Site Safety Check List i5o1z
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SITE SAFETY AUDIT CHECKLISTS i)
Checklist for Safety Quality Record
ii) Checklist for Upgrading Works iii) Checklist for Suspended Scaffolding Works (Gondola) iv) Checklist for Mast Climbing Workplatform v) Checklist for Civil Engineering Works vi) Checklist for Metal Scaffolding Works
2/24
CHECKLIST FOR SAFETY QUALITY RECORD
Contractor
:
Contract Name
:
Blk Nos.
:
Contract No
:
Date
:
Type of Work
:
Time
:
Safety Inspection No.
:
ITEMS
S/N PERMIT 1)
Registration of Factory with Ministry of ManPower (MOM)
LICENCE 1)
Licence to operate and use electrical or supply installation
SAFETY MANAGEMENT 1)
Safety and Health Management System (SHMS)/Safety Programme submission
2)
SHMS/Safety Programme approval by Consultant
3)
Monthly safety report/auditing report by WSHO/site safety supervisor
ACTS AND REGULATION 1)
A copy of Workplace Safety and Health(WSH) Act
2)
A copy of WSH(Construction) Regulations
RECORDS 1)
Personal Protective Equipment
REPORT OF VISIT
REMARKS
3/24
S/N
ITEMS
RECORDS
(cont'd)
2)
Supervisors' Safety Course / Workers' Safety Orientation Course Certificate
3)
Authorised operator for machinery
FIRST AID 1)
List of first aid items and its medical supplies
2)
Name of first aider and their certificates
MOBILE CRANE 1)
Submission for safe use of mobile crane
2)
Approval for use of mobile crane by Consultant
3)
6-monthly checklist and certificate for testing and inspection by Approved Examiner(AE)
4)
Weekly checking of crane access by site engineer/supervisor
5)
3-monthly checklist for maintenance by mechanic
6)
Daily checking by operator
TOWER CRANE 1)
Submission for safe use of Tower Crane
2)
Approval for use of Tower Crane by Consultant
3)
6-monthly checklist and certificate for testing and inspection by Approved Examiner(AE)
4)
3-monthly checklist for maintenance by mechanic
5)
Daily checking by operator
REPORT OF VISIT
REMARKS
4/24
S/N
ITEMS
METAL SCAFFOLD 1)
Submission for erection of metal scaffold
2)
Approval for erection of metal scaffold by Consultant
3)
Weekly scaffold by scaffold supervisor
4)
3-monthly checking by Professional Engineer (PE) (Civil) or his engineers
5)
Submission for dismantling of metal scaffold
6)
Approval for dismantling of metal scaffold by Consultant
ENGER-CUM-MATERIAL HOIST (P/M) 1)
Submission for safe use of P/M hoist
2)
Approval for use of P/M Hoist by Consultant
3)
3-monthly checklist and certificate for testing and inspection by Approved Examiner(AE)
4)
3-monthly checklist for maintenance by mechanic
5)
Daily checking by operator
MAST CLIMBING WORKPLATFORM 1)
Submission for safe use of workplatform
2)
Approval for use of workplatform by Consultant
3)
6-monthly certificate for testing and inspection by Approved Examiner(AE)
REPORT OF VISIT
REMARKS
5/24 REPORT OF VISIT
ITEMS
S/N
MAST CLIMBING WORKPLATFORM
(cont'd)
4)
Weekly workplatform by workplatform supervisor
5)
Monthly checking by PE (Civil) or his engineers
SUSPENDED SCAFFOLD (GONDOLA) 1)
Submission for safe use of gondola
2)
Approval for use of gondola by Consultant
3)
6-monthly certificate for testing and inspection by Approved Examiner(AE)
4)
Weekly checking by gondola supervisor
5)
Monthly checking by PE (Civil) or his engineers
SUBMISSION AND APPROVAL FOR TEMPORARY STRUCTURES BY CONSULTANT 1)
Workers' quarter
2)
Hoarding
3)
Entry/exit overhead shelter
4)
Refuse chute
5)
Material receiving platform
6)
Metal staircase to construction level
7)
Lightweight s transporting cart
8)
Concrete batching plant
REMARKS
6/24
S/N
REPORT OF VISIT
ITEMS
REMARKS
OTHERS
1)
2)
3)
* _/
= Satisfactory/Yes
NA
= Not Applicable
X -
= Not provided/Not satisfactory/Inadequate/No = Briefing Remark/Advice
INSPECTED BY NAME INITIAL/DATE Copy To:
OFFICERS
INITIAL/DATE
REMARK
i) ii) Action Taken
Stop/Warn//Lifting on ______________/Nil
*CONSULTANTS /OTHERS : ________________ NAME
INITIAL/DATE
REMARK
i)
CONSULTANT'S SO:
- For your follow-up action.
ii)
CONSULTANT'S SS:
- For your action/filing.
CONTRACTOR
* Delete whichever is applicable
- For immediate rectification.
7/24
CHECKLIST FOR UPGRADING WORK
Contractor
:
Contract Name
:
Blk Nos :
Contract No
:
Date
:
Type of Work
:
Time
:
Safety Inspection No.
: REPORT ITEMS
S/N
1)
Safety Information Signboard and assembly Stage
2)
Signboard for public information and convenience
3)
4) 5)
a)
Danger Signboard
b)
Route Diversion Signboard
c)
Information Signboard
Protective Hoarding/Fencing provided at ground floor enclosing work areas Exit/Entry Overhead Shelter Barricade a) to open sides of building b)
to open sides of roof
c) to lift opening d) open sides of excavation 6)
Safe Access a) b)
to roof/water tanks for crossing over trenches/work areas
c) in trench 1.2m or more deep
BLK
STY
OF VISIT
REMARKS
8/24
ITEMS
S/N 7)
Piling operations supervised by designated person a) pile hoisting b) pile driving
8)
Shoring a) to excavated trenches 1.5m or more deep b) to excavated trenches more than 4m constructed according to PE's design
9)
Safety cover a) over floor opening of building b) across road opening/drain opening
10)
Approved plugs and sockets provided for electrical equipments
11)
Electrical cable properly hang up
12)
Crane access constructed according to
13)
Lifting operation supervised by Lifting Supervisor
14)
Valid 6-monthly certificate of mobile crane by Approved Examiner(AE)
15)
Valid 6-monthly certificate of piling machine by Approved Examiner(AE)
16)
Valid 3-monthly certificate of enger-Material-Hoist by Approved Examiner(AE)
17)
All outrigger of crane are fully extended and ed
18)
Spreader beam used for hoisting Space Adding Item(SAI)
19)
Webbling Sling used for hoisting SAI
20)
enger-Material-Hoist
PE's design
a)
metal gates
b)
hoist landing
21)
Machinery/Vehicles operated by authorised person
22)
Unsafe Act a) workers not pillioning on dumpers b)
workers not pillioning on excavator
c)
no unsafe work procedure
d) no unsafe act of workers 23)
Housekeeping a)
material not placed at the edge of roof
b)
materials not placed at the edge of trench
BLK
STY
REPORT OF VISIT
REMARKS
9/24
REPORT S/N
24)
ITEMS
BLK
STY
OF VISIT
REMARKS
Personal Protective Equipment a)
Safety helmet worn by workers
b) workers anchor safety harness/belt to independent lifeline 25)
Demolition of existing structure/parapet by safe method
26)
OTHERS
INSPECTED BY NAME INITIAL/DATE Copy To:
OFFICERS
INITIAL/DATE
REMARK
i) ii) Action Taken
Stop/Warn//Lifting on ______________/Nil
*CONSULTANT/Other : NAME
INITIAL/DATE
REMARK
i)
CONSULTANT'S SO:
-
For your follow-up action
ii)
CONSULTANT'S SS:
-
For your action/filing
CONTRACTOR
* _/
= Satisfactory/Yes
NA
= Not Applicable
* Delete whichever is applicable
-
For immediate rectification.
X -
= Not provided/Not satisfactory/Inadequate/No = Briefing Remark/Advice
10/24
CHECKLIST FOR CIVIL ENGINEERING WORK
Contractor
:
Contract Name
:
Contract No
:
Date
:
Type of Work
:
Time
:
Safety Inspection No.
:
S/N
__________________________________________________________
ITEMS
1)
Personal Protective Equipment Record
2)
Namelist of authoried operators to operate machinery vehicles
3)
First Aid Box with adequate medical supplies
4)
Adequate warning signboards placed and conspicuously at strategic locations
5)
Route conversion signboards for public information and convenience ( where piblic access is affected)
6)
Blinker lights to trenches/works to existing road
7)
Shoring to excavated trenches more than 1.5m deep
8)
Shoring to excavated trench more than 4m deep constructed according to PE's design and drawings
REPORT OF VISIT
REMARKS
11/24
S/N
ITEMS
9)
Open sides of excavation are guarded by adequate and effective barricades ( min 1.1m height)
10)
Temporary access with railing properly secured over trenches
11)
Ladders,stairways or ramps provided in trenches of more than 1.2m depth
12)
Materials kept away from the edges of trenches ( at least 610mm away from the trench)
13)
Safety cover across road opening /over drain opening
14)
Overhead protection for workers working in the manholes near buildings under construction
15)
Tunnel constructed according to PE's design and drawings
16)
Approved ventiliation system provided in tunnel in accordance to PE's design and drawings
17)
Flash back Arrestor or fitted to regulator and blowpipe of gas cyclinder
18)
Personal Protective Equipment worn by workers/site staff
19)
Vehicles/machinery operated by authorised persons
20)
Housekeeping
REPORT OF VISIT
REMARKS
12/24
S/N
REPORT OF VISIT
ITEMS
REMARKS
OTHERS
21)
* _/
= Satisfactory/Yes
NA
= Not Applicable
X -
= Not provided/Not satisfactory/Inadequate/No = Briefing Remark/Advice
INSPECTED BY NAME INITIAL/DATE Copy To:
OFFICERS
INITIAL/DATE
REMARK
i) ii) Action Taken
Stop/Warn//Lifting on ______________/Nil
*CONSULTANT/OTHERS* : ________________ NAME
INITIAL/DATE
REMARK
i)
CONSULTANT 'S SO:
- For your follow-up action.
ii)
CONSULTANT'S SS:
- For your action/filing.
CONTRACTOR
* Delete whichever is applicable
- For immediate rectification.
CHECKLIST FOR METAL SCAFFOLDING WORK
Contractor
:
Contract Name
:
Blk Nos. :
Contract No
:
Date
:
Type of Work
:
Time
:
Safety Inspection No.
:
REPORT ITEMS
S/N
1)
FOUNDATIONS a) Scaffold erected on firm ground b) Scaffold not endangered by open excavation
2)
SOLEPLATES Proper soleplates used
3)
BASEPLATES Proper baseplates fitted to all standards or legs of scaffold
4)
FOOT - TIES Foot-ties fitted to both inner and outer standards
5)
ALIGNMENT OF SCAFFOLD COMPONENTS a) Standards or Frames vertical b) Ledgers and transoms levelled
BLK
OF VISIT
REMARKS
S/N
ITEMS
6)
TORSION CABLE Tensioned torsion cable at every cantilever bracket and C-channel
7)
TUBES AND FITTINGS a) Ledgers connected to standards with right angle couplers b) Transoms connected to the standards with right-angle couplers c) End to end connections in staggered in adjacent bays and adjacent pairs
8)
FRAMES a) Standards connected end to end with either sleeve couplers or t pins b) Armlocks installed at all vertical ts between frames c) Cross bracings are fitted and connected to frames
9)
Scaffolds erected one lift above the top most level (Not applicable for mechanised formwork system)
10)
TIE BACK a) At every 2 lifts or at every floor starting from base b) Spaced not more than 3 bays or 7.5 metres apart whichever is lesser c) Spaced no further than one bay from ends in a staggered manner d) To every standard above the level of the peripheral overhead shelter e) Effective temporary tie immediately below top most level
11)
HORIZONTAL BRACINGS OR 'LACING' At every 5 lifts of frame, tube or modular scaffold to both inner and outer standards
12)
DEBRIS NET Debris screening net erected to prevent particles and debris dislodged from the scaffold
BLK
REPORT OF VISIT
REMARKS
S/N
ITEMS
13)
LADDER Ladders are securely attached to the scaffold for access
14)
SCAFFOLD COMPONENT MATERIAL a) Scaffold components and fittings showing no signs of deterioration b) All fittings are tight and undamaged
15)
BRACING for TUBE or MODULAR SCAFFOLD a) Diagonal bracings connected either to projecting transoms with right-angle couplers or to the standards with swivel couplers b) Ledger bracings connected to the ledgers with right-angle couplers or to the standards with swivel couplers c) Ledger/diagonal bracings connected end to end using either sleeve couplers or t-pins
16)
Guardrails are fitted and connected to standards
17)
WORKING PLATFORM (BELOW TOP MOST LEVEL) Closely decked continuous working platform with toeboards immediately below top most level (Minimum width 635mm)
18)
WORKING PLATFORM (AT EVERY ALTERNATE LIFT) a) Closely decked continuous working platform with toeboards at every alternate lift of metal scaffold b) WORKING PLATFORM (ISOLATED) Closely decked isolated working platform with toeboards and guardrail. c) WORKING PLATFORM (SIZE) For timber and metal deckings, the plank used shall be at least 200mm wide and 38mm thick and it is not projecting beyond its end by more than 4 times its thickness d) METAL DECKING Metal deckings are held down securely to prevent uplift and cantilever effects
19)
PERIPHERAL OVERHEAD SHELTER Continuous peripheral overhead shelter provided not endangered by moving machinery
BLK
REPORT OF VISIT
REMARKS
REPORT ITEMS
S/N 20)
PROFESSIONAL ENGINEER'S DRAWING Scaffolds are erected strictly in accordance with the Professional Engineer's design and drawings
21)
SCAFFOLD DISMANTLING/ERECTION a) WARNING SIGNBOARDS Warning signboards stating "Caution. Do not use the scaffold." in 4 official languages placed at strategic locations b) TIE BACKS Tie backs are not released in advance of scaffold dismantling c) BARRICADES Barricades erected to restrict access to the scaffold
22)
DISMANTLED SCAFFOLD COMPONENTS Dismantled scaffold components brought to the ground by a safe method
23)
QUALIFIED SCAFFOLD SUPERVISOR Qualified scaffold supervisor supervises the scaffold erection/dismantling operation
24)
QUALIFIED SCAFFOLD ERECTORS Qualified scaffold erectors erecting/dismantling the scaffold
25)
SAFETY HARNESS AND LIFELINES Safety harness and lifelines used by the scaffold erectors
BLK
OF VISIT
REMARKS
REPORT ITEMS
S/N
BLK
OF VISIT
REMARKS
OTHERS 26)
* _/
= Satisfactory/Yes
NA
= Not Applicable
X -
= Not provided/Not satisfactory/Inadequate/No = Briefing Remark/Advice
INSPECTED BY NAME INITIAL/DATE Copy To:
OFFICERS
INITIAL/DATE
REMARK
i) ii) Action Taken
Stop/Warn//Lifting on ______________/Nil
*CONSULTANT/Other : _________________ NAME
INITIAL/DATE
REMARK
i)
CONSULTANT'S SO:
- For your follow-up action.
ii)
CONSULTANT'S SS:
- For your action/filing.
CONTRACTOR
* Delete whichever is applicable
- For immediate rectification.
CHECKLIST FOR SUSPENDED SCAFFOLDING WORK (GONDOLA)
Contractor
:
Site
:
Blk No. :
Contract No
:
Date
:
Type of Work
:
Time
:
Safety Inspection No.
:
REPORT ITEMS
S/N 1)
Valid Certificate of lifting machine by Approved Examiner(AE)
2)
Protective hoardings/barricading at ground floor.
3)
Warning signboards placed at strategic locations
4)
ELCB provided at the distribution control
5)
Proper cover to Fuse box
6)
Four wire ropes provided for each cradle (min. 8mm ø)
BLK
OF VISIT
REMARKS
S/N
ITEMS
7)
Wire ropes free from defects and properly tensioned
8)
Safety wire ropes independently anchored to a permanent structure
9)
Brackets properly clamped to roof structures
10)
Brackets used according to PE's drawings
11)
Hooks & Angle Brackets are properly secured in position by wire ropes according to PE's drawing.
12)
Fist' grips/'U' shackles/'Bull Dog' grips used to fasten the t of wire ropes
13)
Wire ropes protected from direct with existing structure
BLK
REPORT OF VISIT
REMARKS
REPORT ITEMS
S/N 14)
Wire ropes for "tie backs" of the anchorage system used according to PE's drawings
15)
Safe working load and maximum allowable no. of operators (not more than 3) prominently specified at the cradle side
16)
Out-riggers spaced not more than 3.2m apart
17)
Personal Protective Equipment: a)
Workers/Riggers anchor safety harness to independent lifeline
b)
Safety helmet worn by workers/riggers
OTHERS
18)
BLK
OF VISIT
REMARKS
* _/ NA
= Satisfactory/Yes = Not Applicable
X -
= Not provided/Not satisfactory/Inadequate/No = Briefing Remark/Advice
INSPECTED BY NAME INITIAL/DATE Copy To:
OFFICERS
INITIAL/DATE
REMARK
i) ii) Action Taken
Stop/Warn//Lifting on ______________/Nil
* CONSULTANT/Other :
i) ii)
NAME CONSULTANT'S SO: CONSULTANT'S SS: CONTRACTOR
* Delete whichever is applicable
INITIAL/DATE
-
For immediate rectification.
REMARK - For your follow-up action. - For your action/filing.
CHECKLIST FOR MAST CLIMBING WORKPLATFORM
Contractor Site
Blk No. :
Contract No
Date
:
Type of Work
Time
:
Safety Inspection No.
REPORT S/N
ITEMS
1)
Adequate warning signs placed conspicuously at strategic locations
2)
Effective barricades at ground level
3)
ELCB provided at the distribution control and a proper cover to the fuse box
4)
Safety devices are in good working condition
5)
The tiebacks system erected according to PE's drawing
6)
The masts stands on level and firm ground
BLK
OF VISIT
REMARKS
REPORT S/N
ITEMS
7)
All out-riggers are fully extended and properly ed
8)
No unauthorised extension of workplatform
9)
Guardrails of the workplatform overlaid with fine screening debris net
10)
Metal staircase provided and securely attached to workplatform
11)
Load evenly distributed inside the workplatform
12)
No obstruction to the operating pathway of the workplatform
13)
Workplatforms are lowered to the base/ground level when not in use
14)
Electrical cables in the drum
15)
Electrical cables and plugs are not damaged
16)
Safe working load and max. no. of operators (not more than 3 persons for single mast and 5 persons for twin masts) are prominently displayed at the side of the workplatform
BLK
OF VISIT
REMARKS
S/N
ITEMS
17)
No overloading of workplatform
18)
Erection/Dismantling of workplatform
REPORT OF VISIT
BLK
REMARKS
a) Workplatform supervisor supervises tne work b)
Mast tieback directly below the workplatform installed prior to erection/not released prior to dismantling
c)
Connections between masts properly secured before operating the workplatform
19)
Personal Protective Equipment
a) Workers/Riggers anchor safety belt to independent lifeline b) Safety helmet worn by workers/riggers
20)
Housekeeping
OTHERS 21)
* _/ NA
= Satisfactory/Yes = Not Applicable
X -
= Not provided/Not satisfactory/Inadequate/No = Briefing Remark/Advice
INSPECTED BY NAME INITIAL/DATE Copy To:
OFFICERS
Initial/Date
REMARK
i) ii) Action Taken
*Stop/Warn//Lifting on _______/Nil
*CONSULTANT /Other :
i) ii)
NAME CONSULTANT'S SO: CONSULTANT'S SS: CONTRACTOR
* Delete whichever is applicable
INITIAL/DATE -
REMARK For your follow-up action. For your action/filing.
Checklist for Safety Quality Record
ii) Checklist for Upgrading Works iii) Checklist for Suspended Scaffolding Works (Gondola) iv) Checklist for Mast Climbing Workplatform v) Checklist for Civil Engineering Works vi) Checklist for Metal Scaffolding Works
2/24
CHECKLIST FOR SAFETY QUALITY RECORD
Contractor
:
Contract Name
:
Blk Nos.
:
Contract No
:
Date
:
Type of Work
:
Time
:
Safety Inspection No.
:
ITEMS
S/N PERMIT 1)
Registration of Factory with Ministry of ManPower (MOM)
LICENCE 1)
Licence to operate and use electrical or supply installation
SAFETY MANAGEMENT 1)
Safety and Health Management System (SHMS)/Safety Programme submission
2)
SHMS/Safety Programme approval by Consultant
3)
Monthly safety report/auditing report by WSHO/site safety supervisor
ACTS AND REGULATION 1)
A copy of Workplace Safety and Health(WSH) Act
2)
A copy of WSH(Construction) Regulations
RECORDS 1)
Personal Protective Equipment
REPORT OF VISIT
REMARKS
3/24
S/N
ITEMS
RECORDS
(cont'd)
2)
Supervisors' Safety Course / Workers' Safety Orientation Course Certificate
3)
Authorised operator for machinery
FIRST AID 1)
List of first aid items and its medical supplies
2)
Name of first aider and their certificates
MOBILE CRANE 1)
Submission for safe use of mobile crane
2)
Approval for use of mobile crane by Consultant
3)
6-monthly checklist and certificate for testing and inspection by Approved Examiner(AE)
4)
Weekly checking of crane access by site engineer/supervisor
5)
3-monthly checklist for maintenance by mechanic
6)
Daily checking by operator
TOWER CRANE 1)
Submission for safe use of Tower Crane
2)
Approval for use of Tower Crane by Consultant
3)
6-monthly checklist and certificate for testing and inspection by Approved Examiner(AE)
4)
3-monthly checklist for maintenance by mechanic
5)
Daily checking by operator
REPORT OF VISIT
REMARKS
4/24
S/N
ITEMS
METAL SCAFFOLD 1)
Submission for erection of metal scaffold
2)
Approval for erection of metal scaffold by Consultant
3)
Weekly scaffold by scaffold supervisor
4)
3-monthly checking by Professional Engineer (PE) (Civil) or his engineers
5)
Submission for dismantling of metal scaffold
6)
Approval for dismantling of metal scaffold by Consultant
ENGER-CUM-MATERIAL HOIST (P/M) 1)
Submission for safe use of P/M hoist
2)
Approval for use of P/M Hoist by Consultant
3)
3-monthly checklist and certificate for testing and inspection by Approved Examiner(AE)
4)
3-monthly checklist for maintenance by mechanic
5)
Daily checking by operator
MAST CLIMBING WORKPLATFORM 1)
Submission for safe use of workplatform
2)
Approval for use of workplatform by Consultant
3)
6-monthly certificate for testing and inspection by Approved Examiner(AE)
REPORT OF VISIT
REMARKS
5/24 REPORT OF VISIT
ITEMS
S/N
MAST CLIMBING WORKPLATFORM
(cont'd)
4)
Weekly workplatform by workplatform supervisor
5)
Monthly checking by PE (Civil) or his engineers
SUSPENDED SCAFFOLD (GONDOLA) 1)
Submission for safe use of gondola
2)
Approval for use of gondola by Consultant
3)
6-monthly certificate for testing and inspection by Approved Examiner(AE)
4)
Weekly checking by gondola supervisor
5)
Monthly checking by PE (Civil) or his engineers
SUBMISSION AND APPROVAL FOR TEMPORARY STRUCTURES BY CONSULTANT 1)
Workers' quarter
2)
Hoarding
3)
Entry/exit overhead shelter
4)
Refuse chute
5)
Material receiving platform
6)
Metal staircase to construction level
7)
Lightweight s transporting cart
8)
Concrete batching plant
REMARKS
6/24
S/N
REPORT OF VISIT
ITEMS
REMARKS
OTHERS
1)
2)
3)
* _/
= Satisfactory/Yes
NA
= Not Applicable
X -
= Not provided/Not satisfactory/Inadequate/No = Briefing Remark/Advice
INSPECTED BY NAME INITIAL/DATE Copy To:
OFFICERS
INITIAL/DATE
REMARK
i) ii) Action Taken
Stop/Warn//Lifting on ______________/Nil
*CONSULTANTS /OTHERS : ________________ NAME
INITIAL/DATE
REMARK
i)
CONSULTANT'S SO:
- For your follow-up action.
ii)
CONSULTANT'S SS:
- For your action/filing.
CONTRACTOR
* Delete whichever is applicable
- For immediate rectification.
7/24
CHECKLIST FOR UPGRADING WORK
Contractor
:
Contract Name
:
Blk Nos :
Contract No
:
Date
:
Type of Work
:
Time
:
Safety Inspection No.
: REPORT ITEMS
S/N
1)
Safety Information Signboard and assembly Stage
2)
Signboard for public information and convenience
3)
4) 5)
a)
Danger Signboard
b)
Route Diversion Signboard
c)
Information Signboard
Protective Hoarding/Fencing provided at ground floor enclosing work areas Exit/Entry Overhead Shelter Barricade a) to open sides of building b)
to open sides of roof
c) to lift opening d) open sides of excavation 6)
Safe Access a) b)
to roof/water tanks for crossing over trenches/work areas
c) in trench 1.2m or more deep
BLK
STY
OF VISIT
REMARKS
8/24
ITEMS
S/N 7)
Piling operations supervised by designated person a) pile hoisting b) pile driving
8)
Shoring a) to excavated trenches 1.5m or more deep b) to excavated trenches more than 4m constructed according to PE's design
9)
Safety cover a) over floor opening of building b) across road opening/drain opening
10)
Approved plugs and sockets provided for electrical equipments
11)
Electrical cable properly hang up
12)
Crane access constructed according to
13)
Lifting operation supervised by Lifting Supervisor
14)
Valid 6-monthly certificate of mobile crane by Approved Examiner(AE)
15)
Valid 6-monthly certificate of piling machine by Approved Examiner(AE)
16)
Valid 3-monthly certificate of enger-Material-Hoist by Approved Examiner(AE)
17)
All outrigger of crane are fully extended and ed
18)
Spreader beam used for hoisting Space Adding Item(SAI)
19)
Webbling Sling used for hoisting SAI
20)
enger-Material-Hoist
PE's design
a)
metal gates
b)
hoist landing
21)
Machinery/Vehicles operated by authorised person
22)
Unsafe Act a) workers not pillioning on dumpers b)
workers not pillioning on excavator
c)
no unsafe work procedure
d) no unsafe act of workers 23)
Housekeeping a)
material not placed at the edge of roof
b)
materials not placed at the edge of trench
BLK
STY
REPORT OF VISIT
REMARKS
9/24
REPORT S/N
24)
ITEMS
BLK
STY
OF VISIT
REMARKS
Personal Protective Equipment a)
Safety helmet worn by workers
b) workers anchor safety harness/belt to independent lifeline 25)
Demolition of existing structure/parapet by safe method
26)
OTHERS
INSPECTED BY NAME INITIAL/DATE Copy To:
OFFICERS
INITIAL/DATE
REMARK
i) ii) Action Taken
Stop/Warn//Lifting on ______________/Nil
*CONSULTANT/Other : NAME
INITIAL/DATE
REMARK
i)
CONSULTANT'S SO:
-
For your follow-up action
ii)
CONSULTANT'S SS:
-
For your action/filing
CONTRACTOR
* _/
= Satisfactory/Yes
NA
= Not Applicable
* Delete whichever is applicable
-
For immediate rectification.
X -
= Not provided/Not satisfactory/Inadequate/No = Briefing Remark/Advice
10/24
CHECKLIST FOR CIVIL ENGINEERING WORK
Contractor
:
Contract Name
:
Contract No
:
Date
:
Type of Work
:
Time
:
Safety Inspection No.
:
S/N
__________________________________________________________
ITEMS
1)
Personal Protective Equipment Record
2)
Namelist of authoried operators to operate machinery vehicles
3)
First Aid Box with adequate medical supplies
4)
Adequate warning signboards placed and conspicuously at strategic locations
5)
Route conversion signboards for public information and convenience ( where piblic access is affected)
6)
Blinker lights to trenches/works to existing road
7)
Shoring to excavated trenches more than 1.5m deep
8)
Shoring to excavated trench more than 4m deep constructed according to PE's design and drawings
REPORT OF VISIT
REMARKS
11/24
S/N
ITEMS
9)
Open sides of excavation are guarded by adequate and effective barricades ( min 1.1m height)
10)
Temporary access with railing properly secured over trenches
11)
Ladders,stairways or ramps provided in trenches of more than 1.2m depth
12)
Materials kept away from the edges of trenches ( at least 610mm away from the trench)
13)
Safety cover across road opening /over drain opening
14)
Overhead protection for workers working in the manholes near buildings under construction
15)
Tunnel constructed according to PE's design and drawings
16)
Approved ventiliation system provided in tunnel in accordance to PE's design and drawings
17)
Flash back Arrestor or fitted to regulator and blowpipe of gas cyclinder
18)
Personal Protective Equipment worn by workers/site staff
19)
Vehicles/machinery operated by authorised persons
20)
Housekeeping
REPORT OF VISIT
REMARKS
12/24
S/N
REPORT OF VISIT
ITEMS
REMARKS
OTHERS
21)
* _/
= Satisfactory/Yes
NA
= Not Applicable
X -
= Not provided/Not satisfactory/Inadequate/No = Briefing Remark/Advice
INSPECTED BY NAME INITIAL/DATE Copy To:
OFFICERS
INITIAL/DATE
REMARK
i) ii) Action Taken
Stop/Warn//Lifting on ______________/Nil
*CONSULTANT/OTHERS* : ________________ NAME
INITIAL/DATE
REMARK
i)
CONSULTANT 'S SO:
- For your follow-up action.
ii)
CONSULTANT'S SS:
- For your action/filing.
CONTRACTOR
* Delete whichever is applicable
- For immediate rectification.
CHECKLIST FOR METAL SCAFFOLDING WORK
Contractor
:
Contract Name
:
Blk Nos. :
Contract No
:
Date
:
Type of Work
:
Time
:
Safety Inspection No.
:
REPORT ITEMS
S/N
1)
FOUNDATIONS a) Scaffold erected on firm ground b) Scaffold not endangered by open excavation
2)
SOLEPLATES Proper soleplates used
3)
BASEPLATES Proper baseplates fitted to all standards or legs of scaffold
4)
FOOT - TIES Foot-ties fitted to both inner and outer standards
5)
ALIGNMENT OF SCAFFOLD COMPONENTS a) Standards or Frames vertical b) Ledgers and transoms levelled
BLK
OF VISIT
REMARKS
S/N
ITEMS
6)
TORSION CABLE Tensioned torsion cable at every cantilever bracket and C-channel
7)
TUBES AND FITTINGS a) Ledgers connected to standards with right angle couplers b) Transoms connected to the standards with right-angle couplers c) End to end connections in staggered in adjacent bays and adjacent pairs
8)
FRAMES a) Standards connected end to end with either sleeve couplers or t pins b) Armlocks installed at all vertical ts between frames c) Cross bracings are fitted and connected to frames
9)
Scaffolds erected one lift above the top most level (Not applicable for mechanised formwork system)
10)
TIE BACK a) At every 2 lifts or at every floor starting from base b) Spaced not more than 3 bays or 7.5 metres apart whichever is lesser c) Spaced no further than one bay from ends in a staggered manner d) To every standard above the level of the peripheral overhead shelter e) Effective temporary tie immediately below top most level
11)
HORIZONTAL BRACINGS OR 'LACING' At every 5 lifts of frame, tube or modular scaffold to both inner and outer standards
12)
DEBRIS NET Debris screening net erected to prevent particles and debris dislodged from the scaffold
BLK
REPORT OF VISIT
REMARKS
S/N
ITEMS
13)
LADDER Ladders are securely attached to the scaffold for access
14)
SCAFFOLD COMPONENT MATERIAL a) Scaffold components and fittings showing no signs of deterioration b) All fittings are tight and undamaged
15)
BRACING for TUBE or MODULAR SCAFFOLD a) Diagonal bracings connected either to projecting transoms with right-angle couplers or to the standards with swivel couplers b) Ledger bracings connected to the ledgers with right-angle couplers or to the standards with swivel couplers c) Ledger/diagonal bracings connected end to end using either sleeve couplers or t-pins
16)
Guardrails are fitted and connected to standards
17)
WORKING PLATFORM (BELOW TOP MOST LEVEL) Closely decked continuous working platform with toeboards immediately below top most level (Minimum width 635mm)
18)
WORKING PLATFORM (AT EVERY ALTERNATE LIFT) a) Closely decked continuous working platform with toeboards at every alternate lift of metal scaffold b) WORKING PLATFORM (ISOLATED) Closely decked isolated working platform with toeboards and guardrail. c) WORKING PLATFORM (SIZE) For timber and metal deckings, the plank used shall be at least 200mm wide and 38mm thick and it is not projecting beyond its end by more than 4 times its thickness d) METAL DECKING Metal deckings are held down securely to prevent uplift and cantilever effects
19)
PERIPHERAL OVERHEAD SHELTER Continuous peripheral overhead shelter provided not endangered by moving machinery
BLK
REPORT OF VISIT
REMARKS
REPORT ITEMS
S/N 20)
PROFESSIONAL ENGINEER'S DRAWING Scaffolds are erected strictly in accordance with the Professional Engineer's design and drawings
21)
SCAFFOLD DISMANTLING/ERECTION a) WARNING SIGNBOARDS Warning signboards stating "Caution. Do not use the scaffold." in 4 official languages placed at strategic locations b) TIE BACKS Tie backs are not released in advance of scaffold dismantling c) BARRICADES Barricades erected to restrict access to the scaffold
22)
DISMANTLED SCAFFOLD COMPONENTS Dismantled scaffold components brought to the ground by a safe method
23)
QUALIFIED SCAFFOLD SUPERVISOR Qualified scaffold supervisor supervises the scaffold erection/dismantling operation
24)
QUALIFIED SCAFFOLD ERECTORS Qualified scaffold erectors erecting/dismantling the scaffold
25)
SAFETY HARNESS AND LIFELINES Safety harness and lifelines used by the scaffold erectors
BLK
OF VISIT
REMARKS
REPORT ITEMS
S/N
BLK
OF VISIT
REMARKS
OTHERS 26)
* _/
= Satisfactory/Yes
NA
= Not Applicable
X -
= Not provided/Not satisfactory/Inadequate/No = Briefing Remark/Advice
INSPECTED BY NAME INITIAL/DATE Copy To:
OFFICERS
INITIAL/DATE
REMARK
i) ii) Action Taken
Stop/Warn//Lifting on ______________/Nil
*CONSULTANT/Other : _________________ NAME
INITIAL/DATE
REMARK
i)
CONSULTANT'S SO:
- For your follow-up action.
ii)
CONSULTANT'S SS:
- For your action/filing.
CONTRACTOR
* Delete whichever is applicable
- For immediate rectification.
CHECKLIST FOR SUSPENDED SCAFFOLDING WORK (GONDOLA)
Contractor
:
Site
:
Blk No. :
Contract No
:
Date
:
Type of Work
:
Time
:
Safety Inspection No.
:
REPORT ITEMS
S/N 1)
Valid Certificate of lifting machine by Approved Examiner(AE)
2)
Protective hoardings/barricading at ground floor.
3)
Warning signboards placed at strategic locations
4)
ELCB provided at the distribution control
5)
Proper cover to Fuse box
6)
Four wire ropes provided for each cradle (min. 8mm ø)
BLK
OF VISIT
REMARKS
S/N
ITEMS
7)
Wire ropes free from defects and properly tensioned
8)
Safety wire ropes independently anchored to a permanent structure
9)
Brackets properly clamped to roof structures
10)
Brackets used according to PE's drawings
11)
Hooks & Angle Brackets are properly secured in position by wire ropes according to PE's drawing.
12)
Fist' grips/'U' shackles/'Bull Dog' grips used to fasten the t of wire ropes
13)
Wire ropes protected from direct with existing structure
BLK
REPORT OF VISIT
REMARKS
REPORT ITEMS
S/N 14)
Wire ropes for "tie backs" of the anchorage system used according to PE's drawings
15)
Safe working load and maximum allowable no. of operators (not more than 3) prominently specified at the cradle side
16)
Out-riggers spaced not more than 3.2m apart
17)
Personal Protective Equipment: a)
Workers/Riggers anchor safety harness to independent lifeline
b)
Safety helmet worn by workers/riggers
OTHERS
18)
BLK
OF VISIT
REMARKS
* _/ NA
= Satisfactory/Yes = Not Applicable
X -
= Not provided/Not satisfactory/Inadequate/No = Briefing Remark/Advice
INSPECTED BY NAME INITIAL/DATE Copy To:
OFFICERS
INITIAL/DATE
REMARK
i) ii) Action Taken
Stop/Warn//Lifting on ______________/Nil
* CONSULTANT/Other :
i) ii)
NAME CONSULTANT'S SO: CONSULTANT'S SS: CONTRACTOR
* Delete whichever is applicable
INITIAL/DATE
-
For immediate rectification.
REMARK - For your follow-up action. - For your action/filing.
CHECKLIST FOR MAST CLIMBING WORKPLATFORM
Contractor Site
Blk No. :
Contract No
Date
:
Type of Work
Time
:
Safety Inspection No.
REPORT S/N
ITEMS
1)
Adequate warning signs placed conspicuously at strategic locations
2)
Effective barricades at ground level
3)
ELCB provided at the distribution control and a proper cover to the fuse box
4)
Safety devices are in good working condition
5)
The tiebacks system erected according to PE's drawing
6)
The masts stands on level and firm ground
BLK
OF VISIT
REMARKS
REPORT S/N
ITEMS
7)
All out-riggers are fully extended and properly ed
8)
No unauthorised extension of workplatform
9)
Guardrails of the workplatform overlaid with fine screening debris net
10)
Metal staircase provided and securely attached to workplatform
11)
Load evenly distributed inside the workplatform
12)
No obstruction to the operating pathway of the workplatform
13)
Workplatforms are lowered to the base/ground level when not in use
14)
Electrical cables in the drum
15)
Electrical cables and plugs are not damaged
16)
Safe working load and max. no. of operators (not more than 3 persons for single mast and 5 persons for twin masts) are prominently displayed at the side of the workplatform
BLK
OF VISIT
REMARKS
S/N
ITEMS
17)
No overloading of workplatform
18)
Erection/Dismantling of workplatform
REPORT OF VISIT
BLK
REMARKS
a) Workplatform supervisor supervises tne work b)
Mast tieback directly below the workplatform installed prior to erection/not released prior to dismantling
c)
Connections between masts properly secured before operating the workplatform
19)
Personal Protective Equipment
a) Workers/Riggers anchor safety belt to independent lifeline b) Safety helmet worn by workers/riggers
20)
Housekeeping
OTHERS 21)
* _/ NA
= Satisfactory/Yes = Not Applicable
X -
= Not provided/Not satisfactory/Inadequate/No = Briefing Remark/Advice
INSPECTED BY NAME INITIAL/DATE Copy To:
OFFICERS
Initial/Date
REMARK
i) ii) Action Taken
*Stop/Warn//Lifting on _______/Nil
*CONSULTANT /Other :
i) ii)
NAME CONSULTANT'S SO: CONSULTANT'S SS: CONTRACTOR
* Delete whichever is applicable
INITIAL/DATE -
REMARK For your follow-up action. For your action/filing.
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