DATE:

PROJECT NAME: Installation of new Fire Pump

PROJECT LOCATION: Ecology Specialist Inc. Badoc Terminal (Gabut Norte, Badoc, Ilocos Norte)
INSPECTION CHECKLIST
SAFETY CHECKLIST:
BEFORE DURING AFTER
REMARKS REMARKS REMARKS
ITEMS INSPECTED INSPECTED INSPECTED
NOT BY NOT BY BY
OK OK OK NOT OK
OK OK
PPE'S
TOOLS & EQUIPMENT
GAS TEST
WORKING AREA
HOUSEKEEPING

ACTIVITIES TO BE PERFORM:

BEFORE DURING AFTER

REMARKS REMARKS REMARKS
DESCRIPTION INSPECTED INSPECTED INSPECTED
NOT BY NOT BY BY
OK OK OK NOT OK
OK OK

PREPARED BY: WITNESS BY:

REMAR JOHN ESTEBAN ENGR. BASIL EUGENIO A. RANJO

ESI TERMINAL MAINTENANCE ENGI
Name:
Position:
Project Location:

Regular Overtime
Time
Date Time in Time Number of Remarks
Day out Time in
out Hours

FRIDAY 11-Feb-22
SATURDAY 12-Feb-22
SUNDAY 13-Feb-22
MONDAY 14-Feb-22
TUESDAY 15-Feb-22
WEDNESDAY 16-Feb-22
THURSDAY 17-Feb-22
FRIDAY 18-Feb-22
SATURDAY 19-Feb-22
SUNDAY 20-Feb-22
MONDAY 21-Feb-22
TUESDAY 22-Feb-22
WEDNESDAY 23-Feb-22
THURSDAY 24-Feb-22
FRIDAY 25-Feb-22

EMPLOYEE SIGNATURE : APPROVED BY

Project Supervisor