TEAM SAFETY CONSULTANTS
S C No. 4105
TEAM SARETYCONSULTANIS SITE VISIT/TIME SHEET REPORT
Job Number
Client Name
AUG20-I2)29 Date
Contact Person
96/oo020
CmivatesyanSpot DyDbubalcar
Location Contact No.
LPO
A Rams, Pas al khaimad ot-108-339
Contract No. 9MAn o n ahOu TimeIn:/0 eDanTime Out: /S 30pro
REASON FOR VISIT:
Inspe cdon Ehesl hus heit
tnengene Auolibh flume = 50
Risk Assessment (Carry out before start the inspection)
Level of Risk
S/N HAZARD ldentification Level of Risk CONTROL MEASURES (VeryLow)
Yes No H ML Yes No
1 Environmental Condition Identify sensitive environmentalarea, check weather conditions, chemical (Oil,Grease,Fluidsetc.
2Location Check properaccess, operatoroperating place,suitableareafor Testing
3 Working at Height Edge protection Fallarrest Restrain Fragilesurface PPE
4Working below those working at height Suitable personal protectiveequipments
5 Manual handling(Helper) Correct gloves and safety footwear tobeWorn. Correctfechniques tobeused with aidswhere possible
6 Electricalisolation Fit suitable lock off devices and signs,checkisolation before work. Permitto workrequired for live work
7 Equipment or Machinery Copy of certiicate of equipment should be available
8Working on or nearthe equipment/ Machinery Use signs andbarriersfor warnin9
Only trained/Certified operator to use. V Safety helmet. Check ground conditions.
9Poweraccess/Operator
Use signs and barriers for warning
10 Manual Access/Access ladder Inspect ladder priorto use. Ensureladderistied offor footed. Usecorrectanglei.elin5.
11 Scaffolds Ensure scaffold has "scafftag"and is date. Check guard rails, toe boards. Beware trip hazards form
tools and cables.
Use hearing protection if in designated area or above 80Db
12 Noise
Certifed: Test Weights, Rigger/Operators, Accessories
13 Load Test
Client Signature (for RA) Engineer Signature (for RA)
WORK DESCRIPTION/DETAILS/REMARKS Bon3 79 3 o 6d B o yye
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1have read and confirm this Work and report hás bgeh doneaccording to agreed sSCope of work and to my satistaction
Client/Client Representative Name & Signature
Engineers Name Signature
&
MAkampmd
Note:p o
above
Aa
finding ($) is/areimmediate dapger
tb user Yes: C n No.
The
Use extra sheet if necessary.
details.
certincate/report for complete inspection
the printed
Always refer to base on the site
and work condition.
exhaustive, responsible person may add
Lists are not
TEAM SAFETY cONSULTANTs Hamriyah Free7one RO.Box 52404,Sharjah-UAE,Tel: +9716 5264717 (2Lines), Fax: +971 6 5264718
E-mailtscon2@emirates.net.ae, website: www.teamsafetyconsultant.comm
TSC-F-16 (REV.17) (12/09/2019)
TEAM SAFETY CONSULTANTS
C No. 4104
TEAMSAHETYONSUANS SITE VISIT/TIME SHEET REPORT
Date
Job Number
AUVG 20-22122 Contact Person
Client Name mivate aaspa abalas
Contact No.
Location ALRAmS RAs AL khOlmat 0ST 10 339/
Time In:/0 06 an Time Out:
LPO
Contract No. 224il Langirmata Vo pnd
REASON FOR VIS
Inspecbo de87 bie Emegenag dor d Audi buonu 47
Risk Assessment (Carryout before start theinspection) l of Risk
S/N HAZARD Identification Levelof Risk CONTROL MEASURES Veryo
Yes No
Yes No H ML
1 Environmental Condition
Identify sensitiveenvironmental area,checkweatherconditions,chemical (Oil,Grease,Fluids et
2 Location Check proper access, operator operating place,suitable area for Testing
3 Working at Height Edge protection Fallarrest Restrain Fragile surface PPE
4 Working belowthose working at height Suitable personal protectiveequipments
Manual handling (Helper) Correct gloves and safety footwear tobeworn.Correct techniques to beused with aids wherepossible
Electrical isolation Fit suitablelock off devices andsigns, checkisolation before work. Permittoworkrequired for livework
Equipment or Machinery Copy ofcertificate ofequipmentshould beavailable
|Working on ornearthe equipment/Machinery Use signs and barriers for warning
Poweraccess/Operator Only trained/Certified operatorto use. Wear PPE &Safety helmet. Check ground conditions.
Use signs and barriers for warning
10 Manual Access/Accessladder nspect ladder priorto use. Ensure ladderis tied off or footed. Use correct anglei.el in 5.
11 Scaffolds Ensure scaffold has "scafftag"and is date. Check guard rails, toe boards. Beware trip hazards form
tools and cables.
Use hearing protection if in designated area or above 80Db
12 Noise
13 Load Test Certified: Test Weights, Rigger/Operators, AccessoriesS
Client Signature (for RA) Engineer Signature (for RA
WORK DESCRIPTION/DETAILS/REMARKS (8) Bo3 T8 Po3>232 Bo B3y
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ave read and confirm this work and report has beep-done according to agreed scope of work and to my
Name & Signature
satisfactton.
Engineers
mahamel Dhrz2 Client/ClientRepresentative Name &Sigrature
A LALmaa
Note: oHA MM)E) poLpdanger totser
No atactns at thu hot
is/areimméediate
The above finding (s)
extra sheet if necessary
- Use
ror complete inspection details.
to the printed certancatereport
Always refer
reofon
iets are not exhaustive, responsible person may add base on the site and work condition.
EAM SAFETY CONSULTANTS Hamriyah Free Zone, PO.Box: 52404,
Sharjah- UAE, Tel: +971 6 5264717
(2Lines), Fax: +971 6 52647 t8
E-mail:tscon2@emirates.net.ae, Website: www.teamsafetyconsultant.com
TSCF-16 (REV.17) (12/09/2019)
