CHECKLIST FOR THE INSPECTION OF

HAZARDOUS FACTORIES.
[Link]. GENERAL INFORMATION

1 Date of Inspection

2 RJ Number.

3 Name of Factory

4 Address of Factory

Total Number of Workers employed

5 Numbers of Male workers
Numbers of female workers

6 Total Power installed in hp/kva/kw

7 Manufacturing Process

8 License Renewed up to

9 Factory building plans Approval detail

10 Name of Occupier with Mobile No. and Email Address

11 Name of Factory Manager with Mobile No. and Email Address

12 Name of responsible person present at the time of inspection

SAFETY PROVISIONS:-
[Link]. Check Points Related to Safety Provisions Status

1 Safety guard or fencing are provided to all moving parts of machineries Yes or No

Striking gear and devices are provided for cutting off power in case of any
2 Yes or No
emergency

3 Are there any hoist and lifts used, If yes then examined by competent person Yes or No

Are there any Lifting machines, chains, ropes and lifting tackles available (attach Available or not
4
list) Available

If Lifting machines, chains, ropes and lifting tackles available, examined by

5 Yes or No
competent person

Are there any pressure vessels used during process, If yes then examined by
6 Yes or No
competent person (attach list)
 Floors, stairs and passages are provided and maintained safe means of access
7 Yes or No
to every place at which any person is at any time required to work

8 Any pits, sumps openings in floors are securely covered or fenced Yes or No

9 Effective measures are provided to control any excess fumes, dust and gas Yes / No

10 Fire fighting facilities provided to control fire incident in case of fire. Yes / No

Appointed/Not
Qualified Safety Officers shall be appointed where 1000 workers are ordinarily
11 appointed/ Not
employed
applicable

Constituted/Not
Safety committee shall be constituted in every factory wherein more than 50
12 constituted/ Not
workers are ordinarily employed
applicable

As per Indian standard, Personal Protective equipments like safety belts,

Available/ Not
13 helmets, safety shoes ,goggles , mask and gloves are available in sufficient
available
quantity for workers employed therein

Provided /Not
Health and Safety policy prepared in every factory wherein more than 50
14 provided /Not
workers are ordinarily employed
applicable

Workers employed in hazardous process are medically examined by factory

15 Yes or No
medical officer or certifying surgeon

16 Health register of workers maintained in form no. 19 Yes or No

Provided /Not
Occupational Health Centre shall be provided in every factory wherein more
17 provided/ Not
than 500 workers employed
applicable

18 Ambulance van is available Yes or No

Yes / No/Not
19 Sensors with alarm system are provided for detection of leakage of chemicals
applicable

Provided/ not
20 In case of leakage of chemicals, Proper Neutralization Arrangements provided provided/Not
applicable

Safety Precautions Board displayed at various approach location within factory

21 Yes or No
premises

22 Safety training given to all workers Yes or No

23 Record of Safety training given to all workers maintained Yes or No

 Complied
24 Safety relating to Manufacturing Process with/Not complied
with

HEALTH PROVISIONS:-
[Link]. Check Points Related to Health Provisions Status

Yes or
1 Cleanliness status of work place such as Floors, stairs and passages are cleanliness
No

Yes or
2 Effective arrangements are provided for the treatment of waste and effluents
No

Yes or
3 Effective arrangements are provided for control of excess dust and fumes
No

Yes or
4 Drinking water facilities available in factory
No

Latrines and urinals are provided in proportion to the no. of male and female workers Yes or
5
employed No

Yes or
6 Latrines and urinals are connected to sewerage system
No

Sufficient and suitable lighting (natural or artificial or both) shall be provided in every part Yes or
7
of factories No

WELFARE PROVISIONS:-
Adequate and suitable facilities for washing provided and maintained for the
1 Yes or No
use of the workers

2 First aid facilities available in factory Yes or No

Canteen provided in every factory wherein more than 250 workers are
3 Yes / No/Not applicable
ordinarily employed

Shelters, rest rooms and lunch rooms provided in every factory wherein more
4 Yes / No/Not applicable
than 150 workers are ordinarily employed

Creches provided in every factory wherein more than 30 women workers are
5 Yes / No/Not applicable
ordinarily employed

Welfare officer shall be appointed in every factory wherein more than 500 Appointed/Not
6
workers employed appointed/Not applicable

Ambulance room provided in every factory wherein more than 500 workers Provided /Not
7
are ordinarily employed provided/Not applicable
RECORD KEEPING PROVISIONS:-
Following Records are to be produced:-
a. Muster-roll Yes or No
b. Payment Register Yes or No
c. Overtime register.
1 d. Accident register Yes or No
e. Leave with wages register Yes or No
Yes or No

2 Single Integrated Return submitted Yes or No

3 Building Stability Certificate received from competent person Yes or No