OCCUPATIONAL HEALTH AND SAFETY 1 (2)

Site Risk Assessment Checklist

Form 1/2

Important Note: This form must be assessed carefully according to job type, any marked questions with "Unsafe", you should go to form 2/2 named
"Residual risk register" to re-assess the uncontrolled identified hazards, where additional control measures must be in place prior starting the job

Assessment Date: 27-12-2021

Site ID: ZRI877
Site Name: ZRI877

Site type: Roof top / Monopole / Palm Tree / Shelter / G.F Tower / Other: …………..
ZRI877
Contractor: Assessor Name: WAQAS ASLAM Title: NFM Engineer Signature: WAQAS ASLAM
Status
Potential Hazards Yes No
NA
Safe Unsafe
Person(s) who carry the job: yes
1- Are all team members are competent, certified and authorized to do the job? yes
2- Are all team members are medically fit to do the job they are assigned to? yes
People 3- Is a competent supervisor available on site? yes
yes
4- Is any high risk activity by minimum of two personnel attending and at least one of them trained
on emergency procedures; (e.g. WAH rescue, emergency shutdown, first aid, firefighting …etc.?)
1- Is the site housekeeping in good condition? yes
2- Is the site secured and has limited access? And are all the warning and safety signage in place yes
(e.g. Electrical, limited access, climbing, radiation …etc.?
3- Are the site & surrounding area free from flammable, combustible liquids, or gases, explosive yes
agents, vapors, fumes, dusts and mists?
4- Are all the means (e.g. doors, road, stairs ..etc.) allow safe access and egress? yes
General Site yes
5- Is there a safe distance from overhead electrical cables?
Conditions yes
6- Is the site free of animals, snake, and other harmful attacks?
7- Is electromagnetic risk controlled? yes
8- Are all electrical conductors and apparatus passed visually inspection "isolated and working yes
properly" (e.g. wires, cables, switches, controls, generator, transformers, lamps, batteries, fuses,
D.B protection, earth means installed ..etc.)?
9- Is there any further unsafe condition observed in site? No
1- Is manual lifting used in accordance with good practices "e.g. planned, appropriate pulley's
system used, drop zones marked, secured and done under supervision …etc."? Yes
2- Are lifting operations planned before being undertaken and using suitable equipment, competent
operator who has a valid license and applying good work practices? Yes
3- Are appropriate controls for WAH applied (e.g. only by trained and physically proven, two
riggers minimum, using fall arrestor or fall restraint system properly ..etc.? Yes

4- Is the rooftop safe (e.g. roof edge protected, no skylight, no fragile roof, no weak points)? NO
Activity
5- Safe load limits are calculated prior to start the work?
6- Is the area under loading clear and allow safe movements? Is drop zone barricaded?
Yes
7- Rigging equipment for material handling is inspected prior to use in each shift?
Yes
Yes
8- Are all Hot Works controls are applied (e.g. planned, trained on use and techniques ones, using
proper PPEs, rescue and emergency plan developed and n place …etc.?
Yes
9- Are electrical work controls applied (e.g. no live electrical activity, proper PPEs, Lockout/
Yes
Tagout, portable hand tools grounded and double insulated, earth means, permanent wiring used
instead of extension cords …etc.?
1- Are appropriate PPEs used and pre-inspected as hazards are indicated? Yes
2- Are fall protection PPEs and tools used in a good safe working condition (e.g. harness, lifelines Yes
PPE & Tools and lanyards)?
3- Foot & head protection in a good safe working condition? Yes
4- Are tools and equipment subject to appropriate system of pre-use/after use checks, visual Yes
examination and are thy maintained in a safe condition, neatly stored, safely carried?
1- Do Vehicle used to transport employees comply with Vodafone requirements (e.g. airbag, ABS, Yes
seatbelts, equipped with emergency kits …etc.)?
2- Is the vehicle driver trained on Safe driving techniques? Yes
Vehicle Safety 3- Is there an inspection checklist inside the vehicle, signed by the site engineer? NO
4- Are the vehicle daily inspection, preventive / corrective maintenance, driver evaluation done and NO
proven?
5- Are there a speed monitoring system and carkit installed? Yes
1- Is there an emergency response plan in place? NO
2- Are people well trained in the emergency plan? Yes
3- Is the first aid kit fully loaded with all the required materials? NO
Emergency
4- Is there a certified fire fighter at the site? NO
Response
5- Is there proper maintained 3kg fire extinguisher with the team? YES
6- Is there a certified working at height rescuer at the site? NO
7- Is there proper maintained recuse kit and prepared to use? NO'

Prepared: EAZIREF Aziz Refaat No: USCR-16:000357 Uen

Approved: USCRBA [Aziz Refaat] Date: 2016-06-12 Rev: A
 OCCUPATIONAL HEALTH AND SAFETY 2 (2)
Site Risk Assessment Checklist

Residual Risk Register

Form 2/2
Severity Likelihood Risk
Death/Major injury or major damage to Unacceptable, Stop the work, immediate
A
property or equipment
1 Likely to occur A1/A2/B1 action to reduce the risk, apply more
Reportable injury (I.e. Over 3 days absence)
B
or damage to property or equipment
2 Possible to occur A3/B2/C1 Urgent attention to reduce risk

Minor injury or minor damage to property Attention is required , Frequent review to

C
or equipment
3 Slight chance of occurring B3/C2/C3 ensure risk is controlled

Risk Evaluation
Additional Control
Identified Hazards (uncontrolled)
Measures Severity Likelihood Priority

Contractor: Assessment Date: 27-12-2021

Site ID: ZRI877

Site Name: ZRI877 RT
Site type: Roof top / Monopole RT
/ Palm Tree / Shelter / G.F Tower / Other: …………..
Assessor Name: Title: Field Engineer Signature: WAQAS ASLAM
WAQAS ASLAM

Prepared: EAZIREF Aziz Refaat No: USCR-16:000357 Uen

Approved: USCRBA [Aziz Refaat] Date: 2016-06-12 Rev: A