OBAYASHI CORPORATION

Woollerton Park

EXPLOSIVE POWERED TOOLS CHECKLIST

Name of Contractor: _____________________________________________________

Checked by: _____________________________________________________

Date: _____________________________________________________

Frequency of Checking: Week 1 Week 2 Week 3 Week 4

S/N ITEMS RESULT REMARKS

1. Is only authorized, trained and qualified operators Yes/ No/ NA

are allowed to handle such tool?

2. Are operators told not to use any tool that is Yes/ No/ NA
defective or faulty?

3. Are operators told not to report any unsafe or Yes/ No/ NA

defective tools to the superior immediately?

4. Are tools inspected daily before used? Yes/ No/ NA

5. Is repairing and servicing of tools are done by a Yes/ No/ NA

recognized testing body or an authorized person?

6. Is operator wear eye goggle, safety helmet and Yes/ No/ NA

safety shoe when using the tool?

7. Are the explosive cartridges being kept inside non- Yes/ No/ NA
explosive environment?

8. Others: Yes/ No/ NA