Doc. No.

COVID-19 Audit Checklist (Site)

Rev.
� ‫ﻗﺎﺋﻤﺔ ﺗﺪﻗﻴﻖ‬
(‫ﻓ�وس ﻛﻮروﻧﺎ )اﻟﻤﻮﻗﻊ‬
Issue Date

Project/Location: Date:

Contractor: Auditor:
Note: If the answer to any question is 'NO', an urgent corrective Rating
action is required by responsible party. Remarks
�
‫ﺗﺼﺤ�� ﻋﺎﺟﻞ ﻣﻦ‬ ‫ ﻓ�ﺠﺐ اﺗﺨﺎذ إﺟ ﺮاء‬،"‫ إذا �ﺎن اﻟﺠﻮاب ﻋ� أي ﺳﺆال "ﻻ‬:‫ﻣ ﻼﺣﻈﺔ‬ Yes No P N/A ‫ﻣ ﻼﺣﻈﺎت‬
‫ﻗ�ﻞ اﻟﻄ ﺮف اﻟﻤﺴﺆول‬.
1 Risk Management ‫ﺗﺤﻠ�ﻞ اﻟﻤﺨﺎﻃﺮ‬
1.1 Has the contractor developed a COVID-19 management plan?
Is it approved by Dar?
‫ﻫﻞ ﺗﻢ وﺿﻊ ﺧﻄﺔ ﻣﻮاﺟﻬﺔ ﻛﻮروﻧﺎ واﻋﺘﻤﺎدﻫﺎ ﻣﻦ دار اﻟﻬﻨﺪﺳﻪ‬

1.2 Has a suitable and sufficient risk assessment been completed

and communicated to all concerned personnel?
‫ھل ﺗم اﻻﻧﺗﮭﺎء ﻣن ﺗﻘﯾﯾم اﻟﻣﺧﺎطر اﻟﻣﻧﺎﺳب واﻟﻛﺎﻓﻲ وإﺑﻼغ ﺟﻣﯾﻊ اﻟﻣوظﻔﯾن اﻟﻣﻌﻧﯾﯾن؟‬
1.3 Are control measures being implemented as per the RA?
‫ھل ﯾﺗم ﺗﻧﻔﯾذ ﺗداﺑﯾر اﻟﺗﺣﻛم ﺣﺳب ﺗﺣﻠﯾل اﻟﻣﺧﺎطر اﻟﻣوﺿوع ؟‬

1.4 Has relevant information on the disease including symptoms,

how it is transmitted and protection measures been
communicated effectively to all employees?
‫ وﻛﯾﻔﯾﺔ اﻧﺗﻘﺎﻟﮫ وﺗداﺑﯾر اﻟﺣﻣﺎﯾﺔ‬، ‫ھل اﻟﻣﻌﻠوﻣﺎت ذات اﻟﺻﻠﺔ ﺑﺎﻟﻣرض ﺑﻣﺎ ﻓﻲ ذﻟك اﻷﻋراض‬
‫أﺑﻠﻐت ﺑﺷﻛل ﻓﻌﺎل ﻟﺟﻣﯾﻊ اﻟﻣوظﻔﯾن؟‬
1.5
Does the Plan include a documented procedure for the cleaning
and disinfection process including list of approved disinfectants?
‫ھل ﺗﺗﺿﻣن اﻟﺧطﺔ إﺟراءات ﻣوﺛﻘﺔ ﻟﻌﻣﻠﯾﺔ اﻟﺗﻧظﯾف واﻟﺗطﮭﯾر ﺑﻣﺎ ﻓﻲ ذﻟك ﻗﺎﺋﻣﺔ ﺑﺎﻟﻣطﮭرات‬
‫اﻟﻣﻌﺗﻣدة؟‬
2 �
Hygiene and disinfection process �‫واﻟﺘﻄﻬ‬ ‫ﻋﻤﻠ�ﺔ اﻟﻨﻈﺎﻓﺔ‬
2.1 Are surfaces of common areas such as rest areas, first aid
room, canteen, store, washrooms etc. sanitized at least daily?
‫ھل ﯾﺗم ﺗطﮭﯾر أﺳطﺢ اﻟﻣﻧﺎطﻖ اﻟﻣﺷﺗرﻛﺔ ﻣﺛل ﻣﻧﺎطﻖ اﻻﺳﺗراﺣﺔ وﻏرﻓﺔ اﻹﺳﻌﺎﻓﺎت اﻷوﻟﯾﺔ‬
‫واﻟﻛﺎﻧﺗﯾن واﻟﻣﺧزن واﻟﻣراﺣﯾض وﻣﺎ إﻟﻰ ذﻟك ﯾوﻣﯾًﺎ ﻋﻠﻰ اﻷﻗل؟‬

2.2 Is soap or other sanitizing materials provided in washrooms and

rest areas?
‫ھل ﯾﺗم ﺗوﻓﯾر اﻟﺻﺎﺑون أو ﻣواد اﻟﺗﻌﻘﯾم اﻷﺧرى ﻓﻲ اﻟﺣﻣﺎﻣﺎت واﻟﻣراﺣﯾض؟‬

2.3 Are tissues, masks and rubber gloves available on site?

‫ھل اﻟﻣﻧﺎدﯾل واﻷﻗﻧﻌﺔ واﻟﻘﻔﺎزات اﻟﻣطﺎطﯾﺔ ﻣﺗوﻓرة ﻓﻲ اﻟﻣوﻗﻊ؟‬
2.4 Is an adeqaute stock of supplies maintaind for at least 1 week?
‫ھل ﯾﺗم اﻻﺣﺗﻔﺎظ ﺑﻣﺧزون ﻛﺎف ﻣن اﻹﻣدادات ﻟﻣدة أﺳﺑوع واﺣد ﻋﻠﻰ اﻷﻗل؟‬

2.5 Are labour accommadations being sanitized as per the

Authorities' guidelines?
‫ھل ﯾﺗم ﺗطﮭﯾر أﻣﺎﻛن اﻟﻌﻣل وﻓﻘًﺎ ﻹرﺷﺎدات اﻟﺳﻠطﺎت؟‬
2.6 Are buses/other means of transportation being sanitized before
or after each trip?
‫ وﺳﺎﺋل اﻟﻧﻘل اﻷﺧرى ﻗﺑل أو ﺑﻌد ﻛل رﺣﻠﺔ؟‬/ ‫ھل ﯾﺗم ﺗطﮭﯾر اﻟﺣﺎﻓﻼت‬
3 Meetings ‫اﻻﺟﺘﻤﺎﻋﺎت‬

Page 1 of 3
 Doc. No.
COVID-19 Audit Checklist (Site)
Rev.
� ‫ﻗﺎﺋﻤﺔ ﺗﺪﻗﻴﻖ‬
(‫ﻓ�وس ﻛﻮروﻧﺎ )اﻟﻤﻮﻗﻊ‬
Issue Date
3.1 Are large gathering such as prayers, toolbox talks, training,
meetings, drills etc. banned on site?
‫ھل اﻟﺗﺟﻣﻌﺎت اﻟﻛﺑﯾرة ﻣﺛل اﻟﺻﻠوات وﻣﺣﺎﺿرات اﻟﺗوﻋﯾﺔ واﻟﺗدرﯾب واﻻﺟﺗﻣﺎﻋﺎت وﻣﺎ إﻟﻰ‬
‫ذﻟك ﻣﺣظورة ﻓﻲ اﻟﻣوﻗﻊ؟‬

3.2 Are workplace prayer rooms closed as per the regulatory

directives?
‫ھل ﻏرف اﻟﺻﻼة ﻓﻲ ﻣﻛﺎن اﻟﻌﻣل ﻣﻐﻠﻘﺔ وﻓﻘًﺎ ﻟﻠﺗوﺟﯾﮭﺎت اﻟﺣﻛوﻣﯾﺔ؟‬
3.3 If meetings in offices cannot be avoided, is the number of
participants being kept to the minimum with 1-2 meter distances
being maintained?
‫ ﻓﮭل ﯾﺗم اﻟﺣﻔﺎظ ﻋﻠﻰ ﻋدد اﻟﻣﺷﺎرﻛﯾن‬، ‫إذا ﻟم ﯾﻛن ﺑﺎﻹﻣﻛﺎن ﺗﺟﻧب اﻻﺟﺗﻣﺎﻋﺎت ﻓﻲ اﻟﻣﻛﺎﺗب‬
‫ ﻣﺗر؟‬2-1 ‫ﻋﻧد اﻟﺣد اﻷدﻧﻰ ﻣﻊ اﻟﺣﻔﺎظ ﻋﻠﻰ ﻣﺳﺎﻓﺔ‬

3.4 Are meeting room surfaces sanitized before and after each
meeting?
‫ﯾﺗم ﺗطﮭﯾر أﺳطﺢ ﻏرف اﻻﺟﺗﻣﺎﻋﺎت ﻗﺑل وﺑﻌد ﻛل اﺟﺗﻣﺎع؟‬
4 Vulnerable Employees ‫اﻟﻤﻮﻇﻔﻮن أﺻﺤﺎب اﻻﻣ ﺮاض اﻟﻤ ﺰﻣﻨﻪ‬
4.1 Are vulnerable employees (old age and with pre-
existing/chronic medical conditions) identifed on site.
‫ ﻣزﻣﻧﺔ( ﻣﺣددون ﻓﻲ‬/ ‫ھل اﻟﻣوظﻔون اﻟﺿﻌﻔﺎء )ﻛﺑﺎر اﻟﺳن وﻟدﯾﮭم ﺣﺎﻻت طﺑﯾﺔ ﺳﺎﺑﻘﺔ‬
‫اﻟﻣوﻗﻊ؟‬
4.2 Are vulnerable employees made aware of the risks and the
precautionary measures including self-isolation?
‫ھل ﯾﺗم ﺗﻌرﯾف اﻟﻣوظﻔﯾن اﻟﻣﻌرﺿﯾن ﻟﻠﺧطر ﺑﺎﻟﻣﺧﺎطر واﻟﺗداﺑﯾر اﻻﺣﺗرازﯾﺔ ﺑﻣﺎ ﻓﻲ ذﻟك‬
‫اﻟﻌزﻟﺔ اﻟذاﺗﯾﺔ؟‬
4.3 Are vulnerable employees given the choice to stay away from
work?
‫ھل ﯾﺗم ﻣﻧﺢ اﻟﻣوظﻔﯾن اﻟﺿﻌﻔﺎء ﺧﯾﺎر اﻻﺟﺎزة ﻋن اﻟﻌﻣل؟‬
5 Travelling ‫اﻟﺘﻨﻘﻼت واﻟﺴﻔﺮ‬
5.1 monitored and following advisory notices issued by the ARE
Health Authority?
‫ھل ﯾﺗم ﻓﺣص وﻣراﻗﺑﺔ وﺗﺗﺑﻊ اﻟﻣوظﻔﯾن اﻟذﯾن ﻋﺎدوا ﻣن رﺣﻼﺗﮭم ﻟﻠﺧﺎرج ﻣن ﻗﺑل ھﯾﺋﺔ‬
5.2
Is there a procedure to identify employees whom have recently
returned from places with widespread COVID-19 outbreak?
ً
‫ﻣؤﺧرا ﻣن اﻻﻣﺎﻛن ﺑﮭﺎ اﻧﺗﺷﺎر واﺳﻊ ﻟـ‬ ‫ھل ھﻧﺎك إﺟراء ﻟﺗﺣدﯾد اﻟﻣوظﻔﯾن اﻟذﯾن ﻋﺎدوا‬
COVID-19?
6 Reporting ‫اﻹ� ﻼغ‬
6.1
Are employees aware of COVID-19 symptoms and reporting
requirements
‫ھل اﻟﻣوظﻔون ﻋﻠﻲ دراﯾﺔ ﺑﺎﻋراض ﻓﯾروس ﻛوروﻧﺎ وﻛﯾﻔﯾﺔ اﻹﺑﻼغ ؟‬

6.2 Do employees know how to report if they experience flu-like

symptoms,test positive or have reasons to believe that they
have been in contact with someone whom has tested positive
for COVID-19?
‫ھل ﯾﻌرف اﻟﻣوظﻔون ﻛﯾﻔﯾﺔ اﻹﺑﻼغ ﻋﻣﺎ إذا ﻛﺎﻧوا ﯾﻌﺎﻧون ﻣن أﻋراض ﺗﺷﺑﮫ أﻋراض‬
‫ أو ﯾﻛون اﺧﺗﺑﺎرھم إﯾﺟﺎﺑﯾًﺎ أو ﻟدﯾﮭم أﺳﺑﺎب ﻟﻼﻋﺗﻘﺎد ﺑﺄﻧﮭم ﻛﺎﻧوا ﻋﻠﻰ اﺗﺻﺎل‬، ‫اﻷﻧﻔﻠوﻧزا‬
‫ﺑﺷﺧص ﻛﺎن اﺧﺗﺑﺎره إﯾﺟﺎﺑﯾًﺎ ﻟـ ﻓﯾروس ﻛوروﻧﺎ ؟‬
6.3 Is there any procedure in place to ensure that unwell employees
are isolated from others?
‫ھل ھﻧﺎك أي إﺟراء ﻣﻌﻣول ﺑﮫ ﻟﺿﻣﺎن ﻋزل اﻟﻣوظﻔﯾن ﻏﯾر اﻻﺻﺣﺎء ﻋن اﻵﺧرﯾن؟‬

7 Document control ‫ﺿ�ﻂ اﻟﻮﺛﺎﺋﻖ‬

Page 2 of 3
 Doc. No.
COVID-19 Audit Checklist (Site)
Rev.
� ‫ﻗﺎﺋﻤﺔ ﺗﺪﻗﻴﻖ‬
(‫ﻓ�وس ﻛﻮروﻧﺎ )اﻟﻤﻮﻗﻊ‬
Issue Date
7.1 Is there single point of receiving external submittals and
ensuring it is safe before releasing to the receiver on site.
‫ھل ھﻧﺎك ﻧﻘطﺔ واﺣدة ﻻﺳﺗﻘﺑﺎل اﻟواﻓدﯾن ﻟﻠﻣوﻗﻊ واﻟﺗﺄﻛد ﻣن أﻧﮭﺎ آﻣﻧﺔ ﻗﺑل دﺧوﻟﮭﺎ إﻟﻰ‬
‫اﻟﻣوﻗﻊ ؟‬
7.2
Are receptionists/office staff trained in safe handling of
submittals receiving?
‫ ﻣوظﻔو اﻟﻣﻛﺎﺗب ﻣدرﺑون ﻋﻠﻰ اﻟﺗﻌﺎﻣل اﻵﻣن ﻣﻊ اﻟطﻠﺑﺎت اﻟﻣﻘدﻣﺔ؟‬/ ‫ھل ﻣوظﻔو اﻻﺳﺗﻘﺑﺎل‬
8 Contingency plan ‫ﺧﻄﺔ ﻃﻮا رئ‬
8.1 Is a contingency plan in place should a COVID-19 case is
identified?
‫ھل ھﻧﺎك ﺧطﺔ طوارئ ﻟﺗطﺑﯾﻘﮭﺎ ﻓﻲ ﺣﺎﻟﺔ ﺗﺣدﯾد ﺣﺎﻟﺔ إﯾﺟﺎﺑﯾﺔ ﻟﻔﯾروس ﻛوروﻧﺎ ؟‬
8.2 Is comminucation protocol established to inform employees and
other parties that may be exposed to the risk of infection
‫ھل ﺗم وﺿﻊ وﺳﺎﺋل اﺗﺻﺎل ﻹﺑﻼغ اﻟﻣوظﻔﯾن واﻷطراف اﻷﺧرى اﻟﺗﻲ ﻗد ﺗﺗﻌرض ﻟﺧطر‬
‫اﻟﻌدوى‬
8.3 Are measures in place to prevent others from getting infected
and monitor their health?
‫ھل ﯾوﺟد ﺗداﺑﯾر وﻗﺎﺋﯾﺔ ﻟﻣﻧﻊ اﻟﻌﺎﻣﻠﯾن ﻣن اﻹﺻﺎﺑﺔ وﻣراﻗﺑﺔ ﺻﺣﺗﮭم؟‬

8.4 Is there a Covid-19 crisis management / response committee /

team in workplace?
‫ ﻓرﯾﻖ إدارة اﻷزﻣﺎت ﻟﻣواﺟﮭﺔ اﻟﻌدوي ﻓﻲ اﻟﻣوﻗﻊ ؟‬/ ‫ھل ﺗوﺟد ﻟﺟﻧﺔ‬
8.5 Are emergency contact numbers and hospitals identified?
‫ھل ﺗم ﺗﺣدﯾد ارﻗﺎم ﻟﻼﺗﺻﺎل وﺗﺣدﯾد اﻟﻣﺳﺗﺷﻔﯾﺎت ﻓﻲ ﺣﺎﻟﺔ اﻟطوارئ ؟‬
8.6
Are health, safety, escurity and environment arrangements
taken into considerations in case of a temprary site shutdown?
‫�ﻌ� اﻻﻋﺘ�ﺎر �� ﺣﺎﻟﺔ اﻻﻏﻼق‬
� � ‫ﻫﻞ ﺗﺆﺧﺬ ﺗ ﺮﺗ��ﺎت اﻟﺼﺤﺔ واﻟﺴﻼﻣﺔ واﻷﻣﻦ واﻟﺒ�ﺌﺔ‬
�
‫اﻟﻤﺆﻗﺖ ﻟﻠﻤﻮﻗﻊ؟‬
9 Training ‫اﻟﻤﺤﺎ ��ات واﻟﺘﺪ ر��ﺎت‬
9.1 Has training been provided for the safe use, storage, handling
and disposal of cleaning agents on site?
‫ھل ﺗم ﺗوﻓﯾر اﻟﺗدرﯾب ﻋﻠﻰ اﻻﺳﺗﺧدام واﻟﺗﺧزﯾن واﻟﻣﻧﺎوﻟﺔ واﻟﺗﺧﻠص اﻵﻣن ﻣن ﻣواد‬
‫اﻟﺗﻧظﯾف ﻓﻲ اﻟﻣوﻗﻊ؟‬
9.2 Has training on adequate hand washing been provided to
workers?
‫ھل ﺗم ﺗوﻓﯾر اﻟﺗدرﯾب ﻋﻠﻰ ﻏﺳل اﻟﯾدﯾن اﻟﻛﺎﻓﻲ ﻟﻠﻌﻣﺎل؟‬
9.3 Have employees been advised to exercise good personal
hygien practices especially with regards to social distancing,
personal hygiene, greetings, physical contact, gatherings etc?
‫ھل ﺗم ﻧﺻﺢ اﻟﻣوظﻔﯾن ﺑﻣﻣﺎرﺳﺔ ﻣﻣﺎرﺳﺎت اﻟﻧظﺎﻓﺔ اﻟﺷﺧﺻﯾﺔ اﻟﺟﯾدة ﺧﺎﺻﺔ ﻓﯾﻣﺎ ﯾﺗﻌﻠﻖ‬
‫ﺑﺎﻟﻣﺳﺎﻓﺔ اﻻﺟﺗﻣﺎﻋﯾﺔ واﻟﻧظﺎﻓﺔ اﻟﺷﺧﺻﯾﺔ واﻟﺗﺣﯾﺎت واﻻﺗﺻﺎل اﻟﺟﺳدي واﻟﺗﺟﻣﻌﺎت وﻣﺎ إﻟﻰ‬
‫ذﻟك؟‬

9.4 Are cleaners trained on correct cleaning procedures and safe

use of cleaning agents.
‫ھل ﯾﺗم ﺗدرﯾب ﻋﻣﺎل اﻟﻧظﺎﻓﺔ ﻋﻠﻰ إﺟراءات اﻟﺗﻧظﯾف اﻟﺻﺣﯾﺣﺔ واﻻﺳﺗﺧدام اﻵﻣن ﻟﻌواﻣل‬
‫اﻟﺗﻧظﯾف‬.
Additional observations (if any):(‫ﻣﻼﺣﻈﺎت إﺿﺎﻓ�ﺔ )إن وﺟﺪت‬

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