MALLAVARAM-BHOPAL-BHILWARA-VIJAIPUR NATURAL

GAS PIPELINE PROJECT - RFCL CONNECTIVITY

Format No : HSE Format - 01

SAFETY WALK THROUGH REPORT
Rev: E
Project : Report No :
Month : Inspection By :
Location : Contractor :
Note : Write 'NA' wherever the item is not applicable.
S.No ITEM OBSERVATION REMARKS

Excellent Good To be improved

1 Site Housekeeping

2 PPE Usage

3 Excavation Openings

4 Welding & Gas Cutting

5 Scaffold & Barricadings

6 Ladders

7 Hoist ,Cranes & Derricks

8 Machinery,Tools & Equipment

9 Vehicles & Traffic

10 Temporary Facilities

11 Fire Prevention

12 Electrical

13 Handing & Storage of materials

14 Flammable Gasses & Liquids

15 Working at height
16 Confined Space
17 Radiography
18 Health Check

19 Environment Aspects
20 Other

Any Observation :
Conducted By: Signature