HSE Check List 健康安全环境检查表

Checking area:

Checking Date/Time:Conducted by:

SCORE 分值

Improvement Items 改进项目 Conform 5S regulation,no free misplacing items. 现场区域符合5S ，物品无随意乱放。Logo is integrated and in good condition.工作区域各类标识齐全, 状态良好。Normal use PPE and PPE complete.PPE 正常使用，PPE 配置齐全。Personnel in the post with the appropriate training records and qualifications.

在岗人员具有相应的培训记录与资质。Know the update work site risk evaluation,and on-job training/grocess list have update.been update 了解本区域最新的风险评估, 并以更新列表

及输入至岗位安全培训。

know the safety regulation : know hazard

obs./nearmiss/injure definition and know how to

reoprt it; pay attention to factory safety activity.

了解安全原则; 清楚危险观察/先兆事件/工伤的定

义及如何汇报; 关注工厂安全活动。

In work process, no disobdey safety regulation.

在操作过程中，没有违反安全操作规程的行为。HSE Check List

健康、安全与环境检查表

Safety Behavior in Operation 操作中的安全行为

Safety Sign in working area

工作区域安全标识

Safety On-Job Training Record

岗位安全培训记录 With required Knowledge and awareness about safety 具备必要安全意识Inspection Result 检查结果Check Item

检查项目Standard Description 标准描述

Corrected Action Following 纠正措施跟踪Checked by HSE

Risk Assessment

风险评估5S of Working Areas

工作区域5S 情况

PPE

PPE 使用

Remark: HSE department every month check this item. Result score will reckon in every safety journry team and send to supervisor/department manager to make prevention/improvement.HSE department will follow and effective close it .

该项检查由HSE每月进行实施,检查结果将计入各安全之旅小组积分,同时发送至区域主管/部门经理进行改进和预防,并由HSE部门跟踪关闭.

Inspect: Date:

检查人检查日期