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Main Menu
Provide infrormation for Top Management to review
Address Monthly performance for measures taken
A milestone plan of safety program
Workplace inspection checklist to reflect on the input from data entry
Integrated Safety Inspection System
Monthly Inspection Data Entry
Inspection Checklist
OSH Program
Monthly EvaluationAnalysis
This template is designed for the template of workplace inspection forhospital industry.It able to utilize the reporting process to comply OSH(SHO) Regulation, OSH(SHC) Regulation and OHSAS 18001 requirement for managing OSH Program, evaluation of compliance and monitoring of OSH performance.
Contact us at [email protected] or Whatapps at +6019 279 1152 if interested to get a customized template for your organization.Note: This SAMPLE is only set-up the checklist for month of Jan, or unless you may personnally mail us on your request to get a complete version.
Main Menu
Workplace inspection checklist to reflect on the input from data entry
Workplace inspection data entry
Integrated Safety Inspection System
Monthly Inspection Data Entry
Non-Complianc
eData EntryInspection
Checklist
Reporting the non-compliance detected during inspection
This template is designed for the template of workplace inspection forhospital industry.It able to utilize the reporting process to comply OSH(SHO) Regulation, OSH(SHC) Regulation and OHSAS 18001 requirement for managing OSH Program, evaluation of compliance and monitoring of OSH performance.
Contact us at [email protected] or Whatapps at +6019 279 1152 if interested to get a customized template for your organization.Note: This SAMPLE is only set-up the checklist for month of Jan, or unless you may personnally mail us on your request to get a complete version.
Effective month & yearMonth JanYear 2017
Safety Inspection rating evaluationRating Evaluation From (%) To (%)
Best 100% -Good 90% 99%Compliant 85% 89%Comply minimum 80% 84%Not comply minimum 70% 79%Improvement needed 0% 69%
Safety InspectionMonth Jan Feb Mar Apr May JunScore Target (%) 90 80Inspection dateInspectorZone
Incident monitoring dataDate of last reportableincident/accident 8/12/2016Month Jan Feb Mar Apr May JunAccident dataNear Miss DataDangerous OccurancePoisoning / Desease
Jul Aug Sep Oct Nov Dec
Jul Aug Sep Oct Nov Dec
Workplace Inspection Checklist
Summary KeyComply 0 Comply
Partially comply 0 NI
Non-comply 1 NC
Not Applicable 0 N/A
Inspector name:
EvaluationSection 1 General Safety NC NI Comply N/A
1 101 X Physical arrangement of workplace, equipment & machinery
2 102 X Used of hand tools
3 103 X Maintenance works (repair works)
4 104 X Maintenance and engineering works
5 105 X Trip and falls hazard
6 106 X Manual handling work
1). Suitability of equipment for the task2). used of PPE3). Storage4). Equipment condition5). Application of used method6). Safety Guard for the equipment
a). Work permit issuedb). Warning signagec). Provide proper PPE
a). Detect expired PPM Stickerb). Proper labeling on equipments not in usec). Broken equipments / shelves and cabinetsd). Doors closer, lights, bulbs, water tap malfunctione). Broken /Cracked window
a. Extension cords present tripping hazardsb. Uneven floor, sudden raise or dropc. Inadequate warning signs for sloped. d. Piling of loose items at walkway / staircase
a). Condition of floor surfaceb). Lighting
7 107 X General duties of employees
8 108 X Floor
9 109 X Clear & unobstruction of access to place of work
10 110 X Cover for openings (manhole, sewage, drainage etc.)
11 111 X Ladder
12 112 X Stacking of materials
a). Take care safety and healthb). To co-operate safety and health matterc). Wear or use PPEd). Follow safety and health instruction
Maintained in level, good, non-slippery and safe for walking or handling of materials with effective cleaning methodNo floor burbling / holes / broken vinyl being found
a). Fixed ladder shall have suitable handrails or handholds and safe structureb). Portable ladder - shall be with non-skid devices
13 113 X Material arrangement shall be;
14 114 X Cleanliness - Provision of sufficient a rubbish and rubbishcollection at working area
15 115 X Cleanliness - Walls, partition and ceiling in good paint
16 116 X Cleanliness - Adequate drains without blockage ofwaste water water flow
17 117 X Cleanliness - Every workroom maintained and no observationof entrance or harbouring of rodents, insects or vermin
18 118 X Good ventilation system in work place especially for
a). To be placed at strong foundationsb). Not against partition or walls of building c). Within standard height limit
a). Stacked firmlyb). Not might caused to collapse
condition and maintained. (e.g. Water leaking / Ceiling stain marks)
processes generating heat, smoke or fume
19 119 X air cleanliness free from dust
20 120 X No food or drink in the workplace area
21 121 X Suitable lighting at workplace
22 122 X Condition of emergency lighting at stairways, passageways and exits from workplaces
23 123 X Drinking water
24 124 X General Safety for Noise; Warning Sign
25 125 X General Safety for PPE
a). Cleanliness and safety of surounding drinking water outletb). Drinking water supplied from approved source
a). Warning sign posted at entrance of work placeb). Clealy indicated that the area is high noise area & c). Sign of wearing a hearing protection device
EvaluationSection 2 Housekeeping, storage and waste handling NC NI Comply N/A
26 201 X Housekeeping
27 202 X Waste monitoring
28 203 X Storage
a). Duty of employee to wear PPE properlyb). Devices fit to employeed). Compatible with the job requiremente). Not prejudice to healthf). Adequate PPE quantity and storageg. Adequate ‘PPE Located here’ Signs
a). Areas not properly clean, spider net/dustb). Housekeeping carts need repair / bottle’s labelc). Improper chemical label and storaged). Waste not collected according to schedulee). Disposal room housekeeping conditionf). Staff’s shoes, apron, mask and hand gloves
a). Improper disposal of clinical waste / normal wasteb). Torn / Broken yellow bag / binc). Overflow yellow bag / bind). Improper storage / position of clinical waste bin
29 204 X Clinical waste
EvaluationSection 3 Chemical Safety NC NI Comply N/A
30 301 X 301 Design of chemical packaging according to Reg.6 & 7 of USECHH
31 302 X Labelling
32 303 X Updated CSDS is available
a). Chemical storage conditionb). A height against ceiling (within 1.5 ft of the ceiling)c). Combustibles storage near heat sourcesd). Gas cylinder storage conditione). Safety storage on gas cylinder, boxes and goodsf). Storage under the sink g). Store cleanlinessh). Up-to-datedness of inventory
1. Disposal method (mixing with normal waste is prohibited)2. Appropriate yellow bag3. Clinical waste storage
a). Content according to Reg. 8, 9, 10 & 11 of USECHHb). Not spoiltc). Appropriate relabelling
33 304 X Warning Signage
34 305 X Chemical StorageStorage and containment
EvaluationSection 4 Mechanical / Machinery Safety NC NI Comply N/A
35 401 X Fence
36 402 X Machine driven by electrical power;
37 403 X Electrical apparatus prevention from;
a). Appropriate location against chemical place areab). Follow specification; i). warning of hazard, ii). National and English language iii). Dark red against white background
1). No hazard on opening in machine fence2). No hazard on fencing at point of operation
a). START/STOP switch conditionb). Pedal condition automatic lock or U guard
38 404 X “Perakuan Kelayakan Mesin Tekanan” (PMT) is;
39 405 X “Perakuan Kelayakan Mesin Angkat" (PMA) is;
40 406 X Physical condition of the machinery;
EvaluationSection 5 Fire Safety NC NI Comply N/A
41 501 X Fire fighting applicance condition
42 502 X Sprinkler
a). Fireb). Contact with moving and live parts
a). Validb). Display at machineryc). Visible and legible
a). Validb). Display at machineryc). Visible and legible
a). Good operating conditionb). No damagec). No abnormal sound or noise
a). Maintenanceb). Readily accessiblec). Suitability of usage
a). approprite to extiguish fire at hazardous areab). Located at safe and enclosed area. Readily accessible to the Fire Authority
43 503 X Life safety Facilities
44 504 X Fire prevention facilities - no sign of failure;
45 505 X Fire fighting facilities - no sign of failure;
46 506 X No concealment and misuse of fire hydrants
1). Procedure & notice during fire2). Good maintenance of facilities (e.g. staircase and corridor)
1). Automatic fire detectors system2). Public address system3). Communication line to BOMBA4). Electrical wiring5). Compartment6). Command and control centre7). Fire door8). Fire stopping
1). Fire lift2). Fire dampers3). Electrical isolation switch4). Smoke ventilation system5). Hose reel system6). Wet riser system7). Dry riser system8). Drencher system9). Carbon dioxide system10. Fire lifting staircase11). Voice communication system12). Fire appliance access
47 507 X Offences in respect of fire alarm
48 508 X Fire alarm and it appropriateness with nature of accupancy
EvaluationSection 6 Emergency preparedness NC NI Comply N/A
49 601 X Water storage & capacity
50 602 X Smoke vents to be openable by Fire Authority
51 603 X Exit door is opened and released smoothly
52 604 X Emergency Exit Sign
a). Fire alarm no damagedb). Unconcealsc). Not to be activates or deactivates without reasonable excuse
EvaluationSection 7 Health - Infection control NC NI Comply N/A
53 701 X Storage of food / drugs in refrigerator
54 702 X Security of meds
55 703 X Storage of clean / dirty linen
56 704 X Patient care items storage(placement of the floor are prohibited)
57 705 X Cleanliness of toys
58 706 X Separation of clean and soiled supplies
a). Visible signs & not be obscuredb). a sign reading "KELUAR" with an arrowc). illuminated continuously
59 707 X No stagnant water at critical areas
60 708 X Date identification of multi-dose medication
61 709 X Mattress cover without torn / damaged
62 710 X No blood stain on clean linen
63 711 X Valid meds / Materials
64 712 X Control of sharps / needles
65 713 X No pre-drawn syringe found
66 714 X No present of mold found
67 715 X No medication of discharged patient found
68 716 X Proper soaking / cleaning of instruments
69 717 X Hand hygiene procedures
70 718 X Alcohol gel / soap dispensers
71 719 X Proper soap provided
EvaluationSection 8 Construction Safety NC NI Comply N/A
72 801 X Machinery installed on any floor above the ground floor
73 802 X Suitable eye protection was provided for person engaged in welding or cutting process
74 803 X Suitable respirators, cleaned and maintained
75 804 X Good protective apparel for safety helmet, proper foot gears,hand gloves, goggles, coat, hat and others
76 805 X Electrical hazards
a). Strong structure to support machinery loadb). Workplace without any loose material and in non-slippery condition
77 806 X Equipment shall be guarded to protect from contact with theblade or (if applicable) fastened appropriately
78 807 X Stability of structure that may fall, collapse or weaken due wind pressure or vibration
79 808 X Illumination of passageways, etc. shall be not less than 50 lux
80 809 X Storage of materials / equipment;
a). Warning signs in the national languageb). Information of lines with hazard and the PPE need to be usedc). Appropriate protection through earthing or by effective insulationd). Underground electric power lines is defined, otherwise hand tools shall be provided with insulated protective gloves and insulated protective footweare). Wiring condition with proper insulation and not looped over nails or bracketsf). No wiring shall be left on the ground or the floor of a building unless it has reasonably protectedg). If any bare wires or other unprotected conductors shall be located within 4 metres of any surface where employee may work or pass, unless completely guarded, fenced or other barrierh). Temporary electrical installations in building and engineering construction worksites shall be provided with earth leakage circuit breakers
81 810 X Disposal of debris;
82 811 X Numbering and marking of floors for better access
83 812 X Use of safety helmets during works or service in a worksite
84 813 X Scaffolding - wall ties: to check all ties are anchored to the wall
85 814 X Violation at site
1). No obstruction2). maintain it stability3). Within safe carrying capacity4). Not close to the edge of floor / platform (Risk to endanger persons below)
1). Not endanger persons, 2). No accumulation3). Sufficiently moist to lay the dust
1). No cover / curtain / door to confine the construction entrance2). Workers found smoking / wearing slippers3). Illegal / unauthorized extension and termination of wires4). Additional fire fighting / safety equipment not available
Workplace Inspection Checklist
Summary Key
Reference of findings
Reference of findings
Reference of findings
Reference of findings
Reference of findings
Reference of findings
Reference of findings
Reference of findings
(Accumulation data taken from Jan until January 2023 )
Safety Inspection By Month of January 2023
Total
OSHA '94 Inappropriate arrangement of workplace, equipment & machinery 1MSQH Alcohol gel / soap dispensers issues 0MSQH Hand hygiene procedures issues 0MSQH Inproper soaking / cleaning of instruments 0MSQH Present of mold 0MSQH Pre-drawn syringe 0MSQH Control of sharps / needles issues 0MSQH Valid meds / Materials issues 0MSQH Blood stain on cleaned linen 0OTHERS OTHERS 0
(Accumulation data taken from Jan until January 2023 ) Total AccOSHA '94 Inappropriate arrangement of workplace, equipment & machinery 1MSQH Alcohol gel / soap dispensers issues 0MSQH Hand hygiene procedures issues 0MSQH Inproper soaking / cleaning of instruments 0MSQH Present of mold 0MSQH Pre-drawn syringe 0MSQH Control of sharps / needles issues 0MSQH Valid meds / Materials issues 0MSQH Blood stain on cleaned linen 0MSQH Date identification of multi-dose medication issues 0MSQH Stagnant waters at critical area 0MSQH Separation of clean and soiled supplies issues 0MSQH Patient care items storage issues 0MSQH Storage of clean / dirty linen issues 0MSQH Security of meds issues 0OTHERS OTHERS -1
0 10 20 30 40 50 60 70 80 90 100
90
33.3333333333333
Score Target
1
OSHA '94 FMA '67 UBBL '88 FSA '84 MSQH
Safety Inspection Monthly Evaluation
Legal Assessment
Monthly Non-Compliance (with score 1 point)
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec0
20
40
60
80
100
33.3333333333333
90
Score
Target
Graph Monitoring
Choose Month :
Non-Compliance Summary
Month of January 2023
Zone Inspector:
Date
Inspection Result
11 checkpoints
issue
Inspection Analysis
Comply Not Comply
0 0 1###
######
0 0 0 #########
0 0 0
0 0 0
0 0 0
133.3% ###1). Must improve safety aspect at workplace area. ###
2). The most area need further improvement;Norhafizah
5/6/2023
Monthly Report Workplace Inspection
Need Improvement
~ Safety, health and welfare against risks to safety or health arising out from the work.
Achievement Not Complied
OSHA '94 FMA '67 UBBL '88FSA '84 MSQH
compliednot complied
Repeated case?
OSHACompliance with Occupational Safety and Health Act 1994 and its regulation
FMACompliance with Factory and Machinery Act 1967 and its regulation
UBBL '84Compliance with Uniform Building By-Laws 1984
FSA '88Compliance with Fire Services Act 1988
Comment
Safety & Health Committee
Pantai Hospital Kuala Lumpur
Inspector
MSQHCompliance with Malaysian Hospital Accreditation Standards
Safety & Health Committee
Pantai Hospital Kuala Lumpur
Safety and Health ReportMonth of January 2023
Report of compliance
33% evaluation against applicable laws & subscribed requirements
Workplace inspection findings and summary
1 Noncompliance detected
1 Repeated issue
Reportable incident This month Year-to-date
0 Action Plan
0
0
0
2458 DaysAccident-free
Since 12/08/16
Arising matter?
YesNo
Nor Hafizah
5/6/2023 Approved by
(In compliance with Regulation 19, Occupational Safety and Health (Safety and Health Officer)regulations 1997)
1)
2)3)
Accident
Near missed
Dangerous occurence
Poisoning / Desease
4)
Safety & Health Officer
Pantai Hospital Kuala Lumpur
SHO
Chief Executive OfficerJKKP No:
Safety & Health Officer
Pantai Hospital Kuala Lumpur
evaluation against applicable laws & subscribed requirements
Workplace Inspection Checklist
No. Checksheet Element Point Comply?
Section 1: General Safety
1
j PSec. 15 - Kekemasan susunan tempat kerja, peralatan dan jentera. k(Physical arrangement of workplace, equipment & machinery) l NO
2
jk NA Rl
3
Sec. 15 Kerja-kerja penyenggaraan (Maintenance works) jk NA Rl
and equipment)
4Standard 3.4.1: Facilities and Equipment jAdequate physical facilities and equipment appropriate to the needs of the k NA Rservices shall be made available to meet the goals and objectives of the Facility l
5Standard 3.6.1: Facility and biomedical Equipment Maintenance j NA RThe Facility is constructed, equipped, operated and maintained in a manner that ksupports the patient care objectives and the physical safety and comfort of lpatients, staff and visitors.
6j NA Rkl
7
Sec. 24 Kewajipan pekerja yang sedang bekerja (General duties of employees) jk NA R
b). Mengikut arahan keselamatan dan kesihatan l
d). Mengikut peraturan keselamatan dan kesihatan. (Follow safety and health instruction)
8
Reg 6 Lantai dalam keadaan baik, tidak licin dan selamat untuk berjalan dan jk NA R
[101] ~ OSHA 1994 (Sec.15 :To ensure safety, health and welfare for all employees)
[102] ~ OSHA 1994 (Sec.15 :To ensure safety, health and welfare for all employees)
Sec.15 Penggunaan peralatan tangan (Used of hand tools) a). Kesesuaian alat (Suitability of equipment for the task) b). PPE semasa penggunaan (used of PPE ) c). Keadaan penyimpanan (storage) d). Keadaan alat (equipment condition) e). Cara menggunakan (application of used method) f). Pengadang (guard for the equipment)
[103] ~ OSHA 1994 (Sec.15 :To ensure safety, health and welfare for all employees)
a). Permit kerja (Work permit issued) b). Tanda amaran (Warning signage) c). PPE yang bersesuaian (Provide appropriate PPE - clothing
[104] ~ MSQH (Facility and Biomedical Equipment Management and Safety)
[105] ~ MSQH (Facility and Biomedical Equipment Management and Safety)
[106] ~ OSHA 1994 (Sec.15 :To ensure safety, health and welfare for all employees)
Sec.15 Kerja-kerja pengendalian manual (Manual handling work)a). Keadaan permukaan lantai (Condition of floor surface)b). Pencahayaan (Lighting)
[107] ~ OSHA 1994 (Sec 24: Kewajipan pekerja yang sedang bekerja (General duties of employees))
a). Menjaga keselamatan (Take care safety and health)
(To co-operate safety and health matter) c). Pemakaian (Wear or use PPE)
[108] ~ FM (Safety, Health and Welfare) Regulation 1970
membawa bahan. (Maintained in level, good, non-slippery and safe for walking or
Workplace Inspection Checklist
8
handling of materials) l
Standard 3.6.1: Facility and biomedical Equipment Maintenance j NA RThe Facility is constructed, equipped, operated and maintained in a manner that ksupports the patient care objectives and the physical safety and comfort of lpatients, staff and visitors.
9Reg.7 Keselesaan tempat kerja yang tiada gangguan dan halangan. j NA R(Clear & unobstruction of access to place of work) k
l
10Reg.8 Keadaan perlindungan pada lubang atau ruang terbuka dan tangga. j NA R(Cover for openings and stairways) k
l
11
j NA Ra) Tangga tetap - struktur yang selamat dan dipasang susur tangan k (Fixed ladder shall have suitable handrails or handholds and safe structure). lb) Tangga tangga boleh-ubah - mempunyai anti-gelincir (Portable ladder - shall be with non-skid devices).
12
j NA Rkl
13j NA Rk
b) Tidak terdedah kepada bahaya tumbang atau runtuh. l (Not might caused to collapse)
14Reg.23 Kebersihan - Sistem pembuangan sampah yang berkesan. j NA R(Cleanliness - Provision of sufficient a rubbish and rubbish collection at kworking area) l
15
Reg.23 Kebersihan - Penyenggaraan rapi untuk dinding, pembahagi, siling j NA Rk
ceiling shall be maintain by washing, painting, varnishing) l
16
Reg.23 Kebersihan - Kebersihan longkang terjamin untuk mengalirkan j NA R
Reg 43 Kaedah pencucian yang efektif (effective cleaning method)
[108] ~ MSQH (Facility and Biomedical Equipment Management and Safety)
[109] ~ FM (Safety, Health and Welfare) Regulation 1970
[110] ~ FM (Safety, Health and Welfare) Regulation 1970
[111] ~ FM (Safety, Health and Welfare) Regulation 1970
Reg.10 Keadaan tangga (Ladder)
[112] ~ FM (Safety, Health and Welfare) Regulation 1970
Reg.20 Keadaan susunan bahan (Stacking of material) a) Di atas lantai yang kukuh. (To be placed at strong foundations)b) Tidak membebani dinding. (Not against partition or walls of building)c) Mengikut had ketinggian dibenar. (Within standard height limit)
[113] ~ FM (Safety, Health and Welfare) Regulation 1970
Reg 20 Kaedah penyusunan bahan (Material arrangement shall be)a) Kedudukan yang stabil (stacked firmly)
[114] ~ FM (Safety, Health and Welfare) Regulation 1970
[115] ~ FM (Safety, Health and Welfare) Regulation 1970
termasuk kaedah pencucian dan cat. (Cleanliness - Walls, partition and
[116] ~ FM (Safety, Health and Welfare) Regulation 1970
Workplace Inspection Checklist
16 air kumbahan. k(Cleanliness - Adequate drains capable of ensuring effective removal of lwaste water)
17Reg.23 Kebersihan - Kawalan di tempat kerja yang terdedah kepada serangga j NA R(Cleanliness - Every workroom shall be constructed and maintained to prevent kthe entrance or harbouring of rodents, insects and vermin of any kind) l
18Reg 25 Sistem pengudaraan yang baik di tempat kerja terutama kawasan yang j NA R
kespecially for processes generating heat, smoke or fume) l
19Reg.26 Kebersihan udara bebas dari habuk di tempat kerja. j NA R(air cleanliness free from dust) k
l
20Reg 27 Tidak dibenarkan membawa makanan dan minuman masuk ke tempat j NA R
k drink in the work place where used any poisonous or injuries substance) l
21Reg 29 Pencahayaan yang sesuai di tempat kerja. j NA R(Suitable lighting at workplace) k
l
22Reg 29 Keadaan lampu kecemasan di kawasan tangga, laluan berjalan kaki dan j NA R
kand exits from workplaces) l
23
j NA Ra). Kebersihan persekitaran bekalan air minuman. k (Cleanliness and safety of surounding drinking water outlet) lb). Bekalan air minuman dari sumber yang bersih. (Drinking water supplied from approved source)
24
General Safety for Noise j NA Rk
a) Tanda amaran di setiap pintu masuk tempat kerja yang bising. l
b) Menyatakan dengan jelas kawasan kerja tersebut adalah.
ii) Lambang pemakaian alat pelindung pendengaran. (Sign of wearing a hearing protection device)
25General Safety for PPE (Noise) j NA R
Reg 4 Tanggungjawab pekerja untuk memakai PPE dengan sempurna k(Duty of employee to wear PPE properly) l
[117] ~ FM (Safety, Health and Welfare) Regulation 1970
[118] ~ FM (Safety, Health and Welfare) Regulation 1970
panas, berasap dan fume. (Good ventilation system in work place
[119] ~ FM (Safety, Health and Welfare) Regulation 1970
[120] ~ FM (Safety, Health and Welfare) Regulation 1970
kerja yang dipenuhi dengan bahan beracun. (No person shall partake of food or
[121] ~ FM (Safety, Health and Welfare) Regulation 1970
[122] ~ FM (Safety, Health and Welfare) Regulation 1970
laluan keluar. (Condition of emergency lighting at stairways, passageways
[123] ~ FM (Safety, Health and Welfare) Regulation 1970
Reg.34 Kemudahan air minuman (Drinking water)
[124] ~ FM (Safety, Health and Welfare) Regulation 1970
Reg 28 Tanda Amaran (Warning Signs)
(Warning sign posted at entrance of work place)
(Clealy indicated that the area is..) i) Kawasan bunyi bising yang tinggi. (A high noise area)
[125] ~ FM (Safety, Health and Welfare) Regulation 1970
Workplace Inspection Checklist25
Checksheet Element Point Comply?
Section 2: Housekeeping, storage and waste handling
26
Standard 3.6.1: Facility and biomedical Equipment Maintenance j NA RThe Facility is constructed, equipped, operated and maintained in a manner that ksupports the patient care objectives and the physical safety and comfort of lpatients, staff and visitors.
27Standard 2.6.4: Waste Disposal j NA RWaste disposal is carried out in accordance with environmental, statutory and klegislation requirements l
28Standard 2.6.2: Safety Programmes j NA RThe management of the Facility promotes occupational safety and health kprogrammes that ensure a safe and healthy environment for patients, staff and visitors. l
29Standard 2.6.4: Waste Disposal j NA RWaste disposal is carried out in accordance with environmental, statutory and klegislation requirements l
Q No.
[201] ~ MSQH (Facility and Biomedical Equipment Management and Safety)
[202] ~ MSQH (Environmental and Safety Services)
[203] ~ MSQH (Environmental and Safety Services)
[204] ~ MSQH (Environmental and Safety Services)
Workplace Inspection Checklist
Checksheet Element Point Comply?
Section 3: Chemical Safety
30 Rekabentuk Pembungkusan bahan kimia mengikut Peraturan 6 & 7 j NA R(Design of chemical packaging according to Reg. 6 & 7) k
l
31
Kandungan label pada pembungkusan bahan kimia mengikut peraturan 8, 9, 10 & j NA Rkl
Reg.21 : Pelabelan semula pada bekas (Relabelling on container)
32j NA Rkl
33
j NA Rkl
c). Warna merah tua & latarbelakang warna putih. (dark red against white background)
34
j NA Rprecaution) k
lb) Notis amaran bahaya diletakkan (Warning notice indicating nature of danger)
Q No.
[301] ~ OSH (Classification, Labelling and Safety Data Sheet of Hazardous Chemical) Regulation 2013
[302] ~ OSH (Classification, Labelling and Safety Data Sheet of Hazardous Chemical) Regulation 2013
11) (Chemical packaging content according to Reg. 8, 9, 10 & 11)Reg.20 : Label bahan kimia tidak rosak (Chemical labelling no spoilt)
[303] ~ OSH (Use and Standards of Exposure Of Checmicals Hazardous To Health) Regulation 2000
Reg.25 : Lokasi penyimpanan CSDS (Place of CSDS being located)
[304] ~ OSH (Use and Standards of Exposure Of Checmicals Hazardous To Health) Regulation 2000
Reg.29 : Lokasi Tanda Amaran (Warning Signage location)Reg.29 : Tanda Amaran mesti mempunyai (Warning Signage) a) Amaran Bahaya! (warning of hazard) b). Bahasa Melayu dan Bahasa Inggeris (National Language and English)
[305] ~ FM (Safety, Health and Welfare) Regulation 1970
Reg.14 Kawalan untuk pengendalian cecair bahaya (Dangerous liquids
a) Pemagaran minimum mesti 3'6" tinggi (A fence or cover at least 3'6" height)
Workplace Inspection Checklist
Checksheet Element Point Comply?
Section 4: Mechanical / Machinery Safety
35
j NA Rkl
36
Reg 10 Mesin yang dikawal oleh kuasa elektrik j NA R(Machine driven by electrical power) k
l b) Keadaan pedal kekunci automatik atau mempunyai pelindung U) (Pedal condition automatic lock or U guard)
37
Reg.11 Kelengkapan elektrik tidak terdedah kepada; j NA R (Electrical apparatus prevention from;) k
l b). Terkena pada mesin yang bergerak atau pengalir arus elektrik (Contact with moving and live parts)
38
Reg. 10 - Kesahihan Perakuan Kelayakan Mesin Tekanan (PMT) dan dipaparkan j NA Rdi mesin seperti compressor, boilers, chillers, heat exchangers dll. k(Validity of original and valid “Perakuan Kelayakan Mesin Tekanan” l(PMT) and is visibly displayed on/ at the machinery, example; compressor, boilers, chillers, heat exchangers etc)
39
Reg. 10 - Kesahihan Perakuan Kelayakan Mesin Tekanan (PMT) dan dipaparkan j NA Rdi mesin seperti compressor, boilers, chillers, heat exchangers dll. k(Validity of original and valid “Perakuan Kelayakan Mesin Tekanan” l(PMT) and is visibly displayed on/ at the machinery, example; compressor, boilers, chillers, heat exchangers etc)
40Sec. 14 - Keadaan fizikal machine berada dalam keadaan baik tanpa rosak dan j NA Rbunyi yang tak normal. k(Physical condition of the machinery is in good operating condition with no lvisual defect or damages observed and no abnormality for sound/ noise etc.)
Q No.
[401] ~ FM (Fencing of Machinery and Safety) Regulations 1970
Reg.7 Pemagaran mesin yang terbuka (Opening in machine fence)Reg.8 Pemagaran pada bahagian operasi mesin (fencing at point of operation)
[402] ~ FM (Fencing of Machinery and Safety) Regulations 1970
a) Keadaan suis START/STOP pada mesin (START/STOP switch condition)
[403] ~ FM (Fencing of Machinery and Safety) Regulations 1970
a). Kebakaran (fire)
[404] ~ FM (Notification, Certificate of Fitness and Inspection) Regulations 1970
[405] ~ FM (Notification, Certificate of Fitness and Inspection) Regulations 1970
[406] ~ FMA 1967 (Sec. 14: Construction of machinery)
Workplace Inspection Checklist
Checksheet Element Point Comply?
Section 5: Fire Safety
41
jk NA Rl
Also addressed in Reg.3 FSA (Fire certificate) Reg.; Issuance of Fire Certificate
42
j NA Rk
b). Injap sprinkler tertutup, selamat dan boleh diakses oleh bomba l(Located at safe and enclosed area. Readily accessible to the Fire Authority)Also addressed in Reg.3 FSA (Fire certificate) Reg.; Issuance of Fire Certificate
43
Reg.3 Issuance of Fire Certificate as stated in Form ii of Schedule A j NA Rk
fire) l
44
Reg.3 Issuance of Fire Certificate as stated in Form ii of Schedule A j NA Rkl
c) Sambungan talian terus elektrik atau telefon terus ke balai bomba (Direct electrical or telephone line connection to fire station)
45
Reg.3 Issuance of Fire Certificate as stated in Form ii of Schedule A j NA Rkl
Q No.
[501] ~ FM (Safety, Health and Welfare) Regulation 1970
Reg.22 Keadaan alat pemadaman kebakaran (Fire fighting appliance condition)a) Penyelenggaraan (Maintenance) b) Mudah dicapai (Readily accessible) c) Kesesuaian untuk kegunaan (Suitability of usage)
[502] ~ UBBL (Fire Alarm, Fire Detection, Fire Extinguishment and Fire Fighting Access)
Sec. 226 & 228 Semburan automatik (Sprinkler) a). Sesuai dengan hazard (approprite to extiguish fire at hazardous area)
[503] ~ Fire Services (Fire Certificate) Regulations
a) Prosedur dan notis tentang kebakaran (Procedure & notice during
b) Tangga terlindung (Protected staircases) c) Koridor terlindung (Protected corridor)
[504] ~ Fire Services (Fire Certificate) Regulations
10.2 Kemudahan pencegahan kebakaran (Fire prevention facilities) a) Sistem pengesan api (Automatic fire detectors system) b) Sistem siar raya (Public address system)
d) Pendawaian elektrik (Electrical wiring) e) Petak (Compartment) f) Pusat pemerintahan dan kawalan (Command and control centre) g) Pintu api (Fire door) h) Pengadang api (Fire stopping)
[505] ~ Fire Services (Fire Certificate) Regulations
10.3 Kemudahan menentang kebakaran (Fire fighting facilities) a) Lif bomba (Fire lift)
Workplace Inspection Checklist
45
46
Sec. 26 - Tiada halangan dan penyalahgunaan pili bomba seperti menutup, j NA Rmengepung atau menyembunyikan pili bomba dan menggunakannya selain kdaripada untuk memadamkan kebakaran. l(No concealment and misuse of fire hydrants such as cover up, encloses, or conceals any fire hydrant)Also addressed in Reg.3 FSA (Fire certificate) Reg.; Issuance of Fire Certificateuses a fire hydrant other than for fire fighting purpose)
47
Sec.55 - Kesalahan berkenaan penggera kebakaran j NA R(Offences in respect of fire alarm) k
l
c) Tidak diaktifkan atau mendeaktifkan tanpa sebab munasabah. (Not to be activates or deactivates without reasonable excuse)
48
Sec. 237 & 241: Keadaan penggera kebakaran dan kesesuaian dengan tempat j NA Rkerja (contoh; jenis cahaya atau siren) k(Fire alarm and it appropriateness with nature of accupancy (Example; Audible l alarm system or visible indicator alarm system Special Fire alarm system))
b) Sesekat api (Fire dampers) c) Suis pengasingan elektrik (Electrical isolation switch) d) Sistem pengudaraan asap (Smoke ventilation system)
e) Sistem gulung hos (Hose reel system) f) Sistem pancur basah (Wet riser system) g) Sistem pancur kering (Dry riser system) h) Sistem penyimbah (Drencher system) i) Sistem karbon oksida (Carbon dioxide system) k) Tangga menentang kebakaran (Fire lifting staircase) l) Sistem komunikasi suara (Voice communication system) m) Akses perkakas bomba (Fire appliance access) n) Simpanan buih (Foam storage)
[506] ~ Fire Services Act 1988
[507] ~ Fire Services Act 1988
a) bebas daripada kerosakan (Fire alarm no damaged)b) Kedudukan tidak tersembunyi (unconceals)
[508] ~ UBBL (Fire Alarm, Fire Detection, Fire Extinguishment and Fire Fighting Access)
Workplace Inspection Checklist
Checksheet Element Point Comply?
Section 6: Emergency preparedness
49j NA Rk
Also addressed in Reg.3 FSA (Fire certificate) Reg.; Issuance of Fire Certificate l
50Sec.252 : Saluran asap untuk Pihak Bomba mudah dibuka. j NA R(Smoke vents to be openable by Fire Authority) k
l
51
Sec. 173: Pintu boleh dibuka dari dalam secara normal dan tertutup balik j NA Rsecara automatik. k(Exit door is openable from inside closed automaticly when released) lAlso addressed in Reg.3 FSA (Fire certificate) Reg.; Issuance of Fire Certificate
52
j NA Rkl
an arrow)c) Sentiasa bernyala (illuminated continuously)
Q No.
[601] ~ UBBL (Fire Alarm, Fire Detection, Fire Extinguishment and Fire Fighting Access)
Sec.247 : Tangki air keperluan bekalan mencukupi (Water storage & capacity)
[602] ~ UBBL (Fire Alarm, Fire Detection, Fire Extinguishment and Fire Fighting Access)
[603] ~ UBBL (Fire Requirement)
[604] ~ UBBL (Fire Requirement)
Sec.172 : Lambang Keluar Kecemasan (Emergency Exit Sign) a) Mudah dilihat, dibaca & tidak terhalang (Visible signs & not be obscured) b) tanda "KELUAR" berserta dengan anak panah (a sign reading "KELUAR" with
Workplace Inspection Checklist
Checksheet Element Point Comply?
Section 7: Infection Control
53
Standard 5.4.1 j NA RAdequate facilities and equipment are available to prevent and control the risks kof infection throughout the Facility including disinfection and sterilisation. l
Storage of food / drugs in refrigerator
54
Standard 5.4.1 j NA RAdequate facilities and equipment are available to prevent and control the risks kof infection throughout the Facility including disinfection and sterilisation. l
Security of meds
55
Standard 5.4.1 j NA RAdequate facilities and equipment are available to prevent and control the risks kof infection throughout the Facility including disinfection and sterilisation. l
Storage of clean / dirty linen
56
Standard 5.4.1 j NA RAdequate facilities and equipment are available to prevent and control the risks kof infection throughout the Facility including disinfection and sterilisation. l
Patient care items storage
57
Standard 5.4.1 j NA RAdequate facilities and equipment are available to prevent and control the risks kof infection throughout the Facility including disinfection and sterilisation. l
Cleanliness of toys
58
Standard 5.4.1 j NA RAdequate facilities and equipment are available to prevent and control the risks kof infection throughout the Facility including disinfection and sterilisation. l
Separation of clean and soiled supplies
Q No.
[701] ~ MSQH (Prevention and Control of Infection)
[702] ~ MSQH (Prevention and Control of Infection)
[703] ~ MSQH (Prevention and Control of Infection)
[704] ~ MSQH (Prevention and Control of Infection)
[705] ~ MSQH (Prevention and Control of Infection)
[706] ~ MSQH (Prevention and Control of Infection)
Workplace Inspection Checklist58
59
Standard 5.4.1 j NA RAdequate facilities and equipment are available to prevent and control the risks kof infection throughout the Facility including disinfection and sterilisation. l
No stagnant water at critical areas
60
Standard 5.4.1 j NA RAdequate facilities and equipment are available to prevent and control the risks kof infection throughout the Facility including disinfection and sterilisation. l
Date identification of multi-dose medication
61
Standard 5.4.1 j NA RAdequate facilities and equipment are available to prevent and control the risks kof infection throughout the Facility including disinfection and sterilisation. l
Mattress cover without torn / damaged
62
Standard 5.4.1 j NA RAdequate facilities and equipment are available to prevent and control the risks kof infection throughout the Facility including disinfection and sterilisation. l
No blood stain on clean linen
63
Standard 5.4.1 j NA RAdequate facilities and equipment are available to prevent and control the risks kof infection throughout the Facility including disinfection and sterilisation. l
Valid meds / Materials
64
Standard 5.4.1 j NA RAdequate facilities and equipment are available to prevent and control the risks kof infection throughout the Facility including disinfection and sterilisation. l
Control of sharps / needles
65
Standard 5.4.1 j NA RAdequate facilities and equipment are available to prevent and control the risks kof infection throughout the Facility including disinfection and sterilisation. l
No pre-drawn syringe found
66
Standard 5.4.1 j NA RAdequate facilities and equipment are available to prevent and control the risks kof infection throughout the Facility including disinfection and sterilisation. l
No present of mold found
67
Standard 5.4.1 j NA RAdequate facilities and equipment are available to prevent and control the risks kof infection throughout the Facility including disinfection and sterilisation. l
No medication of discharged patient found
[707] ~ MSQH (Prevention and Control of Infection)
[708] ~ MSQH (Prevention and Control of Infection)
[709] ~ MSQH (Prevention and Control of Infection)
[710] ~ MSQH (Prevention and Control of Infection)
[711] ~ MSQH (Prevention and Control of Infection)
[712] ~ MSQH (Prevention and Control of Infection)
[713] ~ MSQH (Prevention and Control of Infection)
[714] ~ MSQH (Prevention and Control of Infection)
[715] ~ MSQH (Prevention and Control of Infection)
Workplace Inspection Checklist67
68
Standard 5.4.1 j NA RAdequate facilities and equipment are available to prevent and control the risks kof infection throughout the Facility including disinfection and sterilisation. l
Proper soaking / cleaning of instruments
69
Standard 5.3.1 j NA RDocumented policies and procedures shall reflect the current knowledge on kprevention and practice of infection control services, and they are consistent lwith the goals and objectives of the services and relevant regulations and statutory requirements.
Hand hygiene procedures
70
Standard 5.4.1 j NA RAdequate facilities and equipment are available to prevent and control the risks kof infection throughout the Facility including disinfection and sterilisation. l
Alcohol gel / soap dispensers
71
Standard 5.4.1 j NA RAdequate facilities and equipment are available to prevent and control the risks kof infection throughout the Facility including disinfection and sterilisation. l
Proper soap provided
[716] ~ MSQH (Prevention and Control of Infection)
[717] ~ MSQH (Prevention and Control of Infection)
[718] ~ MSQH (Prevention and Control of Infection)
[719] ~ MSQH (Prevention and Control of Infection)
Workplace Inspection Checklist
Checksheet Element Point Comply?
Section 8: Construction Safety
72
Regulation 6. Pemasangan mesin di permukaan lantai j NA R(Machinery installed on any floor above the ground floor) k(1) Struktur yang kuat untuk menampung beban mesin l(Strong structure to support machinery load)(2) lantai atau tempat kerja berkeadaan selamat (Workplace without any loose material and in non-slippery condition)
73
Regulation 13: Pelindung mata yang bersesuaian dengan kerja-kerja kimpalan atau j NA Rmemotong. k(Suitable eye protection was provided for person engaged in welding or cutting lprocess)
74Regulation 14. Alat pernafasan yang sesuai dan sentiasa bersih j NA R(Suitable respirators, cleaned and maintained) k
l
75
Regulation 15. Helmet keselamatan, but, sarung tangan keselamatan, goggle, j NA Rcoat, topi dll dalam keadaan baik. k(Good protective apparel for safety helmet, proper foot gears, hand gloves, lgoggles, coat, hat and others)
76
Regulation 16. Hazard elektrik (Electrical hazards.) j NA R1). Amaran ditulis dalam bahasa kebangsaan k
Q No.
[801] ~ FM (Building Operations And Works Of Engineering Construction) (Safety) Regulations 1986
[802] ~ FM (Building Operations And Works Of Engineering Construction) (Safety) Regulations 1986
[803] ~ FM (Building Operations And Works Of Engineering Construction) (Safety) Regulations 1986
[804] ~ FM (Building Operations And Works Of Engineering Construction) (Safety) Regulations 1986
[805] ~ FM (Building Operations And Works Of Engineering Construction) (Safety) Regulations 1986
Workplace Inspection Checklist
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(Warning signs in the national language.) l
2). Pemberitahuan tentang wijudnya arus elektrik dan PPE yang mesti dipakai (Information of lines with hazard and the PPE need to be used).
3). Perlindungan sesuai melalui pembumian atau penebatan (Appropriate protection through earthing or by effective insulation)
4). Jika ada laluan elektrik bawah tanah, peralatan seperti glove, kasut dan peralatan yang berpenebat ada disediakan.(Underground electric power lines is defined, otherwise hand tools shall beprovided with insulated protective gloves and insulated protective footwear).
5). Pendawaian dengan penebatan sesuai (Wiring condition with proper insulation and not looped over nails or brackets).
6). Tiada pendawaian di lantai melainkan kes-kes tertentu(No wiring shall be left on the ground or the floor of a building unless it has reasonably protected).
7). Had jarak 4 meter untuk wayar atau konduktor dari laluan atau melainkan ianya dilindung dengan pagar atau penghalang (If any bare wires or other unprotected conductors shall be located within 4 metres of any surface where employee may work or pass, unless completely guarded, fenced or other barrier.)
(Temporary electrical installations in building and engineering construction worksites shall be provided with earth leakage circuit breakers).
77
j NA RMesin pemotong mempunyai pelindung dan diketatkan (jika berkenaan) k(Equipment shall be guarded to protect from contact with the blade or (if lapplicable) fastened appropriately)
78
Regulation 19. Kestabilan terhadap mana-mana struktur yang berkemungkinan j NA Rboleh runtuh atau lemah disebabkan tekanan (angin atau gegaran). k(Stability of structure that may fall, collapse or weaken due to wind pressure or l vibration)
79Regulation 20. Kecerahan laluan tidak kurang daripada 50 lux j NA R(Illumination of passageways, etc. shall be not less than 50 lux) k
l
80
Regulation 21. Tempat Simpanan bahan adalah stabil dan selamat daripada j NA Rhalangan atau di letakkan di sudut yang boleh jatuh menimpa orang di bawah k(Storage of materials and equipment will not create an obstruction, maintain it lstability, not stored at the place where exceed on it safe carrying capacity and close to the edge of floor / platform as to endanger persons below)
81
Regulation 22. Pembuangan sampah yang tidak memudaratkan kebersihan dan j NA Rtempat pembuangan yang khas dan sempurna. k
8). Pemasangan elektrikal sementara perlu dipasangkan dengan ‘earth leakage circuit breaker’.
[806] ~ FM (Building Operations And Works Of Engineering Construction) (Safety) Regulations 1986
Regulation 17. Mesin Pemotong (Power-driven saws.)
[807] ~ FM (Building Operations And Works Of Engineering Construction) (Safety) Regulations 1986
[808] ~ FM (Building Operations And Works Of Engineering Construction) (Safety) Regulations 1986
[809] ~ FM (Building Operations And Works Of Engineering Construction) (Safety) Regulations 1986
[810] ~ FM (Building Operations And Works Of Engineering Construction) (Safety) Regulations 1986
Workplace Inspection Checklist81
(Disposal of debris will not endanger persons, not to be accumulated and lsufficiently moist to lay the dust)
82Regulation 23. Mempermudahkan akses dengan mengenakan nombor dan j NA Rpenandaan pada kedudukan tingkat. k(Numbering and marking of floors for better access) l
83Regulation 24. Pemakaian helmet keselamatan semasa kerja atau ketika di j NA Rkawasan pembinaan k(Use of safety helmets during works or service in a worksite) l
84Part X BOWEC Scaffolding - Wall ties : perancah diikat kukuh ke dinding j NA R(to check all ties are anchored to the wall) k
l
85
Violation at site j NA R1). No cover / curtain / door to confine the construction entrance k2). Workers found smoking / wearing slippers l3). Illegal / unauthorized extension and termination of wires4). Additional fire fighting / safety equipment not available
Total record: 85 From: 1 untill: 85
[811] ~ FM (Building Operations And Works Of Engineering Construction) (Safety) Regulations 1986
[812] ~ FM (Building Operations And Works Of Engineering Construction) (Safety) Regulations 1986
[813] ~ FM (Building Operations And Works Of Engineering Construction) (Safety) Regulations 1986
[814] ~ No specific requirement of law
ABC (MALAYSIA) SDN. BHD.SAFETY AND HEALTH COMMITTEE
Work Place Safety InspectionArea
Building AFor the month of
January 2023Inspection Result (Appraisal Scores)
Element InspectedCompliance Scores
5 4 Comply 2 1
0 0 0 0 1 1
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Evaluation 0 0 0 0 1
Score 0 0 0 0 1
Total Score 1 / 3
Achievement (%) 33.3%Safety Inspector comment:
1). Must improve safety aspect and hazardous area condition.
2). Area that most priority to improve on safety and health element
~ Safety, health and welfare against risks to safety or health arising out from the work.
1). Compliance with Occupational Safety and Health Act 1994 and its regulation
2). Compliance with Factory and Machinery Act 1967 and its regulation
3). Compliance with Uniform Building By-Laws 1984
4). Compliance with Fire Services Act 1988
ApprovedSafety Inspector Department
Date issued : 6-May-2023