Site Safety Supervisor

HSE Log Book

PROJECT TITLE :

CONTRACTOR NAME :

CONSTRUCTION START DATE :

LOG BOOK START DATE: LOG BOOK END DATE: LOG BOOK VOLUME NO:

Notes:

a. This log book shall be retained at the specific project workplace at all time.
b. All observation and recommendation shall be discussed and documented during the Project Site OSH Committee
Meeting.
c. Regulation 25, F&M BOWEC 1986 requires a part time site safety supervisor to spend at least 15 hours/week
exclusively on safety supervision and promoting safe conduct of work generally within the site.
Date : Day : Time Spent at site:
From : To :

OBSERVATION RECOMMENDATION
(record with specific e.g. person name, time, location, equipment no. etc)

Prepared by : Acknowledged by : Verified by :

SITE SAFETY SUPERVISOR CONTRACTOR SITE SUPERVISOR GAS MALAYSIA REPRESENTATIVE

Name: Name: Name:

……………………………………….……. …………………………………………. ..……………………...……...….……..
Signature:
……………………………………….……. Signature: Signature:
DOSH Registration No: ………………………………………… ..………………….…….…..…………..

…………………………………………….. Date: Date:

………………………………………… …………………………...……....……..
Expired Date: ……………………………..

Date: ……………………………………….