Doc.
No
Revision No: 01
Store Inspection Report
Issue Date: 06.10.16
Report No: DOR / SM / 0019 Date: 14/07/2019 Page No. 01 / 05
Name of the
SECTION A: Project HSSE Lead
Avg. No of man No. of Hospital
_ No. of LTI _ No. of Man days lost _ _
days worked Ref. cases
No. of HSSE
No. of First No. of Near Miss
Man-hours _
Aid cases
_
Incidents reported
_ Meeting _
worked conducted
SECTION B: Project HSSE Officer/Engineer
Danger Remedial Action Proposed/ Additional
Sl. Data Equipment/ Danger Action By with Action
Observations Hazard / Risk Level control measure / Applicable Legal Target date
No. type Doc Ref. code Staff No& Name. taken on
(LXMXH) requirement to comply
It has been observed that
plumbing material Don’t stack or store any
Slip, Trip and Firefighting
stacking yard access has materials obstructing to other
Falls Department
1. UC blocked due to M B storage materials access. All the 15/07/2019
Personal Injury Eng.:
Firefighting team materials shall be stack/store in
Manjith
materials. designated storage places.
It has been observed that Ensure to arrange all the
HVAC upper level materials in store rack by
Falls from HVAC
storage container was categorization with index
UA/ height. Department
2. opened without proper H A number. All the heavy 14/07/2019
UC Personal Injury Eng.:
access and the door kept materials shall be kept outside
Bishoy
to open unattended. rack provided from the main
contractor.
Prepared by: Anil Kumar Submitted to: Mr. Nadir, Hany, Mohamed & Rajabteen
Name/ Staff No/ Designation: HSEO Name/ Staff No:
Doc. No
Revision No: 01
Store Inspection Report
Issue Date: 06.10.16
All the storage containers Ensure to provide minimum
Fire
at site without adequate one number of DCP fire All
Personal Injury
3. UC firefighting ang fire H A extinguishers and two numbers Department Immediate
Property
prevention system of battery‐operated smoke stores.
Damage
(Inside the container) detectors to each store.
Scaffold
It has been observed that, collapse All the scaffold erector must be
incompetent operator has Falls from trained and certified from
UA/ All
4 engaged the erection and height H A approved third party trainer to Immediate
UC department.
dismantling of Personal Injury carryout scaffolding erection
scaffolding at site. Accident/Incide and dismantling at site.
nt
Personal Injury All the materials shall be
HVAC
HVAC duct stored at site Property stored/stacked with
UA/ Department
05 without adequate Damage M B demarcation and warning 15/07/2019
UC Eng.:
barrication & Signages. Accident/Incide signages with adequate
Bishoy
nt covering of the materials.
Prepared by: Anil Kumar Submitted to: Mr. Nadir, Hany, Mohamed & Rajabteen
Name/ Staff No/ Designation: HSEO Name/ Staff No:
Doc. No
Revision No: 01
Store Inspection Report
Issue Date: 06.10.16
Prepared by: Anil Kumar Submitted to: Mr. Nadir, Hany, Mohamed & Rajabteen
Name/ Staff No/ Designation: HSEO Name/ Staff No:
Doc. No
Revision No: 01
Store Inspection Report
Issue Date: 06.10.16
Prepared by: Anil Kumar Submitted to: Mr. Nadir, Hany, Mohamed & Rajabteen
Name/ Staff No/ Designation: HSEO Name/ Staff No:
Doc. No
Revision No: 01
Store Inspection Report
Issue Date: 06.10.16
Prepared by: Anil Kumar Submitted to: Mr. Nadir, Hany, Mohamed & Rajabteen
Name/ Staff No/ Designation: HSEO Name/ Staff No:
Doc. No
Revision No: 01
Store Inspection Report
Issue Date: 06.10.16
Guidelines for filling the report:
Section A:
This section is applicable for project HSE in charge only, (HSSE Head need to identify the Project HSSE Lead if project has more than one safety officer)
Section B:
This section is applicable for project HSSE representative; If only one person is in the project then he has to fill Section A & B.
Description of entries in the fields:
1. Only abbreviation as shown below needs to be filled under the ‘data type’. (For example, if the entry is about equipment inspection conducted simple state ‘EI’ under “Data Type”).
2. Data Type: Unsafe Condition (UC)/Unsafe Act (UA)/Equipment inspection outcomes (EI)/NCR from Audit (NCR)/NCR from incident Investigation (NCR-I)/points agreed in HSSE
Meeting(HSSEM)/Client Observation (CO)/Camp observation (CAMP)/Employee Health observation (OH)/ Penalties (PEN)/First Aid cases (FAC)
3. Equipment/Doc No.
4. Observation – It can be anything as detailed under Sl. No. 2
5. Danger Level – As per the OHSEMS guidelines
6. Danger Code : O – activity shall proceed with necessary supervision; A – activity to proceed only after rectification; B – action to be effected in same shift; C – action to be effected in 24h; D –
action to be effected in 48h
7. Remedial Action – Proposed and agreed corrective and/ or preventive action
8. Action by – Details of the responsible staff who needs to execute the remedial action
9. Target Date – As per the Danger Code (Sl. No. 6) and communicated to the concerned personnel
Prepared by: Anil Kumar Submitted to: Mr. Nadir, Hany, Mohamed & Rajabteen
Name/ Staff No/ Designation: HSEO Name/ Staff No:
Doc. No
Revision No: 01
Store Inspection Report
Issue Date: 06.10.16
10. Action Taken Date – Observation closure date when the remedial action is complete
Prepared by: Anil Kumar Submitted to: Mr. Nadir, Hany, Mohamed & Rajabteen
Name/ Staff No/ Designation: HSEO Name/ Staff No:
