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 Contract No Type of Work Safety Inspection No.

: : : : : Blk Nos. Date Time : : :

S/N PERMIT 1)

ITEMS

REPORT OF VISIT

REMARKS

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 SHMS/Safety Programme approval by Consultant

2)

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

3/24 S/N RECORDS 2) (cont'd) ITEMS REPORT OF VISIT REMARKS Supervisors' Safety Course / Workers' Safety Orientation Course Certificate Authorised operator for machinery 3) 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) Weekly checking of crane access by site engineer/supervisor 3-monthly checklist for maintenance by mechanic Daily checking by operator 4) 5) 6) 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) 3-monthly checklist for maintenance by mechanic 4) 5) Daily checking by operator .

4/24 S/N METAL SCAFFOLD 1) ITEMS REPORT OF VISIT REMARKS Submission for erection of metal scaffold 2) Approval for erection of metal scaffold by Consultant 3) Weekly scaffold register by scaffold supervisor 4) 3-monthly checking by Professional Engineer (PE) (Civil) or his engineers Submission for dismantling of metal scaffold 5) 6) Approval for dismantling of metal scaffold by Consultant PASSENGER-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) 3-monthly checklist for maintenance by mechanic 4) 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) .

5/24 REPORT OF VISIT S/N ITEMS REMARKS MAST CLIMBING WORKPLATFORM 4) (cont'd) Weekly workplatform register by workplatform supervisor Monthly checking by PE (Civil) or his engineers 5) 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) Weekly checking by gondola supervisor 4) 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 panels transporting cart 8) Concrete batching plant .

For immediate rectification. . INITIAL/DATE REMARK .For your follow-up action.For your action/filing. * Delete whichever is applicable .6/24 REPORT OF VISIT S/N ITEMS REMARKS OTHERS 1) 2) 3) * _/ NA = Satisfactory/Yes = Not Applicable X - = Not provided/Not satisfactory/Inadequate/No = Briefing Remark/Advice INSPECTED BY NAME INITIAL/DATE Copy To: OFFICERS i) ii) Action Taken INITIAL/DATE REMARK Stop/Warn/Admin/Lifting on ______________/Nil *CONSULTANTS /OTHERS : ________________ NAME i) ii) CONSULTANT'S SO: CONSULTANT'S SS: CONTRACTOR .

7/24 CHECKLIST FOR UPGRADING WORK Contractor Contract Name Contract No Type of Work Safety Inspection No.2m or more deep . : : : : : REPORT Blk Nos : Date Time : : S/N ITEMS BLK STY OF VISIT REMARKS 1) 2) Safety Information Signboard and assembly Stage Signboard for public information and convenience a) b) c) Danger Signboard Route Diversion Signboard Information Signboard 3) 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 4) 5) 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.

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 Electrical cable properly hang up 11) 12) Crane access constructed according to PE's design 13) 14) Lifting operation supervised by Lifting Supervisor Valid 6-monthly certificate of mobile crane by Approved Examiner(AE) Valid 6-monthly certificate of piling machine by Approved Examiner(AE) Valid 3-monthly certificate of Passenger-Material-Hoist by Approved Examiner(AE) All outrigger of crane are fully extended and supported Spreader beam used for hoisting Space Adding Item(SAI) Webbling Sling used for hoisting SAI Passenger-Material-Hoist a) b) metal gates hoist landing 15) 16) 17) 18) 19) 20) 21) Machinery/Vehicles operated by authorised person 22) Unsafe Act a) workers not pillioning on dumpers b) c) workers not pillioning on excavator no unsafe work procedure d) no unsafe act of workers 23) Housekeeping a) b) material not placed at the edge of roof materials not placed at the edge of trench .8/24 S/N 7) ITEMS Piling operations supervised by designated person a) pile hoisting b) pile driving BLK STY REPORT OF VISIT REMARKS 8) Shoring a) to excavated trenches 1.

9/24 REPORT S/N ITEMS BLK STY OF VISIT REMARKS 24) 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 i) ii) Action Taken INITIAL/DATE REMARK Stop/Warn/Admin/Lifting on ______________/Nil *CONSULTANT/Other : NAME i) ii) CONSULTANT'S SO: CONSULTANT'S SS: CONTRACTOR For immediate rectification. INITIAL/DATE REMARK For your follow-up action For your action/filing * _/ NA = Satisfactory/Yes = Not Applicable X - = Not provided/Not satisfactory/Inadequate/No = Briefing Remark/Advice * Delete whichever is applicable .

: : : : : __________________________________________________________ Date Time : : S/N ITEMS REPORT OF VISIT REMARKS 1) Personal Protective Equipment Record 2) Namelist of authoried operators to operate machinery vehicles First Aid Box with adequate medical supplies 3) 4) Adequate warning signboards placed and conspicuously at strategic locations Route conversion signboards for public information and convenience ( where piblic access is affected) Blinker lights to trenches/works to existing road 5) 6) 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 .10/24 CHECKLIST FOR CIVIL ENGINEERING WORK Contractor Contract Name Contract No Type of Work Safety Inspection No.

1m height) Temporary access with railing properly secured over trenches Ladders.11/24 S/N 9) ITEMS Open sides of excavation are guarded by adequate and effective barricades ( min 1.2m depth Materials kept away from the edges of trenches ( at least 610mm away from the trench) Safety cover across road opening /over drain opening REPORT OF VISIT REMARKS 10) 11) 12) 13) 14) Overhead protection for workers working in the manholes near buildings under construction Tunnel constructed according to PE's design and drawings 15) 16) Approved ventiliation system provided in tunnel in accordance to PE's design and drawings Flash back Arrestor or fitted to regulator and blowpipe of gas cyclinder Personal Protective Equipment worn by workers/site staff 17) 18) 19) Vehicles/machinery operated by authorised persons 20) Housekeeping .stairways or ramps provided in trenches of more than 1.

For your action/filing. .12/24 S/N ITEMS REPORT OF VISIT REMARKS 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 i) ii) Action Taken INITIAL/DATE REMARK Stop/Warn/Admin/Lifting on ______________/Nil *CONSULTANT/OTHERS* : ________________ NAME i) ii) CONSULTANT 'S SO: CONSULTANT'S SS: CONTRACTOR .For your follow-up action.For immediate rectification. INITIAL/DATE REMARK . * Delete whichever is applicable .

: : : : : Blk Nos.CHECKLIST FOR METAL SCAFFOLDING WORK Contractor Contract Name Contract No Type of Work Safety Inspection No. : Date Time : : REPORT S/N ITEMS BLK OF VISIT REMARKS 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 .

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 .S/N 6) ITEMS TORSION CABLE Tensioned torsion cable at every cantilever bracket and C-channel BLK REPORT OF VISIT REMARKS 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 members staggered in adjacent bays and adjacent pairs 8) FRAMES a) Standards connected end to end with either sleeve couplers or joint pins b) Armlocks installed at all vertical joints 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.

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 support 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 .S/N 13) ITEMS LADDER Ladders are securely attached to the scaffold for access BLK REPORT OF VISIT REMARKS 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 joint-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.

" 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 .REPORT S/N 20) ITEMS PROFESSIONAL ENGINEER'S DRAWING Scaffolds are erected strictly in accordance with the Professional Engineer's design and drawings BLK OF VISIT REMARKS 21) SCAFFOLD DISMANTLING/ERECTION a) WARNING SIGNBOARDS Warning signboards stating "Caution. Do not use the scaffold.

For your action/filing.For your follow-up action.For immediate rectification. . * Delete whichever is applicable .REPORT S/N ITEMS BLK OF VISIT REMARKS OTHERS 26) * _/ NA = Satisfactory/Yes = Not Applicable X - = Not provided/Not satisfactory/Inadequate/No = Briefing Remark/Advice INSPECTED BY NAME INITIAL/DATE Copy To: OFFICERS i) ii) Action Taken INITIAL/DATE REMARK Stop/Warn/Admin/Lifting on ______________/Nil *CONSULTANT/Other : _________________ NAME i) ii) CONSULTANT'S SO: CONSULTANT'S SS: CONTRACTOR . INITIAL/DATE REMARK .

8mm ø) . : Date Time : : REPORT S/N 1) ITEMS Valid Certificate of lifting machine by Approved Examiner(AE) Protective hoardings/barricading at ground floor. : : : : : Blk No.CHECKLIST FOR SUSPENDED SCAFFOLDING WORK (GONDOLA) Contractor Site Contract No Type of Work Safety Inspection No. BLK OF VISIT REMARKS 2) 3) Warning signboards placed at strategic locations 4) ELCB provided at the distribution control panel 5) Proper cover to Fuse box 6) Four wire ropes provided for each cradle (min.

12) Fist' grips/'U' shackles/'Bull Dog' grips used to fasten the joint of wire ropes 13) Wire ropes protected from direct contact with existing structure .S/N 7) ITEMS Wire ropes free from defects and properly tensioned BLK REPORT OF VISIT REMARKS 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.

of operators (not more than 3) prominently specified at the cradle side 16) Out-riggers spaced not more than 3.REPORT S/N 14) ITEMS Wire ropes for "tie backs" of the anchorage system used according to PE's drawings BLK OF VISIT REMARKS 15) Safe working load and maximum allowable no.2m apart 17) Personal Protective Equipment: a) Workers/Riggers anchor safety harness to independent lifeline Safety helmet worn by workers/riggers b) OTHERS 18) .

* Delete whichever is applicable .For your action/filing.For your follow-up action. For immediate rectification. .* _/ NA = Satisfactory/Yes = Not Applicable X - = Not provided/Not satisfactory/Inadequate/No = Briefing Remark/Advice INSPECTED BY NAME INITIAL/DATE Copy To: OFFICERS i) ii) Action Taken * CONSULTANT/Other : NAME CONSULTANT'S SO: CONSULTANT'S SS: CONTRACTOR - INITIAL/DATE REMARK Stop/Warn/Admin/Lifting on ______________/Nil INITIAL/DATE i) ii) REMARK .

Blk No.CHECKLIST FOR MAST CLIMBING WORKPLATFORM Contractor Site Contract No Type of Work Safety Inspection No. : Date Time : : REPORT S/N 1) ITEMS Adequate warning signs placed conspicuously at strategic locations BLK OF VISIT REMARKS 2) Effective barricades at ground level 3) ELCB provided at the distribution control panel 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 .

no.REPORT S/N 7) ITEMS All out-riggers are fully extended and properly supported BLK OF VISIT REMARKS 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. 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 .

For your action/filing. .S/N ITEMS BLK REPORT OF VISIT REMARKS 17) No overloading of workplatform 18) Erection/Dismantling of workplatform a) Workplatform supervisor supervises tne work b) Mast tieback directly below the workplatform installed prior to erection/not released prior to dismantling Connections between masts properly secured before operating the workplatform Personal Protective Equipment c) 19) 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 i) ii) Action Taken *CONSULTANT /Other : NAME CONSULTANT'S SO: CONSULTANT'S SS: CONTRACTOR * Delete whichever is applicable Initial/Date REMARK *Stop/Warn/Admin/Lifting on _______/Nil INITIAL/DATE - i) ii) REMARK For your follow-up action.

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