fall protection systems should be Y
trained
Persons working at height with fall arrest systems in Y
place should have a rescue plan
Harnesses and lanyards should be inspected to Y
ensure there is no evidence of defects
Ref.: IENG/TEM/EHS/003/20 Version: 4.0 Page 1/5
This document is the property of i engineering. It cannot be copied or transferred without prior authorization.
i engineering
TEMPLATES
Rigging Equipment
Winch
Cracked/Corroded N
Missing Parts N
Burrs/Sharp Edges N
Welded joints still intact? Y
Visible Damage N
Ropes/Wire Ropes
Loose Fibers/Stitches N
Visible wear & Tear N
Correct size for rigging? Y
Excessive soil/dirt N
Discoloration N
Visible Damage N
Gin Pole
Cracked/Corroded N
Missing Parts N
Burrs/Sharp Edges N
Welded joints still intact? Y
Visible Damage N
Pulleys
Cracked/Corroded N
Missing lock/pin N
Burrs/Sharp Edges N
Stocked-up Parts N
Hooks& Bearing still intact Y
Ref.: IENG/TEM/EHS/003/20 Version: 4.0 Page 2/5
This document is the property of i engineering. It cannot be copied or transferred without prior authorization.
i engineering
TEMPLATES
Visible Damage N
Machines
Good Running Condition Y
Visible wear & Tear N
Correct HP for rigging? Y
Enough Fuel/Engine Oil Y
Properly Anchored Y
Visible Damage N
Fall Protection Equipment
Buckles (Insert Manufacturers and Model No.)
Cracked/Corroded N
Missing Parts N
Burrs/Sharp Edges N
Visible Damage N
Labels (Insert Manufacturers and Model No.)
Present & Attached Y
Legible Y
D-Rings (Insert Manufacturers and Model No.)
Cracked N
Welded N
Bent/Distorted N
Corroded N
Sharp Edges N
Lanyard & Webbing (Insert Manufacturers and Model No.)
Double Y
Hooks damaged N
Ref.: IENG/TEM/EHS/003/20 Version: 4.0 Page 3/5
This document is the property of i engineering. It cannot be copied or transferred without prior authorization.
i engineering
TEMPLATES
Cuts/Tears/Holes N
Visible Damage N
Shock Absorber (Insert Manufacturers and Model No.)
Cuts/Tears/Abrasion N
Deployed/Stretched/Elongated N
Plastic Cover Missing N
Rope (Insert Manufacturers and Model No.)
Splice loose/Coming out N
Thimble loose/missing N
Stretched/Kink N
5 Full Tucks in Rope Splice Y
Visible damage N
Connectors/Carabiners (Insert Manufacturers and Model No.)
Cracked/Sharp Edges N
Missing Parts N
Corroded N
Bent/Distorted N
Sticky Gates N
Closes but doesn’t Lock N
First Aid Facilities
Complete First Aid Kit and available at site Y
Ref.: IENG/TEM/EHS/003/20 Version: 4.0 Page 4/5
This document is the property of i engineering. It cannot be copied or transferred without prior authorization.
i engineering
TEMPLATES
Fire Extinguishers
Location of the Extinguisher Type of Fire Details & Corrective
Satisfactory Yes/No Inspection Date Name of the inspector
Extinguisher Action Taken
CHEMICAL Y
DRY
Ref.: IENG/TEM/EHS/003/20 Version: 4.0 Page 5/5
This document is the property of i engineering. It cannot be copied or transferred without prior authorization.
