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COMPANY LOGO Project Reference Company Name COMPANY Rep.

QP/ Inspector Name


Report Ref.
HSE 09/6/2013 - SA

COMPANY NAME Walk Through (Weekly) Location Project Duration Direct Contact Tel / Fax E-mail Contact
Date 09.06.2013 Time 8:00 10:30 Am Action By Mr xyz Mr xyz 15.06.13 Mr xyz Follow-up Date Close Out Date

S/N

Location& Date General

Non Conformity Toilet/ Shaded rest shelter area. House keeping maintain House keeping maintain to be

Corrective Action & Recommendation Provide toilet facility & shaded rest area for the crew to avoid HEAT Stress respectively. Debris to be removed. Grading to be completed. Debris to be removed. . Grading to be completed and housekeeping to be completed. Carry out housekeeping at the end of shift/day. Provide toilet facility & shaded rest area for the crew to avoid HEAT Stress respectively. Debris to be removed. . Grading to be completed. Debris to be removed. materials to be removed, .Demolished

Status %

Remarks To be maintain & monitor by HSE team on regularly basis To be maintain & monitor by HSE team on regularly basis

.. ..

3 .. 4 .. 5 .. 6 7 ..

to

be

Complet ed
Daily basis To Be carried out each end of shift/day. To be maintain & monitor by HSE team on regularly basis 16.06.13

Unwanted materials need to remove. House keeping

Mr xyz

Toilet/ Shaded rest shelter area. House keeping maintain House keeping maintain to to be be

Mr xyz

Mr xyz

M M

95% 80%

Mr xyz

16.06.13

Color Coding Status: Yellow> Ongoing % Green> Closed Safety Inspection & Action Tracking Report QP/MIC Safety Division 2012 R =Risk Rating (H = High M = Medium- L = Low)

Red> No Action Page 1

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