Weekly HSE Inspection Form-MTHL

WEEKLY HSE INSPECTION REPORT
Project : Location: Week :
PROJECT HSE DOCUMENTATION LIFTING OPERATIONS PERSONAL PROTECTIVE EQUIPMENT

Induction training records maintained (all personnel) 10 Lifting plan available covering all lifting activities (include load chart) 10 Mandatory PPE worn correctly by everyone in the work zone
Tool box talks delivered, including RA/MS (everyone present) 10 Operators competency cards (training) 10 Task specific PPE worn (risk assessed as appropriate)
HSE actions closed out following previous reports 10 Lifting equipment /lifting gear /hoists /Elevators (certified / checked) 10 Harnesses / lanyards checked by competent person - check records
HSE Comms (signage, notice boards, reports, policy, awards, etc.) 10 Crane segregation - safe working zone established and demarcated 10 Sufficient supplies of PPE available
Permits in use (properly completed, signed off and approved) 10 Mobile Crane stability (secure outriggers and pads), firm foundation 10 PPE in good condition (clean and without visible defects)
Hazardous substance assessments complete - current MSDS available 10 Competency (banksman/slinger/signaller) - safe lifting practiced 10 PPE storage areas / facilities provided and suitable
Contractors HSE inspections completed and recorded 10 Tag lines used (load swing - set down areas prepared and controlled) 10 PPE manufactured to a recognised standard (e.g. BS EN, ANSI)
CONSTRUCTION PLANT ENVIRONMENTAL MANAGEMENT WELFARE ARRANGEMENTS

Plant in good repair (certified conformance) 10 Waste management (segregation, legal compliance) 10 Toilets kept clean and supplied (water, soap, paper, etc.)
Trained personnel (competence checks - cards) 10 Fuel / Chemical storage / refuelling (controlled, spillages prevented) 10 Lighting and temperature levels acceptable
Warning beacons, lights, hazard lights, mirrors, reversing alarms 10 Spill kits available (clean up procedure displayed, training) 10 Food prep areas (clean, storage, pest control/prevention)
Plant checks (planned, recorded - suitable frequency) 10 Pollution control (concrete washout, septic tanks, water, air) 10 Seating and resting facilities clean and maintained
Drip trays provided and used (static plant/compressors/generators) 10 Energy efficiency (water usage - electricity, compressors) 10 Drinking water (clean - filtered - wholesome)
Plant segregation, traffic mgmt (pedestrian access/site security) 10 Environmental tool box talks; campaigns, other initiatives 10 Are suitable first aid arrangements in place (clinic, kits, staff)
WORK AT HEIGHT WORK EQUIPMENT EXCAVATIONS

Scaffolding (designed, access, edge protection, toeboards) 10 Fit for purpose (in good repair without significant defects) 10 Excavations fenced off (solid edge protection) and signage
Mobile towers (guardrails, access, stable, outriggers) 10 Inspected regularly (faults recorded and actioned) 10 Rebar capped off (or bent over) and safe from impalement
Scaffold/Tower Inspections (recorded/ handover/ tagging) 10 Operatives trained (competent - risk assessment) 10 Suitable access and egress into excavations
Ladders (registered, suitable, stable, 75° angle, condition) 10 Guards, interlocks, emergency stops and switches all ok 10 Spoil heaps safely back from excavation edges
Floor/platform openings, manholes, shafts - protected 10 Cable control / protection (trip hazard - electrocution risk) 10 Excavations benched, battered, or shored (as appropriate)
Housekeeping (clear access routes, free from obstruction) 10 Storage, handling, and transportation arrangements in place 10 Risk of falling vehicles controlled (chocks / stop blocks)
ELECTRICAL SAFETY OCCUPATIONAL HEALTH EMERGENCY ARRANGEMENTS

Connections (plugs, sockets, terminals, cable joints) 10 Noise control (maintenance, isolation, barriers, signage, PPE) 10 Fire detection and fire fighting arrangements in place
Distribution boards locked (earthed, circuit breakers, ELCBs) 10 Dust control (water suppression, extraction, ventilation, RPE) 10 Flammable materials (storage, protection, segregation)
Signage (danger voltage - buried cables) PtW / LOTO used 10 Vibration levels (exposure risk assessment) HAVS, WBV 10 Assembly points provided (visible signage, safe locations)
Lighting (task lighting, festoon, floodlights) electrically safe 10 Manual handling (risk assessment, mechanical aids, health) 10 Emergency drills conducted and recorded (min. 6-monthly)
Trained personnel (certified installers), handover certificates 10 Medical surveillance programme (hearing, vision, skin, etc.) 10 Access / egress routes kept clear (especially escape routes)
Extension reels/leads in good condition - protected by RCD/GFCIs 10 Chemical agents (liquids, dusts, fumes, gases, solvents, etc.) 10 Fire marshalls (appointed - trained - identified)
Power tools double-insulated or properly earthed; inspected 10 Skin care (awareness training, health checks, dermatitis, UV) 10 Designated smoking areas provided, managed, enforced.
BARGE/BOAT/SHIP MARINE SAFETY SEGMENT LIFTING AND INSTALLATION
Plant in good repair (certified conformance, bunker hoses) 10 Anchor rope chain 10 Lifting plan available covering all lifting activities (include load chart)
Electrical connections(barge to ship) 10 PPE -lifebuoy, Life jacket, Harnesses. 10 Operators competency cards (training)
Access between barges (clear access routes, free from obstruction) 10 Boat speed limits enforced 10 Lifting equipment /lifting gear /hoists /Elevators (certified / checked)
Effective communications (VHF/UHF transceivers and AIS equipment ) 10 Diver Two-way Radio, Diver lines secured 10 Crane segregation - safe working zone established and demarcated
Fire detection and fire fighting in place (Naked light regulations) 10 Rescue operations in place, adequate flotation devices 10 Mobile Crane stability
scupper plugs are in place 10 Debris control in Water 10 Competency (banksman/slinger/signaller) - safe lifting practiced
Drip trays and spill kits are provided and used 10 Emergency procedures, rescue boat in standby. 10 Tag lines used (load swing - set down areas prepared and controlled)
Radio transmitter aerials are earthed, and radars are switched off. 10 Gangways(No obstructions, illuminated, handrails, secured) 10 Condition of Rail
Skiff with oars or motor 10 Curbs at waterside edges 10 Third party Certification
Barge load capacity verified 10 Fall protection 10 Operators fitness certificate
Housekeeping,Deck openings covered,slippery surface 10 communications and access by emergency services 10 Anti collision mechanism (if applicable)
Ladders, Gangways & platform 10 10 Site Tidiness
Illumination 10 10 Limit switches for long and cross travel for gantry crane
Weather Condition (wind, rain, hot whether, fog, sea mist) 10 10 work platform, handrails & toe boards
Life saving appliances / Personal Floatation Devices (PFD) 10 10 Segment Transportation
Average Score 100% Continual Improvement Sought

Month : Year :
ONAL PROTECTIVE EQUIPMENT

y PPE worn correctly by everyone in the work zone 10
cific PPE worn (risk assessed as appropriate) 10
s / lanyards checked by competent person - check records 10
supplies of PPE available 10
ood condition (clean and without visible defects) 10
age areas / facilities provided and suitable 10
ufactured to a recognised standard (e.g. BS EN, ANSI) 10
ARE ARRANGEMENTS
pt clean and supplied (water, soap, paper, etc.) 10
and temperature levels acceptable 10
p areas (clean, storage, pest control/prevention) 10
nd resting facilities clean and maintained 10
water (clean - filtered - wholesome) 10
ble first aid arrangements in place (clinic, kits, staff) 10
VATIONS
ons fenced off (solid edge protection) and signage 10
pped off (or bent over) and safe from impalement 10
access and egress into excavations 10
ps safely back from excavation edges 10
ons benched, battered, or shored (as appropriate) 10
lling vehicles controlled (chocks / stop blocks) 10
GENCY ARRANGEMENTS
ction and fire fighting arrangements in place 10
le materials (storage, protection, segregation) 10
y points provided (visible signage, safe locations) 10
cy drills conducted and recorded (min. 6-monthly) 10
egress routes kept clear (especially escape routes) 10
halls (appointed - trained - identified) 10
ed smoking areas provided, managed, enforced. 10
ENT LIFTING AND INSTALLATION
n available covering all lifting activities (include load chart) 10
s competency cards (training) 10
uipment /lifting gear /hoists /Elevators (certified / checked) 10
gregation - safe working zone established and demarcated 10
ane stability 10
ncy (banksman/slinger/signaller) - safe lifting practiced 10
used (load swing - set down areas prepared and controlled) 10
of Rail 10
y Certification 10
s fitness certificate 10
ion mechanism (if applicable) 10
ess 10
ches for long and cross travel for gantry crane 10
orm, handrails & toe boards 10
Transportation 10
ACTION PLAN
MTHL-PK2- Locatio
Project ProjectNo. Ulwe ,Navi Mumbai
MTHL/GC/PK2/HSE/2019/001 n
Resident Inspected Positio
Hohsing Lee Rahul Ballal Sr. safety Engineer
Engineer by n
NCR
Inspected Item -(Non-Compliance) Reference Findingsand Action Required Priority
Ref
Safety report/
clause no.3/3.4
Induction training records maintained (all personnel) High NA
Tool box talks delivered, including RA/MS (everyone

present)
High NA
HSE actions closed out following previous reports High NA

ACTION PLAN
MTHL-PK2- Locatio
Engineer by n
NCR
Ref
HSE Comms (signage, notice boards, reports, policy,

awards, etc.)
High NA
Permits in use (properly completed, signed off and

approved)
High NA
Hazardous substance assessments complete - current

MSDS available
High NA
ACTION PLAN
MTHL-PK2- Locatio
Engineer by n
NCR
Ref
Contractors HSE inspections completed and recorded High NA
Plant in good repair (certified conformance)
Trained personnel (competence checks - cards)

ACTION PLAN
MTHL-PK2- Locatio
Engineer by n
NCR
Ref
Warning beacons, lights, hazard lights, mirrors, reversing

alarms
Plant checks (planned, recorded - suitable frequency)
Drip trays provided and used (static

plant/compressors/generators)
ACTION PLAN
MTHL-PK2- Locatio
Engineer by n
NCR
Ref
Plant segregation, traffic mgmt (pedestrian access/site

security)
Scaffolding (designed, access, edge protection, toeboards)
Mobile towers (guardrails, access, stable, outriggers)

ACTION PLAN
MTHL-PK2- Locatio
Engineer by n
NCR
Ref
Scaffold/Tower Inspections (recorded/ handover/ tagging)
Ladders (registered, suitable, stable, 75° angle, condition)
Floor/platform openings, manholes, shafts - protected

ACTION PLAN
MTHL-PK2- Locatio
Engineer by n
NCR
Ref
Housekeeping (clear access routes, free from obstruction)
Connections (plugs, sockets, terminals, cable joints)
Distribution boards locked (earthed, circuit breakers,

ELCBs)
ACTION PLAN
MTHL-PK2- Locatio
Engineer by n
NCR
Ref
Signage (danger voltage - buried cables) PtW / LOTO

used
Lighting (task lighting, festoon, floodlights) electrically safe
Trained personnel (certified installers), handover

certificates
ACTION PLAN
MTHL-PK2- Locatio
Engineer by n
NCR
Ref
Extension reels/leads in good condition - protected by

RCD/GFCIs
Power tools double-insulated or properly earthed;

inspected
Plant in good repair (certified conformance, bunker hoses)

ACTION PLAN
MTHL-PK2- Locatio
Engineer by n
NCR
Ref
Electrical connections(barge to ship)
Access between barges (clear access routes, free from

obstruction)
Effective communications (VHF/UHF transceivers and AIS

equipment )
ACTION PLAN
MTHL-PK2- Locatio
Engineer by n
NCR
Ref
Fire detection and fire fighting in place (Naked light

regulations)
scupper plugs are in place
Drip trays and spill kits are provided and used

ACTION PLAN
MTHL-PK2- Locatio
Engineer by n
NCR
Ref
Radio transmitter aerials are earthed, and radars are

switched off.
Skiff with oars or motor
Barge load capacity verified

ACTION PLAN
MTHL-PK2- Locatio
Engineer by n
NCR
Ref
Housekeeping,Deck openings covered,slippery surface
Ladders, Gangways & platform
Illumination
ACTION PLAN
MTHL-PK2- Locatio
Engineer by n
NCR
Ref
Weather Condition (wind, rain, hot whether, fog, sea mist)
Life saving appliances / Personal Floatation Devices (PFD)
Lifting plan available covering all lifting activities (include

load chart)
ACTION PLAN
MTHL-PK2- Locatio
Engineer by n
NCR
Ref
Operators competency cards (training)
Lifting equipment /lifting gear /hoists /Elevators (certified /

checked)
Crane segregation - safe working zone established and

demarcated
ACTION PLAN
MTHL-PK2- Locatio
Engineer by n
NCR
Ref
Mobile Crane stability (secure outriggers and pads), firm

foundation
Competency (banksman/slinger/signaller) - safe lifting

practiced
Tag lines used (load swing - set down areas prepared and
controlled)
ACTION PLAN
MTHL-PK2- Locatio
Engineer by n
NCR
Ref
Waste management (segregation, legal compliance)
Fuel / Chemical storage / refuelling (controlled, spillages

prevented)
Spill kits available (clean up procedure displayed, training)

ACTION PLAN
MTHL-PK2- Locatio
Engineer by n
NCR
Ref
Pollution control (concrete washout, septic tanks, water,

air)
Energy efficiency (water usage - electricity, compressors)
Environmental tool box talks; campaigns, other initiatives

ACTION PLAN
MTHL-PK2- Locatio
Engineer by n
NCR
Ref
Fit for purpose (in good repair without significant defects)
Inspected regularly (faults recorded and actioned)
Operatives trained (competent - risk assessment)

ACTION PLAN
MTHL-PK2- Locatio
Engineer by n
NCR
Ref
Guards, interlocks, emergency stops and switches all ok
Cable control / protection (trip hazard - electrocution risk)
Storage, handling, and transportation arrangements in

place
ACTION PLAN
MTHL-PK2- Locatio
Engineer by n
NCR
Ref
Noise control (maintenance, isolation, barriers, signage,

PPE)
Dust control (water suppression, extraction, ventilation,

RPE)
Vibration levels (exposure risk assessment) HAVS, WBV

ACTION PLAN
MTHL-PK2- Locatio
Engineer by n
NCR
Ref
Manual handling (risk assessment, mechanical aids,

health)
Medical surveillance programme (hearing, vision, skin,

etc.)
Chemical agents (liquids, dusts, fumes, gases, solvents,

etc.)
ACTION PLAN
MTHL-PK2- Locatio
Engineer by n
NCR
Ref
Skin care (awareness training, health checks, dermatitis,

UV)
Anchor rope chain
PPE -lifebuoy, Life jacket, Harnesses.

ACTION PLAN
MTHL-PK2- Locatio
Engineer by n
NCR
Ref
Boat speed limits enforced
Diver Two-way Radio, Diver lines secured
Rescue operations in place, adequate flotation devices

ACTION PLAN
MTHL-PK2- Locatio
Engineer by n
NCR
Ref
Debris control in Water
Emergency procedures, rescue boat in standby.
Gangways(No obstructions, illuminated, handrails,

secured)
ACTION PLAN
MTHL-PK2- Locatio
Engineer by n
NCR
Ref
Curbs at waterside edges
Fall protection
communications and access by emergency services

ACTION PLAN
MTHL-PK2- Locatio
Engineer by n
NCR
Ref
Mandatory PPE worn correctly by everyone in the work

zone
Task specific PPE worn (risk assessed as appropriate)
Harnesses / lanyards checked by competent person -

check records
ACTION PLAN
MTHL-PK2- Locatio
Engineer by n
NCR
Ref
Sufficient supplies of PPE available
PPE in good condition (clean and without visible defects)
PPE storage areas / facilities provided and suitable

ACTION PLAN
MTHL-PK2- Locatio
Engineer by n
NCR
Ref
PPE manufactured to a recognised standard (e.g. BS EN,

ANSI)
Toilets kept clean and supplied (water, soap, paper, etc.)
Lighting and temperature levels acceptable

ACTION PLAN
MTHL-PK2- Locatio
Engineer by n
NCR
Ref
Food prep areas (clean, storage, pest control/prevention)
Seating and resting facilities clean and maintained
Drinking water (clean - filtered - wholesome)

ACTION PLAN
MTHL-PK2- Locatio
Engineer by n
NCR
Ref
Are suitable first aid arrangements in place (clinic, kits,

staff)
Excavations fenced off (solid edge protection) and signage
Rebar capped off (or bent over) and safe from impalement
ACTION PLAN
MTHL-PK2- Locatio
Engineer by n
NCR
Ref
Suitable access and egress into excavations
Spoil heaps safely back from excavation edges
Excavations benched, battered, or shored (as appropriate)

ACTION PLAN
MTHL-PK2- Locatio
Engineer by n
NCR
Ref
Risk of falling vehicles controlled (chocks / stop blocks)
Fire detection and fire fighting arrangements in place
Flammable materials (storage, protection, segregation)

ACTION PLAN
MTHL-PK2- Locatio
Engineer by n
NCR
Ref
Assembly points provided (visible signage, safe locations)
Emergency drills conducted and recorded (min. 6-monthly)
Access / egress routes kept clear (especially escape

routes)
ACTION PLAN
MTHL-PK2- Locatio
Engineer by n
NCR
Ref
Fire marshalls (appointed - trained - identified)
Designated smoking areas provided, managed, enforced.
Lifting plan available covering all lifting activities (include

load chart)
ACTION PLAN
MTHL-PK2- Locatio
Engineer by n
NCR
Ref

checked)

demarcated
ACTION PLAN
MTHL-PK2- Locatio
Engineer by n
NCR
Ref
Mobile Crane stability

practiced
controlled)
ACTION PLAN
MTHL-PK2- Locatio
Engineer by n
NCR
Ref
Condition of Rail
Third party Certification
Operators fitness certificate

ACTION PLAN
MTHL-PK2- Locatio
Engineer by n
NCR
Ref
Anti collision mechanism (if applicable)
Site Tidiness
Limit switches for long and cross travel for gantry crane
ACTION PLAN
MTHL-PK2- Locatio
Engineer by n
NCR
Ref
work platform, handrails & toe boards
Segment Transportation
SWL (safe work load)

ACTION PLAN
MTHL-PK2- Locatio
Engineer by n
NCR
Ref
Inspector
Date
Signature
Week
Ulwe ,Navi Mumbai
Ending
04/01/202
Sr. safety Engineer
0
Picture Contractor
Week
Ulwe ,Navi Mumbai
Ending
04/01/202
Sr. safety Engineer
0
Picture Contractor
Week
Ulwe ,Navi Mumbai
Ending
04/01/202
Sr. safety Engineer
0
Picture Contractor
Week
Ulwe ,Navi Mumbai
Ending
04/01/202
Sr. safety Engineer
0
Picture Contractor
Week
Ulwe ,Navi Mumbai
Ending
04/01/202
Sr. safety Engineer
0
Picture Contractor
Week
Ulwe ,Navi Mumbai
Ending
04/01/202
Sr. safety Engineer
0
Picture Contractor
Week
Ulwe ,Navi Mumbai
Ending
04/01/202
Sr. safety Engineer
0
Picture Contractor
Week
Ulwe ,Navi Mumbai
Ending
04/01/202
Sr. safety Engineer
0
Picture Contractor
Week
Ulwe ,Navi Mumbai
Ending
04/01/202
Sr. safety Engineer
0
Picture Contractor
Week
Ulwe ,Navi Mumbai
Ending
04/01/202
Sr. safety Engineer
0
Picture Contractor
Week
Ulwe ,Navi Mumbai
Ending
04/01/202
Sr. safety Engineer
0
Picture Contractor
Week
Ulwe ,Navi Mumbai
Ending
04/01/202
Sr. safety Engineer
0
Picture Contractor
Week
Ulwe ,Navi Mumbai
Ending
04/01/202
Sr. safety Engineer
0
Picture Contractor
Week
Ulwe ,Navi Mumbai
Ending
04/01/202
Sr. safety Engineer
0
Picture Contractor
Week
Ulwe ,Navi Mumbai
Ending
04/01/202
Sr. safety Engineer
0
Picture Contractor
Week
Ulwe ,Navi Mumbai
Ending
04/01/202
Sr. safety Engineer
0
Picture Contractor
Week
Ulwe ,Navi Mumbai
Ending
04/01/202
Sr. safety Engineer
0
Picture Contractor
Week
Ulwe ,Navi Mumbai
Ending
04/01/202
Sr. safety Engineer
0
Picture Contractor
Week
Ulwe ,Navi Mumbai
Ending
04/01/202
Sr. safety Engineer
0
Picture Contractor
Week
Ulwe ,Navi Mumbai
Ending
04/01/202
Sr. safety Engineer
0
Picture Contractor
Week
Ulwe ,Navi Mumbai
Ending
04/01/202
Sr. safety Engineer
0
Picture Contractor
Week
Ulwe ,Navi Mumbai
Ending
04/01/202
Sr. safety Engineer
0
Picture Contractor
Week
Ulwe ,Navi Mumbai
Ending
04/01/202
Sr. safety Engineer
0
Picture Contractor
Week
Ulwe ,Navi Mumbai
Ending
04/01/202
Sr. safety Engineer
0
Picture Contractor
Week
Ulwe ,Navi Mumbai
Ending
04/01/202
Sr. safety Engineer
0
Picture Contractor
Week
Ulwe ,Navi Mumbai
Ending
04/01/202
Sr. safety Engineer
0
Picture Contractor
Week
Ulwe ,Navi Mumbai
Ending
04/01/202
Sr. safety Engineer
0
Picture Contractor
Week
Ulwe ,Navi Mumbai
Ending
04/01/202
Sr. safety Engineer
0
Picture Contractor
Week
Ulwe ,Navi Mumbai
Ending
04/01/202
Sr. safety Engineer
0
Picture Contractor
Week
Ulwe ,Navi Mumbai
Ending
04/01/202
Sr. safety Engineer
0
Picture Contractor
Week
Ulwe ,Navi Mumbai
Ending
04/01/202
Sr. safety Engineer
0
Picture Contractor
Week
Ulwe ,Navi Mumbai
Ending
04/01/202
Sr. safety Engineer
0
Picture Contractor
Week
Ulwe ,Navi Mumbai
Ending
04/01/202
Sr. safety Engineer
0
Picture Contractor
Week
Ulwe ,Navi Mumbai
Ending
04/01/202
Sr. safety Engineer
0
Picture Contractor
Week
Ulwe ,Navi Mumbai
Ending
04/01/202
Sr. safety Engineer
0
Picture Contractor
Week
Ulwe ,Navi Mumbai
Ending
04/01/202
Sr. safety Engineer
0
Picture Contractor
Week
Ulwe ,Navi Mumbai
Ending
04/01/202
Sr. safety Engineer
0
Picture Contractor
Week
Ulwe ,Navi Mumbai
Ending
04/01/202
Sr. safety Engineer
0
Picture Contractor
Week
Ulwe ,Navi Mumbai
Ending
04/01/202
Sr. safety Engineer
0
Picture Contractor
Week
Ulwe ,Navi Mumbai
Ending
04/01/202
Sr. safety Engineer
0
Picture Contractor
Week
Ulwe ,Navi Mumbai
Ending
04/01/202
Sr. safety Engineer
0
Picture Contractor
HSE INSPECTION REPORT ACTION PLAN
Week
Project ProjectNo. Location
Ending
Resident Inspected
Position 04/01/2020
Engineer by
Expected
Sr Dat Observation Time Unsafe Act/Unsafe Condition Complianc
Area Observation Photo HSE Observation & Recommendation Risk Compliance Photo
No e Category line
e
1 High
3
Week
Ending
Resident Inspected
Position 04/01/2020
Engineer by
Expected
No e Category line
e
Week
Ending
Resident Inspected
Position 04/01/2020
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e
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Ending
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Expected
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e
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Ending
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e
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e
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e
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e
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e
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e
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e
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Ending
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e
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e
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e
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e
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Engineer by
Expected
No e Category line
e
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Ending
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Position 04/01/2020
Engineer by
Expected
No e Category line
e
Week
Ending
Resident Inspected
Position 04/01/2020
Engineer by
Expected
No e Category line
e
Flammable materials (storage, protection, segregation)
Assembly points provided (visible signage, safe locations)

Week
Ending
Resident Inspected
Position 04/01/2020
Engineer by
Expected
No e Category line
e
Emergency drills conducted and recorded (min. 6-monthly)
Access / egress routes kept clear (especially escape routes)
Fire marshalls (appointed - trained - identified)
Designated smoking areas provided, managed, enforced.
Lifting plan available covering all lifting activities (include load

chart)
Week
Ending
Resident Inspected
Position 04/01/2020
Engineer by
Expected
No e Category line
e

checked)

demarcated
Mobile Crane stability

practiced
Week
Ending
Resident Inspected
Position 04/01/2020
Engineer by
Expected
No e Category line
e
controlled)
Condition of Rail
Third party Certification
Operators fitness certificate
Anti collision mechanism (if applicable)

Week
Ending
Resident Inspected
Position 04/01/2020
Engineer by
Expected
No e Category line
e
Site Tidiness
Limit switches for long and cross travel for gantry crane
work platform, handrails & toe boards
Segment Transportation
SWL (safe work load)

Week
Ending
Resident Inspected
Position 04/01/2020
Engineer by
Expected
No e Category line
e
Inspector
Date
Signature
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Compliance
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Weekly HSE Inspection Form-MTHL

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Weekly HSE Inspection Form-MTHL

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WEEKLY HSE INSPECTION REPORT

Project : Location: Week :

PROJECT HSE DOCUMENTATION LIFTING OPERATIONS PERSONAL PROTECTIVE EQUIPMENT

CONSTRUCTION PLANT ENVIRONMENTAL MANAGEMENT WELFARE ARRANGEMENTS

WORK AT HEIGHT WORK EQUIPMENT EXCAVATIONS

ELECTRICAL SAFETY OCCUPATIONAL HEALTH EMERGENCY ARRANGEMENTS

Barge load capacity verified 10 Fall protection 10 Operators fitness certificate

Ladders, Gangways & platform 10 10 Site Tidiness

Life saving appliances / Personal Floatation Devices (PFD) 10 10 Segment Transportation

Average Score 100% Continual Improvement Sought

ONAL PROTECTIVE EQUIPMENT

Induction training records maintained (all personnel) High NA

Tool box talks delivered, including RA/MS (everyone

HSE actions closed out following previous reports High NA

HSE Comms (signage, notice boards, reports, policy,

Permits in use (properly completed, signed off and

Hazardous substance assessments complete - current

Contractors HSE inspections completed and recorded High NA

Plant in good repair (certified conformance)

Trained personnel (competence checks - cards)

Warning beacons, lights, hazard lights, mirrors, reversing

Plant checks (planned, recorded - suitable frequency)

Drip trays provided and used (static

Plant segregation, traffic mgmt (pedestrian access/site

Scaffolding (designed, access, edge protection, toeboards)

Mobile towers (guardrails, access, stable, outriggers)

Scaffold/Tower Inspections (recorded/ handover/ tagging)

Ladders (registered, suitable, stable, 75° angle, condition)

Floor/platform openings, manholes, shafts - protected

Housekeeping (clear access routes, free from obstruction)

Connections (plugs, sockets, terminals, cable joints)

Distribution boards locked (earthed, circuit breakers,

Signage (danger voltage - buried cables) PtW / LOTO

Lighting (task lighting, festoon, floodlights) electrically safe

Trained personnel (certified installers), handover

Extension reels/leads in good condition - protected by

Power tools double-insulated or properly earthed;

Plant in good repair (certified conformance, bunker hoses)

Electrical connections(barge to ship)

Access between barges (clear access routes, free from

Effective communications (VHF/UHF transceivers and AIS

Fire detection and fire fighting in place (Naked light

scupper plugs are in place

Drip trays and spill kits are provided and used

Radio transmitter aerials are earthed, and radars are

Skiff with oars or motor

Barge load capacity verified

Housekeeping,Deck openings covered,slippery surface

Ladders, Gangways & platform

Weather Condition (wind, rain, hot whether, fog, sea mist)

Life saving appliances / Personal Floatation Devices (PFD)

Lifting plan available covering all lifting activities (include

Operators competency cards (training)

Lifting equipment /lifting gear /hoists /Elevators (certified /

Crane segregation - safe working zone established and

Mobile Crane stability (secure outriggers and pads), firm

Competency (banksman/slinger/signaller) - safe lifting

Waste management (segregation, legal compliance)

Fuel / Chemical storage / refuelling (controlled, spillages

Spill kits available (clean up procedure displayed, training)

Pollution control (concrete washout, septic tanks, water,

Energy efficiency (water usage - electricity, compressors)

Environmental tool box talks; campaigns, other initiatives

Fit for purpose (in good repair without significant defects)