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FIRE EXTINGUISHER

INSPECTION REPORT

Project : Date Inspected Date :


Site : Make :

Item Model :

Month SL NO …………………TO……………….……….
(P) Inspected & Satisfactory (X) Required Re-filling/damage
Compone SL NO SL NO SL NO SL NO SL NO SL NO SL NO SL NO
nt
Condition/Fault to be checked
Pressure reading within green
Pressure

section
Gauge

Gauge clean & legible


Gauge free from damage
Free from damage
Hoses Contents Cylinder

Label clean & legible


Owner clearly identified
Weight within specifications

Cylinder inverted and ‘bumped’ to


loosen contents (dry chemical only)
Hose free from obstructions, end cap
in position (Where applicable)
Connections checked for tightness
Hose free of cracks and ultraviolet
light deterioration
Inspection Safety

Safety pin secured from accidental


Pin

displacement

Attached and marked by competent


Tag

person within last three months.

Attachment point secure & restrains


extinguisher
Attachment
Points and
Signage

Fire extinguisher sign in place &


correct type

Inspected by : Sign :
……TO……………….……….
g/damage
Remarks
TAKREER CARBO

No NAME POSITION COMPANY

1 ME RAJA AFZAL SUPERVISOR TAHTAN

2 MR.EHSAN KAUSHAR SUPERVISOR TAHTAN

3 MD.RASHID HSE TAHTAN

4 MD.SHAHID HSE TAHTAN

5 Mr Vidyanand HSE TAHTAN

6 Mr Jibin HSE TAHTAN

7 Mr Danish HSE TAHTAN

8 Mr Imran HSE TAHTAN

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TAKREER CARBON BLACK & DELAYED COKER PROJECT
FIRST AIDER REGISTER

CONTACT NO. PKG NO. TPC CERTIFICATE NO. EXPIRY DATE

563830769 2 SWS-BFA-270615-24 6/26/2016

2 SWS-BFA-270615-22 6/26/2016

501327105 2 SWS-BFA-270615-23 6/26/2016

567990450 2 SWS-BFA-270615-21 6/26/2016

4 SWS-BFA-270615-20 11/26/2016

4 SWS-BFA-270615-19 11/26/2016

4 SWS-BFA-270615-18 11/26/2016

4 SWS-BFA-270615-17 11/26/2016
STATUS REMARKS

On Site

On Site

On Site

On Site

On Site

On Site

On Site

On Site
CARBON BLACK AND DELAYED COKER PROJECT
GENERATOR SET DAILY CHECKLIST

LocatioDate Inspected Month:


Sr. No. Description 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Is the generator operated or started by
1 authorised personnel?
Is the generator was Color Coded issued by
2 Samsung Electrical Inspectors?
3 Is the generator physical are neat and clean?
Is sorrounding near generator area clean and
4 clear from obstruction?
Is the generator away from loose materials and
5 flammble chemicals?
6 Are safety sign in place?
Are all fighting equipment well place and easy
7 to access?
8 Are the air ducts clear and clean?
Are the radiators, engine and pipe work checked
9 for leaks?
10 Are belts and gurds checked?
11 Is the coolant heater operational?
12 Are the fans, pumps and controls checked?
Are batteries proper installed, filled and
13 connection?
Is the exhaust fan in the diesel generator in
14 condition?
15 Is engine oil change during maintenance period?
16 Is the diesel fuel storage facilities secured?
17 Is diesel tank filled as when required?
Are drip trays provided in order to control the
18 spillages of the diesel?
Is the earthing/grounding is installed in
19 properly?
20 Is manual operation for generator correct?
Are local stop/emegency stop switch control
21 checked and functional?
Inspected By: Electrical Foreman/Supervisor:
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Monthly Safety Harness Inspection Checklist
PROJECT:CBDC Contract No.: CBDC/SV
Company: TAHTAN Contracting L.L.C Job No.:

Activity

Harness Webbing Or Leather

Body Pad (if applicable)


All Stitching

D-Ring(s) Buckle(s) (Include


Manufacture's
Item Serial No. /
Date Inspected Location
No. Identification

Rivets and Eyelets


No.

Tongue)
1 2/9/2016 RRE PUMP 44411267
2 2/9/2016 RRE PUMP 2343123
3 2/9/2016 RRE PUMP 109867
4 2/9/2016 RRE PUMP 1567432
5 2/9/2016 RRE PUMP 1567878
6 2/9/2016 RRE PUMP 8976544
7 2/9/2016 RRE PUMP 5346724 0
8 2/9/2016 RRE PUMP 3223642
9 2/9/2016 RRE PUMP 7432739
10 2/9/2016 RRE PUMP 78379820
Inspected By: Additional Comments:
________________________________________
n Checklist
Contract No.: CBDC/SV/SP003
Month: August

Activity

Engineered Anchor Points


Lanyard

Lifeline

Hook-Safety Latch

Remarks
Date Inspected
TYPE OF LIFTING
S / NO. COMPANY
EQUIPMENT

1 TAHTAN Contracting L.L.C Webbing Sling

2 TAHTAN Contracting L.L.C Webbing Sling

3 TAHTAN Contracting L.L.C Nut and Bolt Bow Shackle

4 TAHTAN Contracting L.L.C Screw Pin Bow Shackle

5 TAHTAN Contracting L.L.C Nut and Bolt Bow Shackle

6 TAHTAN Contracting L.L.C Nut and Bolt Bow Shackle

7 TAHTAN Contracting L.L.C Screw Pin Bow Shackle

8 TAHTAN Contracting L.L.C Webbing Sling

9 TAHTAN Contracting L.L.C Webbing Sling

10 TAHTAN Contracting L.L.C Webbing Sling

11 TAHTAN Contracting L.L.C Webbing Sling

12 TAHTAN Contracting L.L.C Webbing Sling

13 TAHTAN Contracting L.L.C Webbing Sling

14 TAHTAN Contracting L.L.C Webbing Sling

15 TAHTAN Contracting L.L.C Webbing Sling

16 TAHTAN Contracting L.L.C Webbing Sling


17 TAHTAN Contracting L.L.C Webbing Sling

18 TAHTAN Contracting L.L.C Webbing Sling

19 TAHTAN Contracting L.L.C Webbing Sling

20 TAHTAN Contracting L.L.C Webbing Sling

21 TAHTAN Contracting L.L.C Webbing Sling

22 TAHTAN Contracting L.L.C Webbing Sling

23 TAHTAN Contracting L.L.C Webbing Sling

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Tahtan General Contracting
CARBON BLACK DELAYED COKE
HSE DEPARTMENT
LIFTING/RIGGING REGIST

REFERENCE NO. SIZE / DIAMETER SWL

L6-16117,16119 6mm/6mtr 6 Ton

15043052-3001 4mm/6mtr 4 Ton

SO1-2-3-4-5-6-7-8 7/8"' 6.5 Ton

VP-11-12-13-14 7/8"' 6.5 Ton

DC5403-01,02,03,04,05 1"' 8.5 Ton

BS BN-001,002,003,004 1"' 8.5 Ton

ZH01-01-02,DC1903,DC-4805 ,E188,BS005 1"' 8.5 Ton

01/15308,15314,15318,15321,15324,15320,15337,15310 1"'*1.5M 12/30/1899

01/15336,15333,15326,15330,15334,15323,15335,15313 1"'*1.5M 1 Ton

01/15331,15317,15315,15332,15311,15322,15309,15319 1"'*1.5M 1 Ton

01/15329,15312,15316 1"'*1.5M 1 Ton

02/50963,50965,50955,50950,50966,50957,50958,50968 2"'*1.5M 2 Ton

02/15336,15333,15326,15330,15334,15323,15335,15313 2"'*1.5M 2 Ton

02/50969,50962,50972,50971,50953,50967,50954,50952 2"'*1.5M 2 Ton

02/50959,50951,50956,50964 2"'*1.5M 2 Ton

03/50442,50443,50435,50433,50437,50434,50440 3"'*6.0 M 3 Ton


03/51135,51141,51144,51147,51138,51149,51136,51132 3"'*6.0 M 3 Ton

04/47394,47400,47411,47402,47401,47403,47428,474397 4"'*6.0 M 4 Ton

04/47613,47605,47610,47586,46571,47612,47587,47588 4"'*6.0 M 4 Ton

06/38366,38367,38346,38237,38331,38355,38369,38344 6"'*6.0 M 6 Ton

08/9743,9744,9745,9746 8"'*8.0 M 8 Ton

08/9747,9748,9749,9750 8"'*8.0 M 8 Ton

2014/16294 10"'*10.0 M 10 Ton


ral Contracting LLC
ELAYED COKER PROJECT
EPARTMENT
GGING REGISTER

THIRD PARTY THIRD PARTY


CERTIFICATE NO.
COMPANY CERTIFICATE VALIDITY

Euro Gulf TATN/LG/6758/07/IQ 6/Dec/16

Euro Gulf TATN/LG/6758/08/IQ 6/Dec/16

Euro Gulf TATN/LG/6758/01/IQ 6/Dec/16

Euro Gulf TATN/LG/6758/01/IQ 6/Dec/16

Euro Gulf TATN/LG/6758/02/IQ 6/Dec/16

Euro Gulf TATN/LG/6758/02/IQ 6/Dec/16

Euro Gulf TATN/LG/6758/01/IQ 6/Dec/16

Euro Gulf TATN/LG/6758/03/IQ 6/Dec/16

Euro Gulf TATN/LG/6758/03/IQ 6/Dec/16

Euro Gulf TATN/LG/6758/03/IQ 6/Dec/16

Euro Gulf TATN/LG/6758/03/IQ 6/Dec/16

Euro Gulf TATN/LG/6758/04/IQ 6/Dec/16

Euro Gulf TATN/LG/6758/04/IQ 6/Dec/16

Euro Gulf TATN/LG/6758/04/IQ 6/Dec/16

Euro Gulf TATN/LG/6758/04/IQ 6/Dec/16

Euro Gulf TATN/LG/6758/05/IQ 6/Dec/16


Euro Gulf TATN/LG/6758/05/IQ 6/Dec/16

Euro Gulf TATN/LG/6758/05/IQ 6/Dec/16

Euro Gulf TATN/LG/6758/05/IQ 6/Dec/16

Euro Gulf TATN/LG/6758/06/IQ 6/Dec/16

Euro Gulf TATN/LG/6758/06/IQ 6/Dec/16

Euro Gulf TATN/LG/6758/06/IQ 6/Dec/16

Euro Gulf TATN/LG/6758/06/IQ 6/Dec/16


INSPECTION DATE REMARK

7/Jun/16 Good Condition

7/Jun/16 Good Condition

7/Jun/16 Good Condition

7/Jun/16 Good Condition

7/Jun/16 Good Condition

7/Jun/16 Good Condition

7/Jun/16 Good Condition

7/Jun/16 Good Condition

7/Jun/16 Good Condition

7/Jun/16 Good Condition

7/Jun/16 Good Condition

7/Jun/16 Good Condition

7/Jun/16 Good Condition

7/Jun/16 Good Condition

7/Jun/16 Good Condition

7/Jun/16 Good Condition


7/Jun/16 Good Condition

7/Jun/16 Good Condition

7/Jun/16 Good Condition

7/Jun/16 Good Condition

7/Jun/16 Good Condition

7/Jun/16 Good Condition

7/Jun/16 Good Condition


TAHTAN Medical Screening
CBDC PROJECT

GENERAL INFORMATION
Name: _____________________________________________________Age: ________________

Job Position: ________________________________________________ ID Number: ____________________

Any Work Experience in Construction before: ( ) YES ( ) NO If YES, how many years? _______________

MEDICAL INFORMATION
BP: __________ 0
Weight in Kg: _________ Urination at night: ( ) YES ( ) NO
Loss Weight within a year: __________ Increased thirst: ( ) YES ( ) NO
Gain Weight within a year: __________ BMI: ______________
Height: __________

PERSONAL INFORMATION
Vision: _________________________________________________________________________________________
Fear of heights, or confined spaces: ( ) YES ( ) NO

Past Medical History: ( ) Asthma ( ) Hypertension ( ) Joint problems


( ) Epilepsy ( ) Diabetes Mellitus ( ) Skin Problems
( ) Tuberculosis ( ) Jaundice ( ) Cardiac Problems
( ) Hepatitis B ( ) Malaria ( ) Allergies to Medicine or otherwise
Injection Tetanus Toxoid (TT): ( ) YES ( ) NO
Any Other Past Vaccinations? ( ) YES ( ) NO
Remarks: _________________________________________________________________________________________________
_
________________________________________________________________________________________________
________________________________________________________________________________________________

Taking Any Medicines: ( ) YES ( ) NO

If YES, please specify: _____________________________________________________________________________

Family history of any diseases: ( ) YES ( ) NO


Remarks: _______________________________________________________________________________________

Fit to Work: ( ) YES ( ) NO

Remarks: _______________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
_________________________________________________________________________________________________________

______________________________________________
Name of Physician or Nurse
ELECTRICAL/HANDTOOLS INSPECTION REGISTER
(TAHTAN)
■TAKREER RRE PACKAGE# 02 and 04
■INSPECTOR: Mr Regi (SIGN)
SUBCON
SL NO SECL NO. EQUIPMENTS NO. TYPE OF HANDTOOLS CAPACITY
NAME
1 WM-151 TAHTAN N/A Welding Machine 220V
2 OV-07 TAHTAN N/A ELECTRO HEAT RODE OVEN 220V,250 W
3 WM-08 TAHTAN N/A Welding Machine 220V
4 WM-14 TAHTAN N/A Welding Machine 220V
5 WM-151 TAHTAN N/A Welding Machine 220V
6 HEG-74 TAHTAN N/A HEAT GUN 230V,2000W
7 HEG-75 TAHTAN N/A HEAT GUN 230V,2000W
8 WM-12 TAHTAN N/A Welding Machine 220V
9 BOD-65 TAHTAN N/A BATTERY OPERATED DRILL.M
10 CSM-32 TAHTAN N/A CHOPPE SAW MACHINE
11 PF-03 TAHTAN N/A PEDESTAL FAN 3.6A,770 W RPM 2700
12 PF-04 TAHTAN N/A PEDESTAL FAN 3.6A,770 W RPM 2700
13 PF-05 TAHTAN N/A PEDESTAL FAN 3.6A,770 W RPM 2700
14 PF-06 TAHTAN N/A PEDESTAL FAN 3.6A,770 W RPM 2700
15 HDM-124 TAHTAN N/A HAMMER DRILL MACHINE 3.7A,850W
CTION REGISTER SEPT 2016
AN)
■INSPECTION DATE: 10/9/2016
■APPROVAL: (SIGN)
INSPECTED BY INSPECTED BY
MANUFACTURER REMARKS
SUBCON. SECL
MILLER TAHTAN OK
TECH WELD TAHTAN OK
MILLER TAHTAN OK
MILLER TAHTAN OK
MILLER TAHTAN OK
BLACK& DECKKER TAHTAN OK
BLACK& DECKKER TAHTAN OK
MILLER TAHTAN OK
DEWALT TAHTAN OK SS 015- SOUTH
DEWALT TAHTAN OK SS015-EAST
AL MANORD TAHTAN OK
AL MANORD TAHTAN OK
AL MANORD TAHTAN OK
AL MANORD TAHTAN OK
DEWALT TAHTAN OK
Refresh Training Request Card SECL Refresh Training Request Card SECL
1. Company : 1. Company :

2. Name / Job
Date Inspected 2. Name / Job Title :

3. Date : 3. Date :

4. Location : 4. Location :

5. Observations : 5. Observations :

0
6. Training (Every 18:00 PM ~ 19::00 PM) 6. Training (Every 18:00 PM ~ 19::00 PM)

Sat. Sun. Mon. Tue. Wed. Thur. Sat. Sun. Mon. Tue. Wed. Thur.
Safety PPE/ Working Lifting Defensive Safety PPE/ Working Lifting Defensive
Hot Work Hot Work
Leadership Basic Rule @ Height Safety Driving Leadership Basic Rule @ Height Safety Driving

7. Confirmed by 7. Confirmed by

7.1 SECL Area HSE 7.1 SECL Area HSE

8. Case Registered by 8. Case Registered by

8.2 SECL HSE Docu. 8.2 SECL HSE Docu.

Refresh Training Request Card SECL Refresh Training Request Card SECL
1. Company : 1. Company :

2. Name / Job Title : 2. Name / Job Title :

3. Date : 3. Date :

4. Location : 4. Location :

5. Observations : 5. Observations :

6. Training (Every 18:00 PM ~ 19::00 PM) 6. Training (Every 18:00 PM ~ 19::00 PM)

Sat. Sun. Mon. Tue. Wed. Thur. Sat. Sun. Mon. Tue. Wed. Thur.
Safety PPE/ Working Lifting Defensive Safety PPE/ Working Lifting Defensive
Hot Work Hot Work
Leadership Basic Rule @ Height Safety Driving Leadership Basic Rule @ Height Safety Driving

7. Confirmed by 7. Confirmed by

7.1 SECL Area HSE 7.1 SECL Area HSE

8. Case Registered by 8. Case Registered by

8.2 SECL HSE Docu. 8.2 SECL HSE Docu.


TAHT
HSE

SL No. Name Emp. ID Company Designation


1 Muhammad Rafique TAH-03 TAHTAN Fitter
2 Meer Alam TAH-04 TAHTAN Fitter
3 Muhammad Akhtar TAH-07 TAHTAN Fabricator
4 Nisar Ahmad TAH-10 TAHTAN Admin
5 Waseem Sarwar TAH-11 TAHTAN Accountant
6 Mushtaq Ahmad TAH-18 TAHTAN Helper
7 Ghulam Bari Saif TAH-44 TAHTAN Site Incharge
8 Sardar Ghani TAH-53 TAHTAN Admin Manager
9 Idress Ahmad TAH-63 TAHTAN Fitter
10 Zafar Iqbal TAH-65 TAHTAN Fitter
11 Gulzar TAH-69 TAHTAN Rigger

12 Muhammad Shafiq TAH-72 TAHTAN Fitter

13 Muhammad Asif TAH-73 TAHTAN Fitter

14 Sajid Ayoub TAH-75 TAHTAN Camp Boss


15 Khalid Javed TAH-85 TAHTAN Leadman
16 Sheikh Munair TAH-105 TAHTAN Helper
17 Ashiq Muhammad TAH-107 TAHTAN Site Incharge
18 Shehzad Ayoub Khurm TAH-108 TAHTAN Driver
19 Abdul Latif TAH-115 TAHTAN Leadman
20 Abid Hameed TAH-135 TAHTAN Site Manager
21 Rashid Mehmood TAH-137 TAHTAN HSE
22 Afzal Mehdi TAH-140 TAHTAN Supervisor
23 Muhammad Arshad TAH-142 TAHTAN Leadman
24 Fakhir Din TAH-145 TAHTAN Foreman
25 Khan Muhammad TAH-147 TAHTAN Leadman
26 Imran Ghafoor TAH-148 TAHTAN HSE
27 M.Ishaq TAH-151 TAHTAN Scaffolder
28 Hayat Muhammad TAH-152 TAHTAN Scaffolder
29 Farasat Hassan TAH-153 TAHTAN Planning Eng
30 Meer a Tasuf TAH-154 TAHTAN Permit Cordinator
31 Faheem Shehzad TAH-157 TAHTAN Mason
32 M.Shahid TAH-160 TAHTAN HSE
33 Muhammad Umar Iqbal TAH-161 TAHTAN QAQC
34 Shabbir Ahmad TAH-163 TAHTAN Fitter
35 Qabil Khan TAH-164 TAHTAN Welder
36 Sajjad Ahmad TAH-170 TAHTAN Transport Sup
37 Niaz Ahmed TAH-179 TAHTAN Fitter
38 Roman Ali TAH-185 TAHTAN Driver
39 Priya Panjan Panday TAH-186 TAHTAN HSE Manager
40 Muhammad Ashraf TAH-192 TAHTAN Helper
41 Muhammad Atif TAH-193 TAHTAN Helper
42 Muhammad Rizwan TAH-194 TAHTAN Helper
43 Muhammad Shabbir TAH-195 TAHTAN Helper
44 Javed Ahmad TAH-199 TAHTAN Fitter
45 Zeshan Zaheer TAH-200 TAHTAN Helper
46 Muhammad Farooq TAH-201 TAHTAN Rigger
47 Muhammad Danish TAH-202 TAHTAN HSE
48 Ghulam Shabbir TAH-216 TAHTAN Electrician
49 Muhammad Nasir TAH-219 TAHTAN Helper
50 Pervaiz Ahmed TAH-220 TAHTAN Fitter
51 Anoop Nair TAH-221 TAHTAN HSE
52 Din Muhammad TAH-222 TAHTAN Helper
53 Muhammad Ashraf TAH-226 TAHTAN Rigger
54 Muhammad Ajmal Juma TAH-228 TAHTAN Welder
55 Muhammad Farooq TAH-230 TAHTAN Scaffolder
56 Omprakash TAH-231 TAHTAN Scaffolder
57 Rabi Sahi TAH-232 TAHTAN Rigger
58 Adnan Khan TAH-234 TAHTAN Driver
59 Yasir Mehmood TAH-235 TAHTAN QAQC
60 Munir Ahmed TAH-236 TAHTAN Helper
61 Sohrab Khan TAH-237 TAHTAN Helper
62 Qaiser Mehmood TAH-240 TAHTAN Driver
63 Shamshair Khan TAH-243 TAHTAN Helper
64 Zeshan Akram TAH-253 TAHTAN Helper
65 Nand Aaal TAH-254 TAHTAN Helper
66 Gul Nawaz TAH-260 TAHTAN Scaffolder
67 Adnan Naseem TAH-262 TAHTAN Fabricator
68 Om Parkash TAH-263 TAHTAN Fabricator
69 Ajit Kumar TAH-264 TAHTAN Helper
70 Nikhil Kumar TAH-266 TAHTAN Helper
71
72
73
74
TAHTAN Contracting L.L.C
Takreer CBDC Project
HSE Induction List of New Employee
As of Date
Date of Training Nationality HSE Induction Working at height PTW
Pak Done Done

Pak Done Done


Pak Done Done

Pak Done Done


Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
0 Pak Done Done
Pak Done Done
Pak Done Done

Pak Done Done

Pak Done Done

Pak Done Done


Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done DONE
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Cordinator Pak Done Done DONE
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Indian Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Indian Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Nepal Done Done
Pak Done Done
Pak Done Done DD
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Indian Done Done
Indian Done Done
Indian Done Done
Defence Driving Heat Stress Confined Space Fire Watcher

Done
DONE
Sr. Serial
ID No. Model Number Manufacturer
No Number
1 BL-01 94361 AD 3CX SiteMaster JCB, England
2 TC-01 351913 MC235B J10-2C Potain by Manitowoc
3 TC-02 351565 MC205B-2C Potain by Manitowoc
4 TC-03 352919 MC310 K12-2C Potain by Manitowoc
5 TC-04 353199 MC205B-2C Potain by Manitowoc
6 HC-19 6210098 SR-700L KATO, JAPAN
7 G-01 15561 / 15568 ZLP 630 ZLP
8 G-02 15542 / 28365 ZLP 630 ZLP
9 G-03 15573 / 15570 ZLP 630 ZLP
10 15569 / 15543 ZLP 630 ZLP
11
12 G-04
13
14
15 TL-01 1840 1999 Mercedes
16 2/91031 AD AFT 110G-5 TADANO
EQUIPMENT TPI Record
Certificate No DESCRIPTION CAPACITY SWL

KCK-14-17199 Hydraulic Backhoe Loader 01 Ton


KCK-15-05242-JNB Tower Crane TC-01 12.5 Ton 10Ton
KCK-15-07611-JNB Tower Crane TC-02 12.5 Ton 10Ton
KCK-15-07612-JNB Tower Crane TC-03 16.5 Ton 12Ton
KCK-15-07613-JNB Tower Crane TC-04 12.5 Ton 10Ton
KCK-15-07010-JNB Mobile Crane 70Ton 70 Ton 70 Ton
KCK-15-07609-JNB Suspended Working Platform 945 Kgs 600 Kgs
KCK-15-07610-JNB Suspended Working Platform 945 Kgs 600 Kgs
JNB-15-07623-BK Suspended Working Platform 945 Kgs 600 Kgs
JNB-15-07624-BK Suspended Working Platform 945 Kgs 600 Kgs
KCK-15-05515-JNB Man Basket (1520 x 1020 x 2000)mm 600 Kgs 600 Kgs
FAF-15-06276-KCK Man Basket (1600 x 1000 x 2050)m 500 Kgs 500 Kgs
FAF-15-06277-KCK Material Bucket (1020 x 730 x 770 700 KgS 700 KgS
CCC-14-18070-JJ Concrete Bucket (1000 x 1000 x 1 3.4 Ton 3.4 Ton
Flat Trailer 40Ft with Unit 36 Ton MBH
JNB-14-18073-BK Mobile Crane 110 Ton 110 Ton 110 Ton
ord
THIRD PARTY TPI EXPIRY
TPI DATE
COMPANY DATE
TUV 19-Oct-14 18-Oct-15
TUV 16-Mar-15 14-Sep-15
TUV 11-Apr-15 10-Oct-15
TUV 11-Apr-15 10-Oct-15
TUV 11-Apr-15 10-Oct-15
TUV 8-Apr-15 7-Apr-16
TUV 11-Apr-15 10-Oct-15
TUV 11-Apr-15 10-Oct-15
TUV 13-Apr-15 12-Oct-15
TUV 13-Apr-15 12-Oct-15
TUV 18-Mar-15 16-Sep-15
TUV 1-Apr-15 30-Sep-15
TUV 1-Apr-15 30-Sep-15
TUV 3-Nov-15 3-May-16

TUV 5-Nov-13 3-Nov-15


REMARKS
TAHTAN GENERAL CONTRACTING CO
WATER COOLER CHECKING LOG SHEET

COOLER COOLER
FILTER WATER
COOLER NO. CAPACITY EARTHING AREA
CONDITION FILLING DATE
(USG) CLEANING

ANY OTHER COMMENTS :-


TRACTING CO.LLC
KING LOG SHEET

NAME SIGN REMARKS


TAHTAN Contract
Takreer
Training List
As of Date
SL No. Name of Employee Emp. ID Company Designation Date of Training
1 Om prakasah 231 TAHTAN Scaffolder 7/22/2015

2 Rabi Shai 232 TAHTAN Rigger 7/22/2015

3 M.Asharf 192 TAHTAN Helper 7/22/2015

4 Shaukat Ali 218 TAHTAN Scaffolder 7/22/2015

5 Irshad Ahmed 126 TAHTAN Steel Fixer 7/22/2015

6 Faheem shajad 157 TAHTAN Fitter 7/22/2015

7 Fizaan 162 TAHTAN Fitter 7/22/2015


8 Zammer hussain 169 TAHTAN Operator 7/22/2015
9 Khurram shazad 204 TAHTAN Steel Fixer 7/22/2015

10 M Qasim 172 TAHTAN Steel Fixer 7/22/2015

11 Luqaman 129 TAHTAN Steel Fixer 7/22/2015

12 Faruq 230 TAHTAN Scaffolder 7/22/2015

13 M.Asharf 226 TAHTAN Rigger 7/22/2015

14 M.Arshad 142 TAHTAN Lead man 7/22/2015

15 Abdul latif 115 TAHTAN Lead man 7/22/2015

16 Tanver Ahmed 127 TAHTAN Helper 7/22/2015

17 Shabbir 163 TAHTAN Fitter 7/22/2015


18 Javed 199 TAHTAN Fitter 7/22/2015
19 Perviz 220 TAHTAN Fitter 7/22/2015
20 Deen.M 222 TAHTAN Fitter 7/22/2015
21 Malik did 224 TAHTAN Helper 7/22/2015
22 Rifaq 103 TAHTAN Helper 7/22/2015
23 Johnson 241 TAHTAN Lead man 7/10/2015
24 M.Raifique 212 TAHTAN Painter 7/10/2015
25 Sohail Parvez 242 TAHTAN Painter 7/10/2015
26 Shamsheer khan 243 TAHTAN Painter 7/10/2015
27 Bhutto Khan 239 TAHTAN Painter 7/10/2015
28 S.K.Tiwari 238 TAHTAN Painter 7/10/2015
29 M.Rizwan 194 TAHTAN Electrician 7/10/2015
30 Irshad Ahmed 126 TAHTAN Fitter 7/2/2015
31 Allah Baksh 124 TAHTAN Fitter 7/2/2015
32 M.Asharf 192 TAHTAN Fitter 7/2/2015
33 Qabil Khan 164 TAHTAN Fitter 7/2/2015
34 Munir Ahmed 236 TAHTAN Helper 7/2/2015
35 Niaz 179 TAHTAN Fitter 7/2/2015
36 Khan M 147 TAHTAN Fitter 7/2/2015
37 Ashagr Ali 203 TAHTAN Welder 7/2/2015
38 Atef 193 TAHTAN Fitter 7/2/2015
39 Iftaqar Haider 217 TAHTAN Fitter 7/2/2015
40 Faheem shajad 157 TAHTAN Welder 7/2/2015
41 Gulam Bari Saif 44 TAHTAN I/C Incharge 6/15/2015
42 Khalid Javed 85 TAHTAN Lead man 2/11/2015
43 Md.Akhtar 7 TAHTAN Fabricator 2/11/2015
44 Angad kumar 59 TAHTAN Fabricator 2/11/2015
45 Idressh Khan 63 TAHTAN Fitter 2/11/2015
46 Zafar Iqbal 65 TAHTAN Fitter 2/11/2015
47 Md.Ashif 73 TAHTAN Fitter 2/11/2015
48 Mugeesh Ahmed 103 TAHTAN Welder 2/11/2015
49 Barkat kahn 118 TAHTAN Fitter 2/11/2015
50 Naveed Ahmed 176 TAHTAN Fitter 2/11/2015
51 Md Nasir 219 TAHTAN Fitter 2/11/2015
52 Md Akmal 228 TAHTAN Welder 2/11/2015
53 Feroz Khan N7 TAHTAN Welder 2/11/2015
54 Mukesh sha N2 TAHTAN Welder 2/11/2015
55 Chintamani N3 TAHTAN Welder 2/11/2015
56 Akhilesh Singh N129 TAHTAN Welder 2/11/2015
57 Baniu Bkaht 183 TAHTAN Helper 2/11/2015
58 Azmat Hayat 191 TAHTAN Helper 2/11/2015
59 M.Farooq 201 TAHTAN Rigger 2/11/2015
60 Guatam Chwan 283 TAHTAN Rigger 4/19/2016
61 Daya Shankar 292 TAHTAN Rigger 4/19/2016
62 Nirmal Singh 327 TAHTAN Rigger 4/19/2016
63 Tasrseem Singh 332 TAHTAN Rigger 4/19/2016
64 M.Sajjad 333 TAHTAN Rigger 4/19/2016
65 Surinder Singh 334 TAHTAN Rigger 4/19/2016
66 Jagjeet Singh 339 TAHTAN Rigger 4/19/2016
67 Hiraman Chwan 341 TAHTAN Rigger 4/19/2016
68 Konahya chwan 342 TAHTAN Rigger 4/19/2016
69 Niraj Kumar 349 TAHTAN Rigger 4/19/2016
70 Purusottam Bassi 372 TAHTAN Rigger 6/20/2016
71 Bashir khan 374 TAHTAN Rigger 6/20/2016
72 Buseer Khan 212 TAHTAN Rigger 6/20/2016
73 B Purushottam 122 TAHTAN Rigger 6/20/2016
74 Md Haneef 22 TAHTAN Helper 6/20/2016
75 Md Jassimuddin 212 TAHTAN Fitter 6/20/2016
76 Afzal Hossan Joshim 290 TAHTAN Fitter 6/20/2016
77 Md Iqram 265 TAHTAN Welder 6/20/2016
78 Md Shafir 276 TAHTAN Fitter 6/20/2016
79 Md Saddam Hussain 101 TAHTAN Helper 6/20/2016
80 Nilkanth 198 TAHTAN Helper 6/20/2016
81 Saddakat Ali 77 TAHTAN Helper 6/20/2016
82 Md Irfan Alam 193 TAHTAN Helper 6/20/2016
Scaffolding
83 Shahwaiz Majeed TAH-40 TAHTAN
Inspector 7/2/2016
Scaffolding
84 Farsat Hassan TAH-153 TAHTAN
Supervisor 7/2/2016
85 Zafar Iqbal Ahsan ST TAHTAN Operator 7/2/2016
86 Gurjinder Singh Sarwan Singh NFT TAHTAN Operator 7/2/2016
87 Azmat Hayat TAH-150 TAHTAN Rigger 7/2/2016
88 Fakhar Din TAH-145 TAHTAN Rigger 7/2/2016
89 Muhammad Ishaq TAH-151 TAHTAN Rigger 7/2/2016
90 Hayat Mohammad TAH-152 TAHTAN Rigger 7/2/2016
91 Rahib Ali Khawand TAH-117 TAHTAN Rigger 7/2/2016
92 Muhammad Riaz Amir TAH-32 TAHTAN Rigger 7/2/2016
93 Touqeer Ahmed Tat TAH-10 TAHTAN Scaffolder 7/2/2016
94 Muhammad Asif TAH-149 TAHTAN Scaffolder 7/2/2016
95 Khan Muhammad TAH-147 TAHTAN Scaffolder 7/2/2016
96 Gulzar Shah Sarwar Tah-69 TAHTAN Scaffolder 7/2/2016
97 Aziz Abbas Ghulam TAH-35 TAHTAN Scaffolder 7/2/2016
98 Nawab Khan Noor TAH-02 TAHTAN Scaffolder 7/2/2016
99 Ghulam Shabbir Khan TAH-91 TAHTAN Scaffolder 7/2/2016
100 Muhammad Asif TAH-149 TAHTAN Scaffolder 7/2/2016
101 Azmat Hayat TAH-150 TAHTAN Scaffolder 7/2/2016
102 Khan Muhammad TAH-147 TAHTAN Scaffolder 7/2/2016
103 Muhammad Ishaq TAH-151 TAHTAN Scaffolder 7/2/2016
104 Shahzad ayoub 67 TAHTAN Driver 3/12/2016
105 Kaisher 154 TAHTAN Driver 3/12/2016
106 Adnan Mir Khan 189 TAHTAN Driver 3/12/2016
107 Roman Ali 176 TAHTAN Driver 3/12/2016
108 Abid Hameed 159 TAHTAN Driver 3/12/2016
109 Munsif Ali 161 TAHTAN Driver 3/12/2016
110 Amjad Ali 121 TAHTAN Driver 3/12/2016
111 Shala Mir 98 TAHTAN Driver 3/12/2016
112 Muqarab Khan 203 TAHTAN Driver 3/12/2016
113 Md.Afzal 56 TAHTAN Driver 3/12/2016
AHTAN Contracting L.L.C
Takreer CBDC Project
Training List of Employee

Nationality Hot work Working at height Lifting & Rigging Defence Driving Heat Stress
Indian Done Done

Indian Done Done Done

Indian Done Done

Pak Done Done

Pak Done Done

Pak Done Done Done

Pak Done Done Done


Pak Done Done
Pak Done Done

Pak Done Done

Pak Done Done

Pak Done Done

Pak Done Done Done

Pak Done Done Done

Pak Done Done Done

Pak Done Done

Pak Done Done Done


Pak Done Done Done
Pak Done Done Done
Pak Done Done Done
Pak Done Done Done
Pak Done Done Done
Pak Done Done
Pak Done
Pak Done
Pak Done
Pak Done
Indian Done
Pak Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Indian Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done

Pak Done Done

Pak Done Done

Pak Done Done

Pak Done Done

Indian Done Done

Indian Done Done

Indian Done Done

Pak Done

Pak Done
Pak Done Done Done
Indian Done Done Done
Indian Done Done Done
Indian Done Done Done
Indian Done Done Done
Pak Done Done Done
Indian Done Done Done
Indian Done Done Done
Indian Done Done Done
Indian Done Done Done
Indian Done Done Done
Indian Done Done Done
Pak Done Done Done

Indian Done Done Done

Indian Done Done Done

Indian Done Done


Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Indian Done
Pak Done
Pak Done

Done Done
Pak

Done Done
Pak
Pak Done Done
Pak Done Done
Pak Done Done Done
Pak Done Done Done
Pak Done Done Done
Pak Done Done Done
Pak Done Done Done
Pak Done Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Pak Done Done
Confined Space Fire Watcher Flag Man

Done

Done

Done

Done

Done
Done
Done Done

Done Done

Done Done

Done

Done

Done

Done Done

Done
Done
Done
Done
Done Done
Done Done
Done
Done

Done
Done
Done
Done
Done
Done
Done
Done
Done
Done
Done
Done
Done
Done
Done
Done
Done
Done
Done
Done
Done
Done
Done
Done
Done
Done
Done

Done
Done
Done
Done
Done
Tahtan
TAKREER CARB

SCAF
Scaffold Usage
Company Tag/Ref. No
(Type of Activities)

TAHTAN 26 PIPING

TAHTAN 24 PIPING

TAHTAN 30 PIPING

TAHTAN 17 PIPING

TAHTAN 40 PIPING

TAHTAN 14 PIPING

TAHTAN 13 PIPING

TAHTAN 22 PIPING

TAHTAN 1 PIPING

TAHTAN 34 PIPING

TAHTAN 50 PIPING

TAHTAN 51 PIPING

TAHTAN 52 PIPING

TAHTAN 19 PIPING

TAHTAN 15 PIPING

TAHTAN 14 PIPING

TAHTAN 53 PIPING

TAHTAN 44 PIPING

TAHTAN 45 PIPING
TAHTAN 18 PIPING

TAHTAN 34 PIPING

TAHTAN 43 PIPING

TAHTAN 54 PIPING

TAHTAN 55 PIPING

TAHTAN 56 PIPING

TAHTAN 57 PIPING

TAHTAN 58 PIPING

TAHTAN 59 PIPING

TAHTAN 60 PIPING

TAHTAN 61 PIPING

TAHTAN 62 PIPING

TAHTAN 42 PIPING

TAHTAN 41 PIPING

TAHTAN 40 PIPING

TAHTAN 39 PIPING

TAHTAN 38 PIPING

TAHTAN 34 PIPING

TAHTAN 33 PIPING

TAHTAN 32 PIPING

TAHTAN 31 PIPING

TAHTAN 30 PIPING

TAHTAN 29 PIPING
TAHTAN 28 PIPING

TAHTAN 27 PIPING

TAHTAN 37 PIPING

TAHTAN 36 PIPING

TAHTAN 35 PIPING

TAHTAN 1 PIPING

TAHTAN 2 PIPING

TAHTAN 3 PIPING

TAHTAN 26 PIPING

TAHTAN 24 PIPING

TAHTAN 23 PIPING

TAHTAN 22 PIPING

TAHTAN 20 PIPING

TAHTAN 11 PIPING

TAHTAN 7 PIPING

TAHTAN 30 PIPING

TAHTAN 5 PIPING

TAHTAN 25 PIPING

TAHTAN 27 PIPING

TAHTAN 23 PIPING

TAHTAN 29 PIPING

TAHTAN 50 PIPING

TAHTAN 51 PIPING
TAHTAN 52 PIPING

TAHTAN
Tahtan General Contracting LLC
TAKREER CARBON BLACK & DELAYED COKER PROJECT

SCAFFOLD REGISTRY
Scaffold Dimension
Scaffold Type Scaffold Duty (L x W x H)
Location / Area

SLUNG L 14*2*4 UTILITY

SLUNG L 8*2*6 UTILITY

SLUNG L 3*1.5*5 UTILITY

SLUNG L 3*1.5*11 UTILITY

SLUNG L 3*1,5*11 UTILITY

SLUNG L 3*1,5*11 UTILITY

SLUNG L 3*1,5*11 UTILITY

SLUNG L 0 UTILITY

SLUNG L 3*1,5*3 UTILITY

SLUNG L 3*1,5*3 UTILITY

SLUNG L 4*1*3 UTILITY

SLUNG L 3*1.5*11 UTILITY

SLUNG L 3*1.5*11 UTILITY

SLUNG L 4*4*11 UTILITY

SLUNG L 30*3*7 UTILITY

SLUNG L 30*3*7 UTILITY

SLUNG L 30*3*7 UTILITY

SLUNG L 30*2*7 UTILITY

SLUNG L 30*2*7 UTILITY


SLUNG L 18*2*2 OIL MOVEMENT

SLUNG L 3*3*7 UTILITY

SLUNG L 3*2*6 UTILITY

SLUNG L 3*2*6 UTILITY

SLUNG L 3*1.5*11 UTILITY

SLUNG L 3*1.5*11 UTILITY

SLUNG L 3*1.5*11 UTILITY

SLUNG L 3*1.5*11 UTILITY

SLUNG L 3*1.5*11 UTILITY

SLUNG L 3*1.5*11 UTILITY

SLUNG L 3*1.5*11 OIL MOVEMENT

SLUNG L 3*1.5*11 UTILITY

SLUNG L 30*2*6 OIL MOVEMENT

SLUNG L 30*2*6 OIL MOVEMENT

SLUNG L 30*2*6 OIL MOVEMENT

SLUNG L 40*1.5*10 OIL MOVEMENT

SLUNG L 5*1.5*6 OIL MOVEMENT

SLUNG L 30*2*6 OIL MOVEMENT

SLUNG L 15*2*3 OIL MOVEMENT

SLUNG L 20*2*3 OIL MOVEMENT

SLUNG L 18*2*6 OIL MOVEMENT

SLUNG L 18*2*6 OIL MOVEMENT

SLUNG L 30*2*6 OIL MOVEMENT


SLUNG L 18*6*7 OIL MOVEMENT

SLUNG L 24*2.5*10 OIL MOVEMENT

SLUNG L 30*2*3 OIL MOVEMENT

SLUNG L 30*2*3 OIL MOVEMENT

SLUNG L 30*2*3 OIL MOVEMENT

SLUNG L 30*2*7 EASMENT

SLUNG L 30*2*7 EASMENT

SLUNG L 30*2*7 EASMENT

SLUNG L 2.5*1.5*7 EASMENT

SLUNG L 2.8*1.5*7 EASMENT

SLUNG L 30*2*3 EASMENT

SLUNG L 2.5*1.5*7 EASMENT

SLUNG L 20*1.5*7 EASMENT

SLUNG L 30*2*7 EASMENT

SLUNG L 30*2*7 EASMENT

SLUNG L 30*2*7 EASMENT

SLUNG L 25*2*7 EASMENT

SLUNG L 30*2*7 EASMENT

SLUNG L 30*2*7 EASMENT

SLUNG L 30*2*3 EASMENT

SLUNG L 30*2*7 EASMENT

SLUNG L 30*2*7 EASMENT

SLUNG L 30*2*7 EASMENT


SLUNG L 30*2*7 EASMENT
T

Tag
Status
Issuance Inspector
(Active/Dismantled/Date)
Date

20-Mar-16 DANISH ACTIVE


17-Mar-16 DANISH ACTIVE
3-May-16 DANISH ACTIVE
9-Feb-16 DANISH ACTIVE
4-Feb-16 DANISH ACTIVE
9-Feb-16 DANISH ACTIVE
19-Feb-16 DANISH ACTIVE
16-May-16 DANISH ACTIVE

DANISH RED TAG

DANISH RED TAG

DANISH RED TAG

DANISH RED TAG

DANISH RED TAG

DANISH RED TAG

DANISH RED TAG

DANISH RED TAG

DANISH RED TAG

DANISH RED TAG

DANISH RED TAG


12-Mar-16 DANISH ACTIVE
19-Apr-16 DANISH ACTIVE
19-Apr-16 DANISH ACTIVE
19-Apr-16 DANISH ACTIVE

DANISH RED TAG

DANISH RED TAG

DANISH RED TAG

DANISH RED TAG

DANISH RED TAG

DANISH RED TAG

DANISH RED TAG

DANISH RED TAG

DANISH RED TAG

DANISH RED TAG

DANISH RED TAG

DANISH RED TAG

DANISH RED TAG


17-Apr-16 DANISH ACTIVE
17-Apr-16 DANISH ACTIVE
17-Apr-16 DANISH ACTIVE
10-Apr-16 DANISH ACTIVE
10-Apr-16 DANISH ACTIVE
10-Apr-16 DANISH ACTIVE
10-Apr-16 DANISH ACTIVE

DANISH RED TAG

DANISH RED TAG

DANISH RED TAG

DANISH RED TAG


16-Jan-16 DANISH ACTIVE
16-Jan-16 DANISH ACTIVE
16-Jan-16 DANISH ACTIVE
21-Mar-16 DANISH ACTIVE
10-Mar-16 DANISH ACTIVE
5-Mar-16 DANISH ACTIVE
28-Feb-16 DANISH ACTIVE
15-Feb-16 DANISH ACTIVE
4-Feb-16 DANISH ACTIVE
31-Jan-16 DANISH ACTIVE
25-Feb-16 DANISH ACTIVE
25-Jan-16 DANISH ACTIVE
21-Mar-16 DANISH ACTIVE
31-Mar-16 DANISH ACTIVE
7-Apr-16 DANISH ACTIVE
1-May-16 DANISH ACTIVE
9-May-16 DANISH ACTIVE
9-May-16 DANISH ACTIVE
11-May-16 DANISH ACTIVE
Health Safety and Enviro
Weekly HSE Report
Date Inspected

Client: Samsung Project Name: CBDC PKG # 04


Month Accrued Man-
123,100
hours
Lost Time Injuries (LTI) 0
LTI Days 0
Restricted Work Injuries (RWI) 0
RWI Days 0
Medical Treatment Injuries 0
First Aid Cases 0
Accident / Incidents 0
Property Damage 0
Near Miss 0
Safety Meeting 1
Tool Box Talk Conducted 35
Safety Induction 9
Indirect 36
Number of Manpower on Site: Direct 160
Others 0
TOTAL 196

Number of Vehicle on Site: 3


Total kilometers run for this week: 2295
1) Hot work 2) Work at height 3) Use of proper ppe 3) How to use ladder 4
Electrical Safety 7) Emeregncy Procedure 8) Housekeeping 9) Manual Ha

Toolbox Talk Topics:

Name
Mr Anoop
Mr Vidyanand
Nos. of HSE (06) Mr Imran
Mr Rashid
Mr Sahid
Mr Danish
Number of Construction Equipments
Capacity Operator Name
Crane 70 Ton Razzak
Crane 70 Ton Khurshid
Crane 50 Ton Jahagir
Crane 50 Ton Mujjafar
Boom Truck 10 Ton Afzal
Trailor 25 Ton Ali
Trailor 25 Ton Mukarab
Prepared By:
Name: P.Pandey
Designation: HSEM
Date: 8/17/2016
Signature
PAGE
fety and Environment 1
Weekly HSE Report REV
Date Inspected 0
CBDC PKG # 04 Month Ending : Sep 2016
Cumulative Man-
Overall Total Cumulative to Date 123,100
hours to Date
Lost Time Injuries (LTI) 0
LTI Days 0
Restricted Work Injuries (RWI) 0
RWI Days 0
Medical Treatment Injuries 0
First Aid Cases 0
Accident / Incidents 0
Property Damage 0
Near Miss 0
Safety Meeting 17
Tool Box Talk Conducted 1145
Safety Induction 196
Indirect 36
Number of Manpower on Site: Direct 160
Other 0
TOTAL 196

Overall Number of Vehicle on Site: 15


Overall Total kilometers runs up to Date: 422637
per ppe 3) How to use ladder 4) General Safety 5) Lifting , Loading un loading activities 6)
8) Housekeeping 9) Manual Handling 10) Fire extinguisher 11) Hand safety

Location RRE RRW


Utility ¨
Easement ¨
Laydown ¨
Crude ¨
Neptha ¨
SK ¨

Operator Name Type Comments


Razzak Mobile
Khurshid Mobile
Jahagir Alterrain
Mujjafar Alterrain
Afzal
Ali
Mukarab
Checked By:
Name: Mubashar Ahmad Khan
Designation: A/CM
Date:
Signature:
1
Toilet Cleaning Checklist (Oct. 2016) Toilet Cleaning Checklist (Nov. 2016)
Toilet No. Toilet No.
SR # Time SIGNATURE SR # Time SIGNATURE
1 Date Inspected 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10 12/30/1899
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
21 21
22 22
23 23
24 24
25 25
26 26
27 27
28 28
29 29
30 30
31 31

Toilet Cleaning Checklist (Dec. 2016) Toilet Cleaning Checklist (Jan 2017)
Toilet No. Toilet No.
SR # Time SIGNATURE SR # Time SIGNATURE
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
21 21
22 22
23 23
24 24
25 25
26 26
27 27
28 28
29 29
30 30
31 31
FRIDAY/HOLIDAY WO
Date Inspected

▣ SUBCONTRACTOR:

S/N Area Work Description

▣ PROJECT NAME-

S/N Area Work Description

2
2

※ Role and Responsibilities


1. TBM Participation & Working Area Inspection Befire Starting Work
4. Full Time Management of Workers in Working Area
AY/HOLIDAY WORK PLAN (Date : . )

Site Manager :

Working Time
Position Name
In Out
Manager
Engineer
Supervisor
HSE
Manager 0
Engineer
Supervisor
HSE

Working Time
Position Name
In Out
Manager
Engineer
Supervisor
QA/QC
HSE
Manager
Engineer
Supervisor
QA/QC
HSE

2. Check All Workers PPE


5. Housingkeeping Control

TAHTAN CM/Manager :__________________________________


.

e Manager : (sign)

Total No. of Total No. of


Mobile No. Workers Equipment

Mobile No. Remarks


3. Inspecting Equipment & Tools

____________________________________(Sign)
TOOL BOX TALK FORM

DATE TOPIC:
PERMIT NUMBER
PERMIT TYPE
PROJECT TITLE CBDC
AREA LOCATION
CREW MEMBERS DETAIL
S/N NAME DESIG. EMPL. NO. COMPANY
1 Mr.Asiq I/C Incharge T-107 Tahatn
2 Abdul Latif Lead Man T-113 Tahatn
3 Rufiquee Fitter T-03 Tahatn
4 Niaz Fitter T-179 Tahatn
5 Javeed Fitter T-199 Tahatn
6 Luqman Fitter T-120 Tahatn
7 Tanveer Helper T-127 Tahatn
8 Malik dad Helper T-224 Tahatn
9 Din.M Helper T-222 Tahatn
10 M.Sahid Helper T-109 Tahatn
11 M.Farooq Scaffolder T-230 Tahatn
12 Om Prakash Scaffolder T-231 Tahatn
13 Virendra Ram Rigger T-348 Tahatn
14 M.Asger Helper T-225 Tahatn
15
16
17
18
19
20
21
22
23
24
25
26
GENERAL REMARKS:
JP NAME & SIGNATURE HSE SITE INCHARGE SIGNATURE

(The TOOLBOX shall be conducted by the Job Performer/ Site Supervisor/ or Site in-charge
presence of TAHTAN Safety officer. All TOOL BOX reports will be recorded and submitted fo
and monitoring.)
TALK FORM

SIGNATURE

0
ARGE SIGNATURE

or Site in-charge in
d and submitted for review
TAHTAN GENERAL CONTRACTING LLC
CARBON BLACK & DELAYED COKER PROJECT

DAILY CHECKLIST - DISMANTLING OF SLIPFORMS

Status
Sr. Description
Satisfactory Unsatisfactory

1 TBT done
2 Crane daily inspection done
3 Proper tools available
4 Inspection of tools (if required)
5 Colour coding of tools
6 Area barricaded
7 Workers are using full body harness
8 Workers are Third Party Certified (if necessary)
9 No loose material at deck
10 No loose tools at deck
11 Tools are latched
12 No unauthorized person at site
13 Wind Speed ≤ 32km/hr

TAHTAN S/V TAHTAN HSE


G LLC
PROJECT

SLIPFORMS

Remarks

SECL HSE
Summary of First Aider and Authorized Gas Tester for RREast Area and RRWest Area
RRE RRW
Location Remarks
First Aider AGT First Aider AGT
Utility Area Anoop S Nair Anoop S Nair
Easement Mahendra Singh
Crude Area Md Rashid Md Rashid
Naptha Area Md Sahid Iqbal Md Sahid Iqbal

Oil Movement
Md Danish
/Pump House Area

Summary of Trained AGT & First Aider


3rd Party
Sr. No. Employee Name Training Date ID No.
Name

1 Anoop S Nair RRE Basic First Aid 2/20/2016 Euro Gulf 5071352-6

2 Md Arshad RRE Basic First Aid 2/20/2016 Euro Gulf 2421908-3

Authorized Gas Safe World SWS-AGT-


3 Marshal CBDC 2/3/2016
Tester Specialists 030216-121

Authorized Gas Safe World SWS-AGT-


4 Anoop S Nair RRE 2/3/2016
Tester Specialists 030216-120

Authorized Gas Safe World SWS-AGT-


5 Md Rashid RRW 2/3/2016
Tester Specialists 030216-119

Authorized Gas Safe World SWS-AGT-


6 Md Danish RRE 2/3/2016
Tester Specialists 030216-118

Authorized Gas Safe World SWS-AGT-


7 Md Khalid RRW 12/7/2015
Tester Specialists 071215-84

Authorized Gas Safe World SWS-AGT-


8 Mahendra Singh RRE 12/7/2015
Tester Specialists 071215-82

Authorized Gas Safe World SWS-AGT-


9 Md Sahid RRW 12/7/2015
Tester Specialists 071215-85

Safe World SWS-BFA-


10 Mr. Raja Afzal RRW First Aider 6/27/2015
Specialists 2706115-24

Safe World SWS-BFA-


11 Md Ehshan CBDC First Aider 6/27/2015
Specialists 2706115-22

Safe World SWS-BFA-


12 d Rashid RRW First Aider 6/27/2015
Specialists 2706115-23

Safe World SWS-BFA-


13 Md Sahid RRW First Aider 6/27/2015
Specialists 2706115-21
No Week Date Area Subcontractor

1 143 22-Sep-16 CCU SILO TAHTAN Contracting L.L.C

2 143 22-Sep-16 CCU SILO TAHTAN Contracting L.L.C

3 143 22-Sep-16 CCU SILO TAHTAN Contracting L.L.C

4 143 22-Sep-16 SITE OFFICE TAHTAN Contracting L.L.C

5 143 22-Sep-16 CCU SILO TAHTAN Contracting L.L.C

6 143 22-Sep-16 CCU SILO TAHTAN Contracting L.L.C

7 143 22-Sep-16 CCU SILO TAHTAN Contracting L.L.C

8 143 22-Sep-16 CCU SILO TAHTAN Contracting L.L.C

9 143 22-Sep-16 CCU SILO TAHTAN Contracting L.L.C

10 143 22-Sep-16 CCC SILO TAHTAN Contracting L.L.C

11 143 22-Sep-16 WORKSHOP TAHTAN Contracting L.L.C

12 143 22-Sep-16 WORKSHOP TAHTAN Contracting L.L.C


13 143 22-Sep-16 WORKSHOP TAHTAN Contracting L.L.C
14 143 22-Sep-16 OFFICE AREA TAHTAN Contracting L.L.C
15 143 22-Sep-16 CCU SILO TAHTAN Contracting L.L.C

16 143 22-Sep-16 OFFICE AREA TAHTAN Contracting L.L.C

17 143 22-Sep-16 Silo TAHTAN Contracting L.L.C

18 143 22-Sep-16 Fabrication TAHTAN Contracting L.L.C


19 143 22-Sep-16 site offices TAHTAN Contracting L.L.C

20 143 22-Sep-16 RRE Easement TAHTAN Contracting L.L.C

21 143 24-Sep-16 RRE Utility TAHTAN Contracting L.L.C

22 143 24-Sep-16 CCU SILO TAHTAN Contracting L.L.C

23 143 24-Sep-16 CCU SILO TAHTAN Contracting L.L.C

24 143 24-Sep-16 CCU SILO TAHTAN Contracting L.L.C

25 143 24-Sep-16 CCU SILO TAHTAN Contracting L.L.C

26 143 24-Sep-16 CCU SILO TAHTAN Contracting L.L.C

27 143 24-Sep-16 CCU SILO TAHTAN Contracting L.L.C

28 143 24-Sep-16 OFFICE AREA TAHTAN Contracting L.L.C

29 143 24-Sep-16 STEEL STORAGE TAHTAN Contracting L.L.C

30 143 24-Sep-16 OFFICE AREA TAHTAN Contracting L.L.C

31 143 24-Sep-16 CCU SILO TAHTAN Contracting L.L.C

32 143 24-Sep-16 CCU SILO TAHTAN Contracting L.L.C

33 143 24-Sep-16 Fabrication TAHTAN Contracting L.L.C

34 143 24-Sep-16 CCU SILO TAHTAN Contracting L.L.C

35 143 24-Sep-16 Steel stroge TAHTAN Contracting L.L.C

36 143 24-Sep-16 site offices TAHTAN Contracting L.L.C


37 143 24-Sep-16 WORKSHOP TAHTAN Contracting L.L.C

38 143 24-Sep-16 CCU SILO TAHTAN Contracting L.L.C

39 143 25-Sep-16 CCU SILO TAHTAN Contracting L.L.C

40 143 25-Sep-16 CCU SILO TAHTAN Contracting L.L.C

41 143 25-Sep-16 CCU SILO TAHTAN Contracting L.L.C

42 143 25-Sep-16 WORKSHOP TAHTAN Contracting L.L.C

43 143 25-Sep-16 CCU SILO TAHTAN Contracting L.L.C

44 143 25-Sep-16 WORKSHOP TAHTAN Contracting L.L.C

45 143 25-Sep-16 CCU SILO TAHTAN Contracting L.L.C

46 143 25-Sep-16 work shop TAHTAN Contracting L.L.C

47 143 25-Sep-16 Silo TAHTAN Contracting L.L.C

48 143 25-Sep-16 RRE Utility TAHTAN Contracting L.L.C

49 143 25-Sep-16 RRE Easement TAHTAN Contracting L.L.C

50 143 25-Sep-16 work shop TAHTAN Contracting L.L.C

51 143 25-Sep-16 CCU SILO TAHTAN Contracting L.L.C


52 143 25-Sep-16 CCU SILO TAHTAN Contracting L.L.C

53 143 25-Sep-16 site offices TAHTAN Contracting L.L.C

54 143 25-Sep-16 CCU SILO TAHTAN Contracting L.L.C

55 143 25-Sep-16 CCU SILO TAHTAN Contracting L.L.C

56 143 25-Sep-16 Silo TAHTAN Contracting L.L.C

57 143 25-Sep-16 Back side office TAHTAN Contracting L.L.C

58 143 25-Sep-16 Silo TAHTAN Contracting L.L.C

59 143 25-Sep-16 Silo TAHTAN Contracting L.L.C

60 143 25-Sep-16 Silo TAHTAN Contracting L.L.C

61 143 25-Sep-16 Silo TAHTAN Contracting L.L.C

62 143 25-Sep-16 CCU SILO TAHTAN Contracting L.L.C

63 143 25-Sep-16 CCU SILO TAHTAN Contracting L.L.C

64 143 26-Sep-16 Silo TAHTAN Contracting L.L.C

65 143 26-Sep-16 Silo TAHTAN Contracting L.L.C

66 143 26-Sep-16 work shop TAHTAN Contracting L.L.C

67 143 26-Sep-16 Fabrication TAHTAN Contracting L.L.C

68 143 26-Sep-16 CCU SILO TAHTAN Contracting L.L.C

69 143 26-Sep-16 office area TAHTAN Contracting L.L.C


70 143 26-Sep-16 CCU SILO TAHTAN Contracting L.L.C

71 143 26-Sep-16 CCU SILO TAHTAN Contracting L.L.C

72 143 26-Sep-16 CCU SILO TAHTAN Contracting L.L.C

73 143 26-Sep-16 OFFICE AREA TAHTAN Contracting L.L.C

74 143 26-Sep-16 Silo TAHTAN Contracting L.L.C

75 143 26-Sep-16 Silo TAHTAN Contracting L.L.C

76 143 26-Sep-16 Silo TAHTAN Contracting L.L.C


77 143 26-Sep-16 Fabrication TAHTAN Contracting L.L.C
78 143 26-Sep-16 RRE Laydown TAHTAN Contracting L.L.C

79 143 26-Sep-16 RRE Easement TAHTAN Contracting L.L.C

80 143 26-Sep-16 RRE Easement TAHTAN Contracting L.L.C

81 143 26-Sep-16 CCU SILO TAHTAN Contracting L.L.C

82 143 26-Sep-16 CCU SILO TAHTAN Contracting L.L.C

83 143 26-Sep-16 CCU SILO TAHTAN Contracting L.L.C

84 143 26-Sep-16 CCU SILO TAHTAN Contracting L.L.C

85 143 26-Sep-16 CCU SILO TAHTAN Contracting L.L.C

86 143 26-Sep-16 CCU SILO TAHTAN Contracting L.L.C

87 143 27-Sep-16 CCU SILO TAHTAN Contracting L.L.C

88 143 27-Sep-16 CCU SILO TAHTAN Contracting L.L.C

89 143 27-Sep-16 CCU SILO TAHTAN Contracting L.L.C

90 143 27-Sep-16 CCU SILO TAHTAN Contracting L.L.C

91 143 27-Sep-16 CCU SILO TAHTAN Contracting L.L.C


92 143 27-Sep-16 CCU SILO TAHTAN Contracting L.L.C

93 143 27-Sep-16 CCU SILO TAHTAN Contracting L.L.C

94 143 27-Sep-16 chamical stroge area TAHTAN Contracting L.L.C

95 143 27-Sep-16 office area TAHTAN Contracting L.L.C

96 143 27-Sep-16 CCU SILO TAHTAN Contracting L.L.C

97 143 27-Sep-16 CCU SILO TAHTAN Contracting L.L.C

98 143 27-Sep-16 CCU SILO TAHTAN Contracting L.L.C

99 143 27-Sep-16 CCU SILO TAHTAN Contracting L.L.C

100 143 27-Sep-16 CCU SILO TAHTAN Contracting L.L.C

101 143 27-Sep-16 CCU SILO TAHTAN Contracting L.L.C

102 143 27-Sep-16 CCU SILO TAHTAN Contracting L.L.C

103 143 27-Sep-16 CCU SILO TAHTAN Contracting L.L.C

104 143 27-Sep-16 CCU SILO TAHTAN Contracting L.L.C

105 143 27-Sep-16 CCU SILO TAHTAN Contracting L.L.C

106 143 27-Sep-16 CCU SILO TAHTAN Contracting L.L.C

107 143 27-Sep-16 CCU SILO TAHTAN Contracting L.L.C

108 143 27-Sep-16 CCU SILO TAHTAN Contracting L.L.C

109 143 27-Sep-16 work shop TAHTAN Contracting L.L.C

110 143 27-Sep-16 Silo TAHTAN Contracting L.L.C


111 143 27-Sep-16 CCC SILO TAHTAN Contracting L.L.C

112 143 28-Sep-16 WORKSHOP TAHTAN Contracting L.L.C

113 143 28-Sep-16 WORKSHOP TAHTAN Contracting L.L.C


114 143 28-Sep-16 WORKSHOP TAHTAN Contracting L.L.C

115 143 28-Sep-16 CCU SILO TAHTAN Contracting L.L.C

116 143 28-Sep-16 CCC SILO TAHTAN Contracting L.L.C

117 143 28-Sep-16 WORKSHOP TAHTAN Contracting L.L.C

118 143 28-Sep-16 WORKSHOP TAHTAN Contracting L.L.C


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HSE OBSERVATION REPORT
Observation Type of HAZARD Risk Level

One skip found overflowing need to remove ENVIRONMENT LOW

Concrete debries lying in area need to remove HOUSEKEEPING LOW

welding activite going and fire watch man not SLIPS & TRIPS LOW
present

Poor housekeeping observed area the store SLIPS & TRIPS LOW

Light bulb is damaged SLIPS & TRIPS LOW

Off loading matierials of scaffolding tube sling not SLIPS & TRIPS LOW
properly use load unbalance

cable management not good west site silo SLIPS & TRIPS LOW

Rigger give tha signal of tower crane opprater SLIPS & TRIPS LOW
catch tha bucket at a time no usr tha tag line

found many loose material on working platform HOUSEKEEPING LOW

Electrical distribution board without fire FIRE PROTECTION LOW


extenguisher Co2

Concreet waste area not baricate HOUSEKEEPING LOW

0 SLIPS & TRIPS LOW


De-shackles witout color code COLOR CODE LOW
Genertor without barricade WORK PERMIT LOW
Helper without reflective jacket PPE LOW

Crane checklist ot availbe at site WORK PERMIT LOW

Extension cable found multipal connection FIRE PROTECTION LOW

Poor cable managments SLIPS & TRIPS MEDIUM


found during hot work activity not good
Housekeeping and Fire Protection protection SUPERVISION LOW
system

Improper cable management in scaffold platform. SLIPS & TRIPS LOW

Scaffolding materials need to be stacked SLIPS & TRIPS LOW


properly.

Observed unwanted scaffolding materials SLIPS & TRIPS LOW


scattered on the scaffolding platforms.
FALL PROTECTION LOW
Scaffolding tag was not updated in some ladder

Drinking water not available on Product silo HEALTH LOW

Found safety harness with damage hook FALL PROTECTION MEDIUM

Power cable lying on ground and not burried ELECTRICAL LOW

Scaffolding errection was in progress without FALL PROTECTION LOW


putting red tag on iit

Bus was parked on the road that block the ACCESS LOW
access

Errection of scaffold was in progress while no FALL PROTECTION LOW


barrication of area
Genertor without barricade WORK PERMIT LOW

Broken electric socket FIRE PROTECTION LOW

Found good cable mangment system WORK PERMIT LOW

Poor lighting in west side of stairs WORK PERMIT LOW

Temprory hand rail is partially miss FALL PROTECTION LOW

found during hot work activity good POSITIVE LOW


Housekeeping and Fire Protection system
found during hot work activity not good
Housekeeping and Fire Protection protection SUPERVISION LOW
system
Face shield not using during steel plate cutting. SLIPS & TRIPS LOW

concreet bucket not mension SWL . SLIPS & TRIPS LOW

scaffolding plateform wooden planks fising SLIPS & TRIPS LOW


banding wear wear damage

vibrater not insepction and not color code SLIPS & TRIPS LOW

Some wokers not using chin strip while working SLIPS & TRIPS LOW
at height

drinking water botal use chemical SLIPS & TRIPS LOW

tower crane hook not color code SLIPS & TRIPS LOW

silo up side D.P no singe for DANGER and SLIPS & TRIPS LOW
electrion phone no

scaffolding matiral not proper arange and SLIPS & TRIPS LOW
barication missing

silo up side D.P no singe for DANGER and FIRE PROTECTION LOW
electrion phone no

Fall Protection matiral not proper arange and HOUSEKEEPING LOW


barication missing

Poor cable management in ground level, PWHT SLIPS & TRIPS LOW
cable laying ground improperly.
Grinding machine used without guard CUT LOW

Lifting was going on without barrication LIFTING LOW

One worker observed taking tea in the working SUPERVISION LOW


area
Fall Protection material properly segregated and HOUSEKEEPING LOW
stacked

found during hot work activity good houskeeping POSITIVE LOW


and fire protection system

I observe lose matiral (bollts) shefting old vist SLIPS & TRIPS LOW

Material lying in area not properly stacked SLIPS & TRIPS LOW

welding activite going and Fire Protection watch FIRE PROTECTION LOW
man not present

Poor housekeeping observed area the store HOUSEKEEPING LOW

Light bulb is damaged FIRE PROTECTION LOW

Off loading matierials of Fall Protection tube sling


FALLING OBJECTS MEDIUM
not properly use load unbalance

During the painting silo no 1 down side area not HOUSEKEEPING LOW
barricated

Rigger give tha signal of tower crane opprater FALLING OBJECTS LOW
catch tha bucket at a time no usr tha tag line

Worker found not using safety goggle with face PPE LOW
sheild
I observe lose matiral (bollts) shefting old vist FALL PROTECTION LOW

Material lying in area not properly stacked HOUSEKEEPING LOW

Found receptical damage with drill machine HOUSEKEEPING LOW

Face shield not using during steel plate cutting. PPE MEDIUM

Falling Objects work was carried out without tag FALL PROTECTION LOW
line

Bus was parked on the road that block the STRUCK / HIT LOW
access
Sharp edges found at the access to main deck at ACCESS LOW
silo no. 2
Good Housekeeping in workshop POSITIVE

During tha welding activity not use proper fire FIRE PROTECTION LOW
blanket welding sports fell down

Not signaller is available with JCB SUPERVISION LOW

Bus was not parked on designated place STRUCK / HIT LOW

found many loose material on working platform HOUSEKEEPING LOW

Toe board found in a scaffold not properly tied FALL PROTECTION LOW

Accumulated Metal scrap was ideal on site HOUSEKEEPING LOW


Welding area found satisfactory POSITIVE

Toilet condition is very poor and smeel WELFARE FACILITIES LOW

Some people were taking breakfast on pipe rack WELFARE FACILITIES LOW

Toilet checklist not updated WELFARE FACILITIES LOW

acces to the office area found blocked SLIPS & TRIPS LOW

No hand wash liquid or soap in the toilet HEALTH LOW

Falling Objects of material with sharp edges FALLING OBJECTS MEDIUM


without using softener
One grander found without inspecton at silo no. 3 FIRE PROTECTION LOW

upside silo avalible first add box and eye washers SUPERVISION LOW

steel rebar storage area sign installed SUPERVISION LOW

Some worker standing under suspending load FALLING OBJECTS MEDIUM

observed the rigger Falling Objects steel box FALLING OBJECTS MEDIUM
with out using softner

found one websling in very poor condition FALLING OBJECTS MEDIUM

Electrical cable in proper at site ELECTRICAL LOW

Two worker working wit out gloves PPE LOW


Found one worker not using safety glasses PPE LOW

Some food items found lying in the area ENVIRONMENT LOW

Some chemical found in the area with no proper ENVIRONMENT LOW


identification
One worker observed taking tea in the working ENVIRONMENT LOW
area
Scaffolding material properly segregated and SUPERVISION LOW
stacked
One skip found overflowing need to remove HOUSEKEEPING LOW

Found good cable management in silo POSITIVE LOW

Rebar storage area not properly barricaded SLIPS & TRIPS LOW

Patrol cain was found near welding plant and HOUSEKEEPING LOW
Electrical D B

Some worker observed taking breakfast at site HOUSEKEEPING LOW

One worker observed wearing damage safety HOUSEKEEPING LOW


helmet
found barrication not propery concreet wast yard HOUSEKEEPING LOW
and no signs

Signal man doing the job with out flags SUPERVISION LOW

Updated color code for lifting equipments COLOR CODE LOW

FALLING OBJECTS LOW


I observe lose matiral (bollts) shefting old vist
PPE LOW
found one worker not using proper PPE
HOUSEKEEPING LOW
found some concrete and debris waste at work place

drinking water botal use chemical ENVIRONMENT LOW

tower crane hook not color code COLOR CODE LOW


Electrical distribution board without fire FIRE PROTECTION LOW
extenguisher Co2

Concreet waste area not baricate HOUSEKEEPING LOW

Unprotected cable lying across the way SLIPS & TRIPS LOW
De-shackles witout color code COLOR CODE LOW

found many loose material on working platform HOUSEKEEPING LOW

Electrical distribution board without fire FIRE PROTECTION LOW


extenguisher Co2

Concreet waste area not baricate HOUSEKEEPING LOW

Unprotected cable lying across the way SLIPS & TRIPS LOW
EPORT
Status Closed Date Observer Corrective Action

Close informed to the admin to


22-Sep-16 Vidyanand
arrange for the removal of skip

Close informed to area supervisor to


22-Sep-16 Vidyanand
clear the debries from area

stop tha work and infome area


Close 22-Sep-16 Vidyanand superviseor arange tha fire
watch man then start tha work

informed to store supervisor for


Close 22-Sep-16 IMRAN housekeeping the area around
the store
Close informed o electrician to
22-Sep-16 IMRAN
change the bulb

Close RASHID
22-Sep-16 MAHMOOD Adviced to rigger on tha sports
should be load balance
Close 22-Sep-16
RASHID Informed to welding supervisor
MAHMOOD proper arangment

RASHID I infome tha rigger to use tha


Close 22-Sep-16 tagline not catch by hand any
MAHMOOD
load
informed engg/ foreman to
Close 22-Sep-16 Vidyanand remove all loose material from
working material
informed the foreman to
Close 22-Sep-16 IMRAN immediately provide tah fire
estengusher Co2
Close 22-Sep-16 Vidyanand informed foreman to
immediately barricated
Close 22-Sep-16 Vidyanand Need to be fix
Close 22-Sep-16 Marshal Need to update
Close 22-Sep-16 Vidyanand To be provide barricade
Close 22-Sep-16 Vidyanand To be provide barricade
Close Ensure to be provide daily
22-Sep-16 Marshal
basis
Close Provide more extension
22-Sep-16 Vidyanand
connection
Close 22-Sep-16 Vidyanand To be arrange cable
Close 22-Sep-16 Marshal Informed to supervisor to be
amaintin 100% safe activity
infomed tha workers use tha
Close 22-Sep-16 DANISH face sheet cutting & granding
time.
informed to tha rigging
Close 24-Sep-16 DANISH supervisor SWL past in
concreet basket
Close informed to tha scaffolding
24-Sep-16 IMRAN
superviser wear proper fixing
Close informed to electrician for the
24-Sep-16 DANISH
inpectoion of DB

Close informed the admin to arrange


24-Sep-16 IMRAN
the drinking water at site

Close Removed the harness and


24-Sep-16 Vidyanand
mark it as rejected
Close informed the elctrician to
24-Sep-16 DANISH
burried the cable
Close informed the scaffolding
24-Sep-16 DANISH
supervisor to put red tag

Close informed the driver to be park


24-Sep-16 ANOOP
only designated area of parking

Close informed the scaffold


24-Sep-16 ANOOP
supervisor to provide barricade
Close 24-Sep-16 IMRAN To be provide barricade
Close informed to electrician to be
24-Sep-16 IMRAN
removed from site
Close informed to supervisor to be
24-Sep-16 IMRAN
maintain daily basis
advise to electrican to be
Close 24-Sep-16 IMRAN provide extra light during night
work activity
Close advise to supervisor to be fix
24-Sep-16 IMRAN
hand rail
Close Infomed tha supervisor to be
24-Sep-16 IMRAN
maintian

Close 24-Sep-16 Marshal Informed to supervisor to be


amaintin 100% safe activity
infomed tha workers use tha
Close 24-Sep-16 IMRAN face sheet cutting & granding
time.
informed to tha rigging
Close 24-Sep-16 IMRAN supervisor SWL past in
concreet basket
Close informed to tha scaffolding
25-Sep-16 IMRAN
superviser wear proper fixing
infomed tha Electrical
Close 25-Sep-16 Vidyanand supervisor insepction tha
vibrater
Close informed to all workers to use
25-Sep-16 Vidyanand
chin strip all time at height

Close infomed tha all workers do not


25-Sep-16 Vidyanand
use water botal in camicals

informed to rigger supervisor to


Close RASHID
25-Sep-16 MAHMOOD
chak tha all rirring tools
insepction and couler code
infome tha electrical depart
Close RASHID
25-Sep-16 MAHMOOD
post tha singe and phone no
day and night sheft
informed to scaffolding
Close RASHID supervisor to arange tha
25-Sep-16 MAHMOOD scaffolding matiral properly and
barication
infome tha Electrical depart
Close 25-Sep-16 ANOOP post tha singe and phone no
day and night sheft
informed to Fall Protection
Close supervisor to arange tha Fall
25-Sep-16 IMRAN
Protection matiral properly and
barication
Close informed to area engineer to
25-Sep-16 IMRAN
clear the access
Close Informed and provide the guard
25-Sep-16 Vidyanand
immediately

Close informed to the welder to wear


25-Sep-16 IMRAN
properly the welder hood

Close informed to the worker not to


25-Sep-16 Vidyanand
bring the food stuf at site area
appriciation given to the Fall
Close 25-Sep-16 Vidyanand Protection team in next
morning TBM
Close 25-Sep-16 IMRAN Informed to supervisor to be
amaintin 100% safe activity
Close 25-Sep-16 IMRAN not allow matiral shifting only
lifting bag
Close informed to supervisor to
25-Sep-16 IMRAN
arrange the material
stop tha work and infome area
Close superviseor arange tha Fire
25-Sep-16 IMRAN
Protection watch man then
start tha work
informed to store supervisor for
Close 25-Sep-16 IMRAN housekeeping the area around
the store
Close informed o electrician to
25-Sep-16 IMRAN
change the bulb

Close 25-Sep-16 Marshal Adviced to rigger on tha sports


should be load balance
Close 25-Sep-16 IMRAN Informed to supervisor
barricated the area
I infome tha rigger to use tha
Close 25-Sep-16 Akhtar tagline not catch by hand any
load
Close advice given to worker to wear
25-Sep-16 Akhtar
safety goggle
Close 25-Sep-16 Vidyanand not allow matiral shifting only
Falling Objects bag
Close informed to supervisor to
26-Sep-16 Vidyanand
arrange the material

Close informed to electrician to


26-Sep-16 DANISH
replace the damage receptical

infomed tha workers use tha


Close 26-Sep-16 IMRAN face sheet cutting & granding
time.
Close 26-Sep-16 Marshal strictly instructed the rigger to use
tag line

Close 26-Sep-16 IMRAN informed the driver to be park


only designated area of parking
Close 26-Sep-16 IMRAN informed the foremanto remove
the debris workplace
Close 26-Sep-16 IMRAN To be maintained

Close informed to welding superviser


26-Sep-16 IMRAN
propre fixing tha fire blanket

Close 26-Sep-16 IMRAN Informed and depute the signaller

Close Informed to driver and parked at


26-Sep-16 IMRAN
designated place
informed engg/ foreman to
Close 26-Sep-16 IMRAN remove all loose material from
working material

Close informed to scaffold supervisor


26-Sep-16 IMRAN
to tie the toe board properly
Close 26-Sep-16 IMRAN Need to remove
Close 26-Sep-16 IMRAN To be maintained
Informed to assigned person and
Close 26-Sep-16 IMRAN
cleaning done
Informed not eating outside of rest
Close 26-Sep-16 IMRAN
shelter
Close 26-Sep-16 IMRAN Update the checklist

Close informed to area engineer to


26-Sep-16 IMRAN
clear the access
Close informed to admin to arrange
26-Sep-16 ANOOP
the soap or hand wash liquid
Close informed to rigging foreman
26-Sep-16 Marshal
and riggers to use sotner
Close informed to electrician for the
26-Sep-16 ANOOP
inspection of the grander
Close 26-Sep-16 ANOOP hse area supervisor

informed to the rebar


Close 26-Sep-16 IMRAN supervisor sign rebar stroge
area
Close 27-Sep-16 IMRAN remove tha workers and
morning diskis to TBM
Close 27-Sep-16 IMRAN instructed him nicely to use
softner
Close 27-Sep-16 Marshal informed the rigger and the
crane operator to avoid using
Close 27-Sep-16 Vidyanand Infomed tha electrion make it
propely
Close 27-Sep-16 Vidyanand Infomed to supervisor provide
working gloves
Close informed him to use safety
27-Sep-16 Vidyanand
glasses

Close informed to supervisor any kind


27-Sep-16 IMRAN
of food ia not allow to site

Close informe the supervisor to be put


27-Sep-16 IMRAN
proper identification
Close Infomed tha superviosr to be
27-Sep-16 IMRAN
stop this kind of activity
Close Informed to be maintian good
27-Sep-16 DANISH
practice
Close 27-Sep-16 DANISH keep it maintained
Close Infomed tha supervisor to be
27-Sep-16 DANISH
maintian
Close informed to area supervisor to
27-Sep-16 DANISH
provide proper barricades
informed tha area superviser
Close imegetly remove tha patrol cain
27-Sep-16 DANISH
and sheft tha chamical stroge
area
informed to that worker that no
Close 27-Sep-16 ANOOP food stuff allowed to bring at
site
Close informed to worker to replace
27-Sep-16 ANOOP
the damage helmet
Close 27-Sep-16 IMRAN informed the fore man to install
the barricate properly
Close 27-Sep-16 IMRAN Provide and advise him to work
with flags
Close Informed to be maintian good
27-Sep-16 Vidyanand
practice
Close 27-Sep-16 Vidyanand not allow matiral shifting only
Falling Objects bag
Close 27-Sep-16 Vidyanand
instructed him to wear proper PPE
Close 27-Sep-16 ANOOP
removed it by HSE helpers

Close infomed tha all workers do not


27-Sep-16 ANOOP
use water botal in camicals

informed to rigger supervisor to


Close 27-Sep-16 ANOOP chak tha all rirring tools
insepction and couler code
informed the foreman to
Close 27-Sep-16 ANOOP immediately provide tah fire
estengusher Co2
Close 28-Sep-16 ANOOP informed foreman to
immediately barricated
Close 28-Sep-16 ANOOP Need to be fix
Close 28-Sep-16 IMRAN Need to update
informed engg/ foreman to
Close 28-Sep-16 Vidyanand remove all loose material from
working material
informed the foreman to
Close 28-Sep-16 IMRAN immediately provide tah fire
estengusher Co2
Close 28-Sep-16 Vidyanand informed foreman to
immediately barricated
Close 28-Sep-16 Vidyanand Need to be fix
Preventive Measures

TBT and Close Supervision

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SAMSUNG ENGINEERING CO., LTD.
TAKREER CARBON BLACK & DELAYED COKER (CBDC) PROJECT, AL RUWAIS, A
CONFINED SPACE SIGN-IN / SIGN-OUT FOR
Supervisor Name: Sign: Hole Watchman Name:
Confined Space Permit No: Area: Date: Other Permit No:
COMPANY NAME ID# TIME IN TIME OUT TIME IN TIME OUT TIME IN TIME OUT TIME IN

Gas Test H2S


CO <25ppm 19.5% < LEL <1% Time Name
In case of emergency <1ppm
O2
please contact me:
Mr.praveen Mishra
052-733-9526
CO., LTD.
) PROJECT, AL RUWAIS, ABU DHABI
SIGN-OUT FORM
Sign:
o:
TIME OUT TIME IN TIME OUT TIME IN TIME OUT SIGNATURE

Name Sign
CARBON BLACK A

Contracto
S.NO. Date Time Observer Location Area/Dept r/Compa
ny
Name

4066 ### 09:00 AM P.Harris COLD FLARE HSE AJES


4067 ### 09:15 AM P.Harris
LAYDOWN YARD HSE MGS
4068 ### 09:26 AM P.Harris TAHTAN HSE TAHTAN
4069 ### 09:41 AM P.Harris
LAYDOWN YARD HSE NSH
4070 ### 09:45 AM P.Harris
COMMUTING ROUTE HSE SECL
4071 ### 08:34 AM P.Harris SS 105 HSE MGS
4072 ### 08:58 AM P.HarrisLAYDOWN #2 HSE SECL
4073 ### 09:05 AM P.HarrisLAYDOWN #2 HSE SECL
4074 ### 09:28 AM P.Harris
LAYDOWN (RRE) HSE AMB HERTEL
4075 ### 09:44 AM P.Harris
BLAST YARD (RRE)HSE XERVON
CARBON BLACK AND DELAYED COKER PROJ
SOR REGISTER

Action
Observation Positive/Negative Status
(Yes/No)

Housekeeping Required : Rubbish pile and loose material need removal Negative Y OPEN
Concrete and Wood scrap need removal Negative Y OPEN
Metal @ concrete waste need removal Negative Y OPEN
Great Progress on Cleaning Waste / Debris Pile Positive N CLOSED
Good traffic flow during peak times Positive N CLOSED
Worker without safety glasses Negative Y OPEN
SE Corner - Cable drums ans wood scrap need removal - FIRE HAZARD Negative Y OPEN
SE Corner - Rebar, metal scrap and paint cans need removal Negative Y OPEN
GENERAL HOUSEKEEPING needed Wood scrap, cable trays,etc Negative Y OPEN
BLAST AREA - Need Housekeeping against South Fence Negative Y OPEN
KER PROJECT

Lack of Resources
Lack of Training

Lack of Belief
SOR

Others
SOR
escribe Immediate
Describe Action
Corrective
toDescribe
Prevent
ActionIndirect
Recurrence
Cause Remarks Reported (Closed
Date Date)

N/A N/A N/A ###


N/A N/A N/A ###
N/A N/A N/A ###
N/A N/A N/A ###
N/A N/A N/A ###
N/A N/A N/A ###
N/A N/A N/A ###
N/A N/A N/A ###
N/A N/A N/A ###
N/A N/A N/A ###
Note
TAKREER Carbon Black & Delayed Coker (CBDC) Project

GAS MONITORING REPORT


Date Inspected
Flammable Oxygen To
Location Time
(%LEL) O2(%) AMMONIA

Date : Model:

Prepared By: Position:


Coker (CBDC) Project

G REPORT

Toxic
Remarks
H2S(PPM) SO2(PPM) CO(PPM)

Serial No:

Signature:
CARBON BLACK & DELAYED COKER PROJECT

TAHTAN Contracting L.L.C


WRITTEN WARNING LETTER
Date Inspected SR.NO./СЕР.№:
NAME OF OFFENDER : EMPLOYEE №:
DESIGNATION : SEX
AGE :
Supervisor :
YEARS OF EXPERIENCE :
DATE OF ISSUE :

LOCATION OF OFFENCE :

DESCRIPTION OF OFFENCE :
:

ISSUED BY : NAME

DESIGNATION : SIGNATURE

SIGNATURE OF OFFENDER DATE-

NOTE:

ISSUE OF WARNING LETTER FIRST TIME

ISSUE OF 2ND WARNING LETTER OFFENDER WILL BE SENT FOR RE-ORIENTATION


ISSUE OF 3RD WARNING LETTER OFFENDER WILL BE REMOVED FROM SITE
PROJECT

GNATURE
Indent Request Form
Indent No. _____________________

Quantity
Sr. No. Material Description Unit
Requested Approved
1 FILE CABINET Nos 1
2 OFFICE CALCULATER Nos 1
3 WHITE BOARD Nos 1
4 MARKER (BLACK ) Nos 2
5 MARKER (RED ) Nos 2
6 DUSTER Nos 1
7 PRINTER CATRIDGES (BLACK & WHITE) Nos 2
8 PRINTER CATRIDGES (COLOUR) Nos 2
9 FILE FOLDER Nos 10
10 GLUE STICK Nos 1
11 PLASTIC COVER FOR FILLING PKT 2
12 FILE DIVIDER PKT 2
13 HIGHLIGHTER (GREEN,RED,YELLOW) PC 2E
14 WHITNER PC 1
15
16
17
18
19
20

P.PANDEY
Requested By Recommended By
Name: PRIYARANJAN PANDEY Name:
DesignatLEAD HSE Designation:
nt Request Form
Date: _____06-01-2016____

Requirement Purchase Location Remarks


Date

mmended By Approved By
Site Manager

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