COSTAIN ABUDHABI COMPANY WLL

HSE WEEKLY INSPECTION CHECKLIST

PROJECT: HP FEED GAS

INSPECTION CARRIED BY: DATE:

SIGNATURE: TIME:

Permit to Work System

Location Activities Observed Comments Action By

Scaffolding
Location Activities Observed Comments Action By

Lifting & Other Equipment

Location Activities Observed Comments Action By

CADCO-SAFE-012 1
 Electrical
Location Activities Observed Comments Action By

Excavations
Location Activities Observed Comments Action By

First Aid and Welfare

Location Activities Observed Comments Action By

Fire Prevention
Location Activities Observed Comments Action By

CADCO-SAFE-012 2
 Housekeeping
Location Activities Observed Comments Action By

Emergency Procedures
Location Activities Observed Comments Action By

Training / Workplace talks

Location Activities Observed Comments Action By

Issued to: -

1. Project Manager: Name:_________________________

Date:__________

2. HSE Advisor/Safety Officer: Name:_________________________

Date:__________

3. Project HSE File:

CADCO-SAFE-012 3