Safety And Health Survey Checklist

Safety and Health Program Assessment

Worksheet

I. MANAGEMENT LEADERSHIP

AND EMPLOYEE INVOLVEMENT

A. Clear worksite safety and health policy		There is a S&H policy and all employees accept, can explain, and fully understand it.
		There is a S&H policy and majority of employees can explain it.
		There is a S&H policy and some employees can explain it.
		There is a written (or oral, where appropriate) policy.
		There is no policy.

B. Clear goals and objectives are set and communicated		All employees are involved in developing goals and can explain desired results and how results are measured.
		Majority of employees can explain results and measures for achieving them.
		Some employees can explain results and measures for achieving them.
		There are written (or oral, where appropriate) goals and objectives.
		There are no safety and health goals and objectives.

C-1. Management Leadership		All employees can give examples of management's commitment to safety and health.
		Majority of employees can give examples of management's active commitment to safety and health.
		Some employees can give examples of management's commitment to safety and health.
		There is some evidence that top management is committed to safety and health.
		Safety and health is not a top management value or concern.

C-2. Management example		All employees recognize that management always follows the rules and addresses the safety behavior of others
		Management follows the rules and usually addresses the safety behavior of others.
		Management follows the rules and occasionally addresses the safety behavior of others.
		Management generally follows basic safety and health rules.
		Management does not follow basic safety and health rules.

D. Employee involvement		All employees have ownership of safety and health and can explain their roles.
		Majority of employees feel they have a positive impact on identifying and resolving safety and health issues.
		Some employees feel that they have a positive impact on safety and health.
		Employees generally feel that their safety and health input will be considered by supervisors.
		Employee involvement in safety and health issues is not encouraged nor rewarded.

E. Assigned safety and health responsibilities		All employees can explain what performance is expected of them.
		Majority of employees can explain what performance is expected of them.
		Some employees can explain what performance is expected of them.
		Performance expectations are generally spelled out for all employees.
		Specific job responsibilities and performance expectations are generally unknown or hard to find.

F. Authority and resources for safety and health		All employees believe they have the necessary authority and resources to meet their responsibilities.
		Majority of employees believe they have the necessary authority and resources to meet their responsibilities.
		Authority and resources are spelled out for all, but there is often a reluctance to use them.
		Authority and resources exist, but most are controlled by supervisors.
		All authority and resources come from supervision and are not delegated.

G. Accountability		Personnel are held accountable and all performance is addressed with appropriate consequences.
		Accountability systems are in place, but consequences used tend to be for negative performance only.
		Personnel are generally held accountable, but consequences and rewards do not always follow performance.
		There is some accountability, but it is generally hit or miss.
		There is no effort towards accountability.

H. Program Review (Quality Assurance)		In addition to a comprehensive review, a process is used which drives continuous correction.
		A comprehensive review is conducted at least annually and drives appropriate program modifications.
		A program review is conducted, bit it doesn't drive all necessary program changes.
		Changes in programs are driven by events such as accidents or near misses.
		There is no program review process.

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Safety

Site Coordinator

SAFETY COORDINATOR /ASST ROLES AND RESPONSIBILITIES

( In the absence of Fire Safety Manager )

i. Upon lst alarm activation, he/she shall proceed to the Fire Command Centre ( FCC) to oversee the operations

ii Notified the Fire Management Company, Ademcco on fire alarm activation and also inform them that
   investigation is ongoing to establish whether the fire situation is confirmed.

iii Isolate the alarm bell but not to reset

iv Identify the fire alarm location by referring to the main fire control panel

v Contact the affected floor Fire Warden & instruct him ( FW) to proceed to the affected floor to physically check on the sub fire panel to establish the exact location of the fire alarm activation and to proceed to the  affected location to investigation and to report to fire command center whether the fire situation is confirmed

vi Responsible for coordinating the smooth sequential floor evacuation with the respective floor Fire Warden

vi Responsible for updating the Building evacuation Status chart at the Fire Command Center

vii Responsible for furnishing SCDF with the following information
a) Location of the fire floor
b) Nature of business operation on the fire floor
c) Extent of the fire breakout and the fire damaged
d) Location of all fire fighting equipment
e) Building evacuation status
f) No. of missing person(s)
g) Hazardous substance inventory level

Roles & Responsibilities Of Security

Roles & Responsibilities Of  Security Officer During A Fire Situation

i    Upon the plant building fire alarm activation, the Chief Security Officer shall instruct his security guards at
     all guard posts to lower the Exits gantry post and to stop all contractors and visitors from entering &
     leaving the plant/building

i    Contractor who is seen trying to leave the plant when the fire alarm is activated will be advised to report to
     the main security guard post for emergency headcount check and thereafter to report to the Assembly
    Area

ii   Visitors/Contractors trying to enter the plant when the plant fire alarm  is activated will be stopped from
     entering and security officer shall advise these parties to contact the company host for rescheduling of
     their appointment amid of the unplanned fire emergency situation

iv   He shall instruct all his security officers at various guard posts to report to the main guard house for
      emergency situation deployment after they have cleared their individuals guard post

v     Deploy his security  officer for the following duties:

 

      a) deploy his security officer to perform crowds control and redirecting  the building occupants to  the
          Assembly Area
      b) deploy his security officer for bicycle patrol at and within the building premises to look out for lost
          building occupants who do not know the where about of the Assembly Area and to look out for
          unauthorized personnel who may seize the opportunity to trespass the building to commit crime

      c)  deploy his security officer to direct SCDF Fire engine to the Fire Command Center

      d) deploy his security officer to control traffic both within the building premise and building external

      e) contact his security company for additional security officers for deployment at site when necessary

      f)  advise his security officer not to speak to any members of the Press or reporters on the fire situation
        

Roles & Responsibilities Of First Aid Team

First Aid Team Roles & Responsibilities During A Fire Situation

 i   Upon hearing the plant building fire alarm activation, the first Aider Team

     shall proceed to the Fire Command Centre without being  instructed by
     the Fire Command Center

ii    At the FCC the first aid Team shall update their attendance on the

     emergency head count list for Company Emergency Response Team
     kept at the Fire Command Center.

iii   First aid team deployment
     First aid team is break down into 2 teams namely
     -Rescue team
    -CPR team
                    
     Rescue team A : 4 members

     Standby Rescue team B :4 members
     CPR team C :4 member

     Standby CPR team D   :4 members  
      

iv  Rescue first aid team A & B shall immediately don the fire retardant
    coverall, prepare the medical stretcher and disposable face mask and
    carry with them one Walkie Talkie for 2 way communication with the Fire
    Command Center

v While the CPR first aid team shall prepare the first aid kit bag and
   medical stretcher and simultaneously prepare the CPR point in the
   command center for injured person CPR ,bandages and wounds cleaning .

vi Upon fully gowned, the Rescue & CPR first aid team shall assemble at the

    fire command center awaiting for Site Incident Controller instruction

   Scenario 1 : Rescue operation required and there is one injured casualty

                       and injured person was pulled to a safe location by the fire
                       fighters

iii  When rescue operation is required, the Site Incident Controller will
     instruct the Rescue first aid team to proceed to the identified control point

     carrying with them one medical stretcher and walkie talkie and the rescue
     first aid team shall standby at the control point area awaiting for SIC
     instruction before they proceed to the fire scene for rescue operations.

iv   After the injured person was pulled to a safe location away from the fire
     scene, the Site Incident Controller will radioed the Rescue first aid team
     A via walkie talkie to proceed to the injured person pick up point

v   At this juncture the rescue first aid team shall carry with them one medical
    stretcher and proceed to the injured person pickup point from the control
    point location to ferry one injured person back to the Fire Command
    Center for treatment

vi  At the injured person pickup point, the rescue first aid team shall use
    minimum force to bring the injured person onto the medical stretcher
    and radioed back to the fire command center that they are ferrying one
    injured person back to the Fire Command Center

vii  At the fire command center ,the rescue first aid team shall use minimum

     force to carry the injured person to the identified treatment area in FCC.

iii   At this juncture, the CPR first aid team shall take over. CPR first aid

     team shall check and assess the injured person condition to establish
     whether there is a need to call for ambulance services. 

iv   When ambulance services is not required, the CPR first aid team will
      provide the basic first aid treatment such as wounds cleanings ,bandages 

     and CPR at the fire command center prior to the ambulance arrival

      When ambulance service is required

  i   CPR first aid team in charge will contact the main guard post to request for
      ambulance services via walkie talkie.

 ii   Security officer manning the main guard house shall call for ambulance
     service and when the ambulance arrived, the security officer at the main
     guard house shall direct the ambulance service to the fire command
     center

    Scenario 2 : Rescue operation required and there is more than one injured
                        person and the injured persons was pulled to a safe location
                        by the fire fighters

iii   When rescue operation is required, the Site Incident Controller will instruct
      the Rescue first aid team to proceed to the identified control point
      carrying with them one medical stretcher and walkie talkie and the rescue
      first aid team shall standby at the control point area awaiting for SIC
      instruction before they proceed to the fire scene for rescue operations.

iv   Upon activated by the Site Incident Controller, the rescue first aid team
      shall proceed to the control point carrying with them one medical
      stretcher and one walkie talkie and await at the control point for the
      SIC instruction   

    

v    Meanwhile the standby rescue first aid team shall prepare another medical
      stretcher and walkie talkie and standby at the FCC awaiting for SIC
      instruction

 vi  Upon activated by the SIC, the rescue first aid team shall proceed to the

      injured person pick up point with the medical stretcher and walkie talkie
      to ferry one injured person back to the control point. At this stage, the
      standby rescue team shall leave the FCC for the control point carrying
      with them one medical stretcher and one walkie talkie.

vii   When the rescue team returned to the control point with one injured
       person on the medical stretcher, they will hand over the injured person
       to the standby rescue team and simultaneously took over the empty
       medical stretcher to ferry new injured person(s)

 vii  Meanwhile the standby rescue first aid team shall radioed back to the fire
      command center that they are ferrying one injured person back to the
      Fire Command Center and at this stage the CPR first aid team at the
      command center prepare themselves to receive the injured person

w  After ferried the injured person to the FCC, the standby first aid team
     shall proceed again to the control point with one medical stretcher and
     walkie talkie until all injured persons have been evacuated from the fire
     scene and ferried to the FCC

Roles & Responsibilities Of Site Incident Controller

Roles & Responsibilities Of Site Incident Controller During Fire Situation

                      

   

         i    Gather information of the emergency from security officer who is the
              first personnel at the scene

        ii    Gather Response Team including the fire fighting team/spill response team
              and the first aid team

        iii   Plan the fire fighting operations based on the actual fire scene

        iv   Identify control point for the safe gathering of reinforcements, 

              additional fire  extinguisher

        v   lead fire fighting team for all fire fighting activities

       vi   lead the first aider team for all rescue operations activities

      vii   lead the spill response team for all spill containment activities

      viii   Report & update SMC on emergency situation status

     viiii  Meet up SCDF commander after notified by SMC of his arrival
                          

Roles & Responsibilities Of Site Main Controller

Roles & Responsibilities Of Site Main Controller During Fire Situation

            

                i    Determine the nature of the emergency.

                ii   Report to Emergency Command Centre (Guard House) and collect the
                     Emergency Evacuation Status Report (See Annex A and B – Emergency
                     Evacuation Status Report 1 and 2).

                iii  Direct overall activities of the Emergency Response Organization.

                iv  Liaise with officer from government agencies such as Singapore Civil Defence
                     Force (SCDF), Singapore Police Force (SPF), National Environment Agency
                    (NEA),

                v   Make sure the evacuation alarm is turned on, if necessary.

                vi  Obtain accurate reporting on the emergency situation

               vii  Receive report on accounting for personnel from Chief Fire Wardens

            viii    Decide whether evacuated employees should be re-assigned or go home
                    when the emergency is over.

           viiii    Receive SCDF Commander when the commander first arrive at site

Roles & Responsibilities Of Telephone Operator

Roles & Responsibilities Of Telephone Operator During A Fire Situation

          I      Upon hearing the plant building fire alarm activated, the telephone
                 operator shall proceed to the Fire Command Centre ( FCC) to take up
                 take up her position to man the Public Address System & message
                 broadcasting.

          ii     At the FCC the telephone operator shall update her attendance on the
                 employee emergency head count checklist located at the Fire Command
                 Center. Immediately she shall made the following announcement twice
                 via the plant building Public Address System

                Text 1 ( When the fire alarm is activated )

              “Ladies and gentlemen, your attention please, The fire alarm in this building
                has been activated. We are investigating the situation. Please remain calm
                and stand-by your speakers for further instruction. Thank you.”

                Text 2 ( False Alarm)

               “Ladies and gentlemen, your attention please, We have investigated the
                situation and found it to be a false alarm. We regret for any inconvenience
                caused. Thank you.”

                Text 3 ( Fire alarm activated and fire situation confirmed)

                “Ladies and gentlemen, your attention, please. There exists an emergency
                 situation in the building. Our Fire Fighting Team is now dealing with the
                 situation. All occupants please remain calm and stand-by your speakers for
                 further instruction.”

               Text 4 ( Fire alarm activated and evacuation is required )

               “Ladies and gentlemen , your attention, please. There exist an emergency
                situation in the building, please evacuate by the nearest exit staircase and
                obey all instructions given by the Fire Warden. Remember to avoid the use
                of lifts.”

Roles & Responsibilities Of Machinery Operators

Roles And Responsibilities Of Machine/Equipment Operators During Fire Situation

Switch off all machinery provided it is safe to do so. Refer to departmental Emergency Response Plan on what are the machinery & equipments which can be switched off in your area

Roles And Responsibilities Of Sprinkler Pump Checker

Roles And Responsibilities Of Sprinkler Pump Checker During A Fire Situation 

When the plant building fire alarm is activated, the sprinkler pump checkers and shall proceed immediately from his location to the guard post - to draw the keys from the Guardhouse and station at the pump room to ensure that the electrical and diesel pumps are running normally. - report back to the mustering point once the pumps are operating normally

Roles & Responsibilities Of Fire Fighters During A Fire Situation                

             i     Upon hearing the plant building fire alarm activation, the Fire fighting team
                   FFT) shall immediately proceed to the Fire Command Center without being
                   instructed by the Fire Command Center

            ii     At the Fire Command Center, the fire fighting team shall update their
                   attendance on the emergency head count check list for Company
                   Emergency Response Team and shall immediately don the fire retardant
                   coverall, full face respirator and simultaneously check prepare the fire
                   extinguisher & gas detector

            iii    Upon fully gowned, the fire fighting team shall assemble at the fire
                   command center awaiting for SIC further instruction

                   When fire situation is reported during office hours,
                   Fire case is confirmed - reported fire is incipient

           iv     When fire situation is confirmed, all fire fighters ( Fire Fighters Organization chart)
                   shall proceed to  the control point  together with the Site Incident Controller ( SIC)
                   carrying  with them portable fire extinguisher, gas detector and one walkie talkie

           v      Meanwhile the standby fire fighting team shall prepare themselves for
                   possible reinforcement or backup duties by preparing new set of fire
                   extinguisher and standby at the fire command center awaiting for SIC
                   instructions.

           Vi    Upon activated by the SIC to proceed to the fire scene, the fire fighting
                   team stationed at the control point shall proceed to the fire scene
                   carrying with them the fire extinguishers.

           vii    Meanwhile the standby fire fighting team shall leave the command center
                   carrying a new set of fire extinguishers to the control point. These new
                   fire extinguishers shall be replaced with those used by the fire fighting
                   team.

            w    The process of moving to and fro from the fire command center to the
                    control point with new set of fire extinguisher and vice versa only stop
                    when the fire have been put out or when SCDF took over the incident
                    management and fire fighting

                   When fire situation is reported after office hours,
                   Fire case is confirmed - reported fire is incipient

                   Duty Fire fighting team  based on the weekly supervisor and company 

                   emergency response team duty roster  will fight the fire without risk to

                   their life and shall report to the Fire Command Center via Walkie Talkie
                   the following  information

                  a) what is on fire?
                  b) what material is being burnt
                  c) the extent of the fire
                  d) whether the fire location is near to any flammable chemicals

                      or risky installations

                  When fire situation is confirmed - reported fire is uncontrolled

                   If the reported fire is uncontrolled, the fire fighting team shall radioed back
                   to the Fire Command Center via their walkie talkie and report to the FCC
                   the following information before they evacuate the fire scene using the 
                   nearest fire emergency exit staircase to the Assembly Area.
           
                  a)  what is on fire?
                  b) what material is being burnt?
                  c) the extent of the fire
                  d)whether the fire location is near to any flammable chemicals or risky
                     installations

Fire Warden Roles & Responsibilities

Fire Warden Roles & Responsibilities
During A Fire Situation

 

   

  i  respective building fire wardens shall checked the sub fire alarm panel to establish the exact location of
     the fire alarm activation in his/her location immediately after being notified by the Fire Command Center
     that fire alarm has been activated at his/her floor.

 ii  Upon establish the exact location, the fire warden shall proceed to that location and immediately conduct
     physical check on his/her floor & surrounding to establish whether fire situation is confirm and report
     to the FCC via the building intercom system or via walkie talkie

iii  Instruct FW asst to switch off machinery or equipments in their purview

v prepare his building occupants for evacuation if fire not on his/her building/floor and notified the fire

    command center through floor intercom system.

v  report to fire command center if fire is on his/her building/floor through  floor intercom system and effect
   orderly evacuation immediately.

vi  Alert all occupants on his/her floor to evacuate by the nearest staircase.

vii Retrieve the building emergency headcount list from the reception & identify from the register any
    physically impaired or pregnant employees on his/her building/floor who require assistance during
    evacuation

viii Combed & checked all toilets, offices and pantry for occupants as some fearful occupants may hide in
     those areas.

 viiii Close all exit fire doors of all staircase landings

 w   Report “ALL CLEAR” to the FCC before he/she evacuate the building by the nearest exit to the
         Assembly Area                   

Methods for Tracking Action Items

Methods for Tracking Action Items

The action items arise from the Management Review Session shall be track for completion. This is to ensure that the organization has a procedure or system to monitor and track management review meeting action items and that there is an identified person in charge faithfully carrying out the identified action items to close out the identified action items 

Methods for Tracking Action Items ( such as Types of Information and Management Review Records)
S/N	Methods for Tracking ( At least two)	Description
1	Obtain updates of action items status from person in charge	Obtain the updates of identified action items status through informal one to one meeting with the person in charge of the action items or through the consultation and communication process with the stakeholders using the following means a)Interview session b)Questionnaires c)Feedback session etc
2	Use appropriate action items tracking methods	Create an excel spreadsheet on list of identified action items that require follow up actions from  the identified person in charge and monitor the status of the action items till closure. Information in the tracking excel spreadsheet should include but not restricted to : a)Types of tracking –where user shall indicate whether it is the results of an internal or external audit that requires tracking b)Findings-where user shall indicate the reasons for tracking the identified action item. If it is an audit findings, user shall indicate the audit findings. c)Action item-where user shall indicate the prescribed actions to be taken by the following up party d)Person in charge-where user shall indicate the name of the actual person following up on the action items e)Timeline-where user shall indicate the time frame to close out the action items f)Date due-where user shall indicate the date due to close the action items g)Status-where user shall indicate whether the action items have been closed out or still open and the reasons associated with each status