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Corporate Safety & Environmental Inspection Report

Management Safety & Environmental Walk Inspection Date:Participants Name :

Designation :

Signature :

Item Description A B CN

ALocation

Completion

Date

Legend

A: Satisfactory at time of inspectionB: Needs improvement

C: Needs immediate follow-up action

NA: Not applicable or not found at time of inspection Date: 05-12-2012

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Part A. Safety Issues

1)

Housekeep

ing

1.1 Maintain proper access/ prevent obstruction

1.2 Sufficient lighting at workplaces & emergency access

1.3 Protruding objects (nails and/or etc.)

1.4 Proper storage/ stacking of materials

1.5 Control of mosquito breeding/ prevent stagnant water

1.6 Remove construction waste / tidy up workplace

1.7

Dust suppression measures /watering / cover

stockpiles or excavated soil by tarpaulins/ wheelwashing

1.8 Prevent mud, oily or slippery floor

1.9Noise control / noise enclosures / use quite

equipment

1.10 Proper tray for diesel drums / generator

1.11Protection for power cable /power cable properly

hang up

2) Public

Safety /

Road

Work

2.1Protection for road driver (e.g. traffic cones, barriers,

lantern, signage & etc. ) replace damage lanterns

2.2

Protection for pedestrian (e.g. hoarding, fences, safe

access, signage & etc. )

3) Use of

Electricity

/ Electric

Hand Tools

3.1 Display of competent electrician & telephone number

3.2 Warning notice for electrical hazards

3.3 Outlet of generator / distribution switch board locked

3.4 Earthing / ELCB provision/ test record

3.5 Hand tools properly earthed or double insulated

3.6 Use low voltage electric hand tools ( portable)

3.7 Switch board should be provided with proper shelter

3.8 Use water proof type socket and cable and plugs

4) Fire

Prevention

4.1 Fire fighting equipment at site office

4.2 Fire fighting equipment at work areas / diesel drums

5) Lifting 5.1 Examination certificates

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Item Description A B CN

ALocation

Completion

Date

LegendA: Satisfactory at time of inspection

B: Needs improvement

C: Needs immediate follow-up actionNA: Not applicable or not found at time of inspection Date: 05-12-2012

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Appliances 5.2 Weekly inspection Form 1

5.3 Provide slinger / lookout-man for lifting operation

5.4 Qualified crane operator

5.5 Safe positioning of crane / outriggers fully extended

5.6 Use of rings or shackles for multiple slings

5.7 Safety latch of hook / safety catch device

6) Lifting

Gears

6.1 Examination of lifting gears

6.2 Color code (wire ropes/ chain/ shackles / blocks etc.)

6.3 Marking of safe working load :SWL

6.4

Lifting gears checked without visible defect or worn

out

6.5 Chain hooks should be equipped with safety latch

7) Earth

Moving

Plant

(excavator

etc.)

7.1 Examination certificates of excavator

7.2 Setting position of excavator

7.3 Audible signals or alarm

7.4 Competent excavator operator

7.5 Emergency exit / front window

7.6 Weekly inspection Form 1

8)

Excavation

/

Earthwork

8.1Proper shoring / temporary support to prevent soil

collapse in excess 1.2m

8.2 Provide adequate height of barriers/ toe-board

8.3 Temporary access / ladder

8.4 Weekly inspection Form 4

8.5 Protection for underground utilities / warning notice

8.6 Removal of pond water / prevent flooding

8.7Plant or material to be stacked away from edges of

excavation8.8 Prevent soil erosion / avoid vertical cutting

8.9Proper stopper or barriers to prevent falling of

vehicles

9) Gas

Welding &

Flame

Cutting

9.1 Competent flame cutting operator

9.2 Proper storage of gas cylinders/ use of trolley

9.3 Provided with flash back arrestor

9.4 Maintenance of hoses / regulators

9.5 Fire extinguishers / fire fighting equipment

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Item Description A B CN

ALocation

Completion

Date

LegendA: Satisfactory at time of inspection

B: Needs improvement

C: Needs immediate follow-up actionNA: Not applicable or not found at time of inspection Date: 05-12-2012

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9.6Protection of gas hoses from damage or tripping

hazard

9.7 Clear from flammable substances/ materials

9.8 Protective screen to prevent fire slag

9.9 Proper personal protective equipment

10) Air

Receiver/

Compresso

r

10.1 Blowpipe equipped with non-return value

10.2 Examination certificates form 2

10.3 Hose / connector properly clamped/ safety device

10.4 Use of double lock couples

11)

Hazard

/Flammabl

e substance

(e.g. diesel,

gasoline)

11.1 EPD noise label

11.2 Labeling / MSDS

11.3 Proper storage in container

11.4 Proper chemicals and /or wastes storage

11.5Store area / good ventilation

12)

Electric

Arc

Welding

12.1 Use of PPE when handling of hazard substances

12.2 Competent welder

12.3 Cable connection / prevent electrical hazards

12.4 Electrode in good condition

12.5 Proper earth or return

12.6 Protection of cable / connector

12.7 Fire extinguishers

12.8 Clear from flammable substance/ materials

12.9 Protective screen to prevent spark

12.10 Step down voltage transformer

13)

Scaffold/

Working

Platform

13.1 Proper personal protective equipment

13.2 Inspected by competent person : Form 5

13.3 Proper access /ladder

13.4 Rigid railing ( upper & middle ) and toe board

13.5 Closely board

13.6 Stability / positioning / securely tie

14) Floor

Edge/Open

ing

14.1 Securely covered or provided with rigid barriers

14.2Provide toe-boards or nets

15) Bar 15.1 Emergency stop device

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Item Description A B CN

ALocation

Completion

Date

LegendA: Satisfactory at time of inspection

B: Needs improvement

C: Needs immediate follow-up actionNA: Not applicable or not found at time of inspection Date: 05-12-2012

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Bending

Machine

15.2 Guarding of dangerous parts

15.3 Enclosure for bar bending machine

16)

Personal

Protective

Equipment

16.1 Safety helmet/ reflective vest

16.2 Safety footwear

16.3 Use dust mask/ respirators

16.4 Eye protection

16.5 Ear protection when noisy environment

16.6Wearing safety harness when working platform is not

practicable where person may fall from high level

17)

Welfare

Facilities

17.1 Drink water/ washing / toilet facilities

17.2 Shelter for workers

17.3 First aid facilities

18)

Others18.1

Part B. Environmental Issues

19)

Environmental

Issues

19.1 Dust Control Measures

19.2 Air Pollution Control Measures

19.3 Noise Protection Measures

19.4

Surface Runoff19.5 Waste Water Treatment

19.6 Ecological Protection Measures

19.7 Tree Protection Measures

19.8 Chemical Waste Treatment

20)

Others20.1

General Comment / Remark by Safety & Environment Manager/xxxxxxxxxx

Signature: Date:

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Item Description A B CN

ALocation

Completion

Date

LegendA: Satisfactory at time of inspection

B: Needs improvement

C: Needs immediate follow-up actionNA: Not applicable or not found at time of inspection Date: 05-12-2012

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