PROJECT NAME :SS 8232

ELEMENT 5.16.1 c
SAFETY REPRESENTATIVES’ MONTHLY INSPECTION REPORT

Inspector Inspection Inspection

Tayib Jabbar 02/03/2020 01 March 2020
Name: Date: Number:
Main Civil Electrical
AL-OSAIS ------------------------- ------------------------
Contractor: Subcontractor: Subcontractor:

SECTION I : PREMISES & HOUSEKEEPING

G.I. Photo
Description of Standard Y N NA Comments
No No:
Caravan / site office free from damage and it have
1.1
been in safe condition (door, windows, walls,)
Floors, roadways, walkways have been clean and
1.1
free of dirt or other dangers.
Floor openings have been covered with steel
1.1
checkered plate, with notice "DO NOT REMOVE"
No Flammable carpets used in caravan and building
1.1
project.
Proper access to the caravan /site has been
1.1
maintained.
All areas (office/site) have adequate lighting (natural
1.2
or artificial) as per 5 star standard.
Outside area (fencing, storage, access) and road
1.2 barricades have adequate illumination for night
time.
No presence of sample of “lights out” in the all
1.2
project site.
Adequate ventilation has been provided for all
1.3 office, building, confined space (Tunnel,
basement,)?
All ventilation Equipments (A/C, Local Exhaust
1.3
ventilation (LEV)) was maintained in good condition.
Presence of signage for awareness about
1.3
monitoring of heat stress has been provided at site.
Adequate number of toilets, washing facilities,
1.4 drinking water, lunch room and kitchen provided
and maintained in hygiene state.
No food in unauthorized areas e.g. Lockers, store,
1.4
inside the site, etc.,
The demarcation has been unified as per the 5 star
1.6
color coding.
Are all electrical Distribution panels and mechanical
1.6
equipment, have been demarcated?
Are the fire equipment location uniformly marked;
1.6 fire red square outline, painted, 24"x24" (60cm) in
size?
1.6 No equipment obstructed the emergency exit?

1.7 Are all materials stacked properly, stable and neat?

Are items consistently of the same size, shape and
1.7
mass?
1.7 Are Stored items clearly identified and labeled?

1.7 Are storage areas demarcated?

Is staking height as per standard (3 times base
1.7
width)?
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ELEMENT 5.16.1 c
SAFETY REPRESENTATIVES’ MONTHLY INSPECTION REPORT

Is safe access and egress for storage area have

1.7
been provided?
Are all chemical substance have been stored
1.7
according to SDS and compatibility table?
Are stores equipped with proper ventilation and
1.7
lighting systems?
Is clear indication provided outside or entrance door
1.7
of the chemical store?
Are the store have been equipped with doors and
1.7
gauzed ventilation holes?
Are all cylinders, stored, securely in an upright
1.7
(vertical) position and fixed with clamps and chains?
Are Oxygen and acetylene gas cylinders separately
1.7
stored for minimum 20 feet (6.5 m)?
Are under and top roof building free of junk and
1.8
materials? 01
Are site office have been maintained in good
1.8
housekeeping?
Are scrap and refuse bins have been provided as
1.9
per5 star color coding?
1.9 Is scrap and refuse bins provided with label?
Are sufficient number of scrap and refuse bins have
1.9
been provided at project site?
1.9 Is scrap and refuse bins, properly demarcated?
Are all drinking-water/construction-water/sewage-
1.10
water pipes correctly demarcated as per standard?
Are copy of standard have been posted in 5 star
1.10
notices board.

Section II : Mechanical, Electrical and Personal Safeguarding

G.I. PhotoNo
Description of Standard Y N NA Comments
No :
All hazardous moving machine/electrical parts have
2.1
been completely guarded/fenced/enclosed?
2.2 Is LOTO station available and well arranged?

2.2 Are tags and locks being used correctly?

Are all energized equipment such as panels, DBs,
Power Source and others hazardous equipment
2.2
locked out and procedure displayed where is
applicable?
Are all Switches, isolator’s valves, and outlets
2.3
power source provided with reference label?
Are all Switches, isolators are in good state
2.3
condition?
2.4 Are all portable ladders in good state condition?
Are all portable ladders provided with inspection tag
2.4
and monthly color coding?
Are all damaged portable ladders segregated and
2.4
locked, and provided with red color tag?

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 PROJECT NAME :SS 8232
ELEMENT 5.16.1 c
SAFETY REPRESENTATIVES’ MONTHLY INSPECTION REPORT

Are all erected scaffolding and mobile scaffolding

2.4
inspected and tagged? 03
Are the scaffolding erector and inspector have valid
2.4
training certification?
Are Stairways that have four or more steps, have
2.4
been provided with handrail?
Are all lifting equipment such as cranes, man
2.5 baskets, EOT (electric overhead traveling), forklift in
a good condition?
Are lifting equipment, lifting operator and rigger
2.5 having a valid annual third party training/inspection
certification?
Are all lifting gear and accessories such as
2.5
hook/chains/slings etc? In a good condition?
Is safe work load marked on all lifting equipments
2.5
and lifting gear and accessories?
Are all compressed gas cylinders provided with
2.6
pressure gauges and valves locked?
Is Alphabetical list of all Hazardous substances
2.7 such as (liquid, gasses, or powder)have been
displayed at chemical store ?
Are all vehicle and mobile equipment maintained
2.9
free from damage, neat and tidy?
Are daily inspection checklist for all vehicle and
2.9
mobile equipment have been provided ?
Are all mobile equipment, driver and operator have
2.9 a valid annual third party training/inspection
certification?
All portable electrical equipments (grinder, drilling,
2.10 testing equipments, blower etc.,) cords, plugs,
switches in good condition?
Are faulty items marked/ tagged & removed from
2.10
use?
Are all panels/ distribution boards locked and
2.12
provided with signs (warning/ arc flash)?
2.12 Are all distribution boards numbered?
Are all hand tools stored properly and in a good
2.13
condition?
2.13 Are damaged items marked/ tagged & removed?
Is safety helmet in good condition, valid date, and
2.15
with chin-strap if necessary?
Is eye and face protector provided prior to specific
2.16
task being assigned?
Are appropriate safety shoes have been provided
2.17
and worn by the workers ?
Are all workers used appropriate uniforms
2.18
(protective clothes) and in good condition?
Are workers userespirators equipments such as
2.19
filter mask, half mask depending of nature of task?
Are workers use appropriate hearing protection (Ear
2.20
Plug or Ear Muff) depending to the noise exposure?
Are all Safety full Body harness, numbered and with
2.21
monthly color coding?
2.21 Are Safety full Body harnessstored properly (hang
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 PROJECT NAME :SS 8232
ELEMENT 5.16.1 c
SAFETY REPRESENTATIVES’ MONTHLY INSPECTION REPORT

out), separatedfrom other materials and not

dumped?
Is appropriate gloves used by workers according to
2.22 hazard involved in the activity? Cotton gloves 02
should not be used at site.
Are damaged PPEs marked, listed & removed
2.23
immediately from service?
Are standardized and sufficient numbers of
2.24 signages posted where required,and in a good
condition ?
Are all excavated trenches and deep excavation
2.27 provided with adequate protective system (shoring,
sloping,)?
Are all excavated trenches and deep excavation
provided with adequate protective barriers against
2.27
collapsing (concrete barriers, plastic crush
barriers...)?
Are all excavated trenches and deep excavation
2.27 provided with adequate lighting and adequate
sufficient numbers of signages?
Are all excavated trenches and deep excavation
2.27 provided with adequate means of access and
agrees?

Section III : Fire Protection and Prevention Protection

G.I. PhotoN
Description of Standard Y N NA Comments
No o:
Are Adequate numbers of fire extinguisher have
3.1 been provided. (minimum 6kg extinguisher at every
15 meter) and accessible.
Are Adequate typeof fire extinguisher have been 0
3.1
provided as per the class of fire in the location. 4
Are all fire extinguishers location clearly visible,
3.1
demarcated and unobstructed?
Are all fire extinguishersnumbered and checked by
3.3
monthly basis.
Are all fire extinguishing have been inspected at
3.3
least by annual basis by third party.
Are all storage of fuel/ explosive materials have
been provided with shed, bund wall, adequate
3.4
firefighting equipments, appropriate electrical
connection, signs and standard containers.
Are sufficient number of spill kit (for chemical, oil)
3.4
available at the site.
Is alarm System working properly, and employees
3.5
aware of the system?
Are there control of Exit and Entry for the people,
3.7
vehicle, equipment, etc.?
Are the security guard office equipped with primary
welfare and communication facilities, such as; table,
3.7 chairs, A/C, telephone, flashlights, emergency
contact numbers, first aid kit, andfound in good
state condition.
Are emergency evacuation plan available in all
3.8
area, and understood by employees and visitors?

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 PROJECT NAME :SS 8232
ELEMENT 5.16.1 c
SAFETY REPRESENTATIVES’ MONTHLY INSPECTION REPORT

SECTION IV : ACCIDENT RECORDING AND INVESTIGATION

G.I. Photo
Description of Standard Y N NA Comments
No No:
Are injuries or accident statistics being recorded
4.2 (numerically and graphically), updated every month
and displayed in 5 star notice board?
Are accident recall (lesson learn) being displayed in
4.7
the in 5 star notice board?

SECTION V : SAFETY ORGANIZATION

G.I. PhotoN
Description of Standard Y N NA Comments
No o:
Is Safety Committee established and displayed in 5
5.4
star notice board?
Are Tool Box Talks being displayed by daily basis in
5.5
the in 5 star notice board?
Is sufficient number of first aid box available, with
5.6
complete content and monthly checked?
Are names and contacts of certified First Aiders
5.7
displayed and updated?
Are poster have been displayed wherever required
5.8
and changed periodically (every 2 weeks).
Are 5 star safety statistic boards available and up-
5.9
to-date?
Are 5 star grading board displayed and updated in
5.9
project site entrance?
5.9 Are road safety awareness board available?

5.10 Is safety suggestion box available and active?

Are correct work permits been prepared, issued,
5.21
and received by certified personnel?
Are work permit supported with correct Job Safety
Practices (JSP) and Risk Assesment (RA) for the
5.21
activity being carried out, and provided in the
workplace?
Are SEC HSE Policies displayed, communicated
5.23
and understand by the employees?

GENERAL

OTHER ITEMS NOT MENTIONED ABOVE:

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 PROJECT NAME :SS 8232
ELEMENT 5.16.1 c
SAFETY REPRESENTATIVES’ MONTHLY INSPECTION REPORT

REPORT BY SAFETY REPRESENTATIVE:

Does the above report contain any major threat to the safety of any Employee?

 YES  NO

If yes, complete the following: The matter was reported as soon as practical.

 In Writing  Verbally

To: ………………………………..……………… (Site Manager of the area) Date reported: ................................

Signature of Safety Inspector: ………………………………………………………………..

This Safety Inspection Report must be discussed with the Manager / Supervisor as soon as
possible.
I have reviewed this inspection report and have taken action on correcting the deviations noted.

Signature of Project Group leader (SEC): ……………………………………….. Date: .....................

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 PROJECT NAME : SS 8232
ELEMENT 5.16.1 c
SAFETY REPRESENTATIVES’ WEEKLY INSPECTION REPORT

Number: 01 Contractor: Al Osais

INSPECTION CORRECTION
Date: 02/03/2020 Date: 05/03/2020
REPORT REPORT
Inspected by: Tayib jabbar Corrected by: Al –osais

Photo
Photo before Risk matrix Photo after Action taken
No
Housekeeping has been
done in this area

1 X

Poor housekeeping in GIS Hall

Personal protective
equipment has been
removed

X
2
Poor placement of personal
protective equipment in smoking
shelter

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 PROJECT NAME : SS 8232
ELEMENT 5.16.1 c
SAFETY REPRESENTATIVES’ WEEKLY INSPECTION REPORT

3 Sole plat and jack has been

provided

There is no proper base and

scaffolding jack at scaffolding
plat form

Material has been removed

from concern area
x

Fire extinguisher has been

4 obstructed with material

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