Form HSE05|HSE Inspection Report - Site

|HSSE Management System

Health, Safety, Social & Environmental Inspection Report - Site

Project Provision of solar system for 90 Facilities in Yemen 6th roll out Tajaddod Contractor Date May 1, 2021
Facility Name NOSAIBAH SCH Governorate Alhudaidah Contractor Tajaddod
Inspection by OSAMAH Mohammed Alaslami Position UNOPS ENG Contractor Site Representative
presence on site during the visit
Raidan ABDURRAHMAN Alsharjabi
(Write the name if present)

Number of Toolbox talks held since last 1 Number of personnel on site 8 Incidents since last inspection 0
inspection

NOTE: It is mandatory to document at least one HSSE inspection per week. Daily HSSE inspections are highly recommended.

1. MARK THE ITEMS THAT HAVE BEEN INSPECTED

2. INCLUDE INSPECTION FINDINGS AND PRIORITY* FOR CLOSING THEM (you can also highlight best practices)

* Priority: (A1) – Immediately (A2) – Within 24 Hrs (B3) – Within 3 Days (C) – Other (state)

Category √ Observation(s) – add rows if necessary Action Taken Closing Time

1. General site layout & welfare (incl. housekeeping) √
C Site accommodation (toilets, canteen, water, dry clothing, cleanness)
o Sanitary conveniences (culturally acceptable, lockable, safe and well-
n lit access, gender sensitive)
s
General appearance of the worksite (clean/untidy, fencing)
i Good general site layout and welfare.
d Materials storage (protected, tidy, stored correctly), slip, trip and fall
e risks (protruding bars, cable management)
r Security, site boundaries (clearly marked/defined, safety signage
: displayed, security arrangements), lighting

Created with HSE05 V 2.3

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 Form HSE05|HSE Inspection Report - Site
|HSSE Management System

2. Emergency arrangements and response √

C Fire (evacuation plan, muster point marked, extinguishers, fire alarm)
o First Aid (first aiders, first aid kit – location availability), spill kits First aid kits and fire extinguishers were on site
n (availability, location)
s
Information display (emergency plan, contacts, site rules, policies)
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|HSSE Management System

3. Work at height √
C Scaffolding (foundation, bracings, access, handrails, toe boards,
o tagging)
n Mobile platforms, ladders (locking, securing, tagging) Roofs were wide enough to allow people to
s pass back and forth safely
Fall protection (edge protection in place, fall arrest systems, openings
i
fenced off or covered)
d
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r
:

4. Equipment/Portable tools/Electrical appliances √

Created with HSE05 V 2.3

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 Form HSE05|HSE Inspection Report - Site
|HSSE Management System
C Lifting equipment and management of lifting operations (cranes, All equipment used were in good condition
o hoists, davits, slings, chains, permit)
n Tools and equipment (condition, regular checking, maintenance,
s storage, guards in place)
i
Transformers & Power Supply (security, connection, labelling,
d
inspections)
e
r
:

5. Excavations √
C Excavation, trench protection (shoring, sheet piles, placement of
o excavated material, fencing, railing)
n Confined space (gas monitor, evacuation procedure – tripod, topman
s etc)
i Excavation was within safe limits
d Dewatering arrangements
e
r
:

6. Personal Protection Equipment (PPE) √

C Use, suitability for the task (i.e. dust masks or hearing protection),
o condition, storage
n Manual Handling
s
PPE used was coverall, gloves, Goggles , shoes ,
i
d
helmet
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:

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|HSSE Management System

7. Underground and overhead services NA

C
o
n
s
i Identification, marking and protection
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8. Hazardous materials NA

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 Form HSE05|HSE Inspection Report - Site
|HSSE Management System
C Clear identification, labelling, storage, no smoking sign, asbestos
o Gas Cutting/welding (welding screens, flashback arresters, condition
n of the gas bottles and hoses, permit)
s
i No hazardous chemicals used .
d
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9. Traffic management NA
C
o
n Planning, Routing, Turning areas, Delivery Management, Unloading
s area, Pedestrian Segregation, Access, Signage and traffic control, plan
i display, banksman
d
e Segregation of pedestrians and workers from vehicles
r
:

10. Mobile plant equipment NA

C
o
Equipment safe and well-functioning (brakes, horn, reverse alarm,
n
s indicators, headlights and mirrors, tyres, hydraulic systems)
i Radio communication procedures
d Maintenance and daily checks
e
Segregation from pedestrians
r
:
NA
11. Risk Assessment and Method Statement (RAMS)

C
o
n Work carried out according to RAMS, communication to workers
s
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d

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|HSSE Management System
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12. Lifting appliances and equipment NA

C
o
n
s
Radio communication system with cranes, outriggers, Safe Working
i
Load (SWL) clearly marked
d
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13. Waste management and segregation NA

C Waste segregation, availability of bins/skips/containers properly
o labelled, secured and protected i.e. from rain, animals
n Frequency of emptying bins, waste disposal/recycling according to
s plan
i
Separate, secure storage of hazardous waste in sealed, non-leaking,
d
bunded area
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r
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14. Fuel/oil/chemical storage NA

C Fuels/chemicals/oils storage in bunded areas, use of drip trays, good
o condition of the drums and bund
n Designated refuelling area on site, located away from watercourse,
s bunded or on hard surface
i
Gas storage in secure/lockable area; labelling and signage
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15. Drainage, dewatering, spillage control NA

Created with HSE05 V 2.3

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 Form HSE05|HSE Inspection Report - Site
|HSSE Management System
C Uncontrolled discharges to watercourses/drainages; storm water
o drainage; control of dewatering or overpumping activities; use of
n settlement tanks and/or oil separators
s Check for leaking equipment; use of drip trays; concrete wash out
i site; designated vehicles wash-down area (connected to drainage and
d oil separator)
e
Sewage system from site/canteen/office discharge
r
:

16. Ecology, archaeology and heritage NA

C Ecological, archaeological or sensitive areas, protection from site
o activities; affected trees or vegetation
n
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17. Dust and mud NA

C Dust control measures, excavated material stock piles covered, dust
o suppression system (sprinklers), traffic control around the site
n controlled (speed limited)
s Mud spreading prevention - wheel wash, dust suppression systems on
i the equipment i.e. on the chain saw
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18. Odour and air emissions NA

C Burnings on site, waste burning prohibited on site
o Odour emissions
n
Emissions from equipment/machinery/vehicles, related maintenance
s
i
d

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|HSSE Management System
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19. Noise and vibration √

C 'Noisy' equipment, maintenance, noise mitigation measures i.e. is the
o equipment fitted with mufflers, screens, noise monitoring
n
s
i No high noise and vibration
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20. Labour relations; Community interface NA

C Complaints from the neighbourhood, liaison with
o community/authorities Indications of child or very young workers
n presence, retaining salaries, other labour rights violations
s
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21. Prevention of gender based violence, sexual exploitation, NA

abuse and harassment
C Posters on prevention of GBV, SH and SEA
o Visible and accessible reporting channels for GBV, SH and SEA
n
Evidence of GBV, SH and SEA training/awareness
s
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 Form HSE05|HSE Inspection Report - Site
|HSSE Management System

Osamah Alaslami Raidan Alsharjabi

Name/Signature of Person carrying out Inspection:
May 1. 2021
Approved by Project Manager 09/05/2021 Date

Created with HSE05 V 2.3

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