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Safety Inspection

Monthly Tools
Fortnightly Checklist
Inspection Inspection

Emergency
Fire Shower Overhead Pump
PPE
Extinguisher + Crane House
Eyewash
1. Fortnightly Checklist
1.1 PPE

PPE inspection p

1.2 Fire Extinguisher

1.3 Emergency Shower + Eyewash

1.4 Overhead Crane

1.5 Pump House

2. Tools Inspection
FINDINGS (attach picture)
Specific location:

Description:

CATEGORY

3. Monthly Inspection
Piping Bund wall/Cementing

Staircase/Platform/Railing Motor pump/ cable rack

*Please mark X which one is applicable


Root Cause:

Man

Machine

Materials

Method

Environment

1. RECOMMENDED PREVENTIVE MEASURE

1) Man

2) Machine

3) Materials

4) Method

5) Environment

PIC DATE DUE:

Prepared by, Approved by,

………………………………………… ……………………..

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