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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 admin@osh-isis.com 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 admin@osh-isis.com 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

76

(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