DLF India Limited Doc Date 20/07/2021

Health, Safety and Environment Doc Ref HSE-CTN-HPP-FMT-021

Doc Rev 00
Safe To Start Work Format
Pilot HSE Department

Name of the Contractor: Date:

Building Area: Floor Exact Location

Work starting time: Expected work completion time

No of workmen: Supervisor Name:
Induction completed: Sign Mob:

Work Description

Work method statement number: Risk assessment:

Applicable topics ( Tick ) 1 2 3 4 5 6 7 8 9 10 11 12 13 14
8). Marble /stone
1). Manual handling
handling
Weight of load lifted Tied with rope/belt
Range of lifting No work near stone
Excess bend & twist Trained person

Clear path
2). Work at height 9). MEWP
Scaffolding green tag Daily check list
Ladder access Trained operator
Tied up safety belt Worn safety belt
Guard rails provided Barricaded around

3). Electrical conditions 10). Welding/hot works

Extension cords Double earthing
Male/female plug top Lugs for terminals
RCCB & ELCB Double insulated
Junction box/ DBs Cable free of joint
Electrical routing Cable return lead
No joint in cables No flammable items
Fire Extinguisher
Flash back arrestor
4). Machines & tools 11). Crane /lifting
activities
Guard placed SLI in operation &TPI
Visual inspection Daily check list
Safe electrical cord All limit switches
Plug top Barricades around

5). Cylinder Handling 12). Paint and chemical

 DLF India Limited Doc Date 20/07/2021

Health, Safety and Environment Doc Ref HSE-CTN-HPP-FMT-021

Doc Rev 00
Safe To Start Work Format
Pilot HSE Department

Proper storage Available MSDS

Using caps Suitable PPE
Pressure gauge Fire precautions
Using trolleys Health precaution

6). Work environment 13). House keeping

Enough Lighting Free of obstacles

Unhygienic Work area clean
Clean walk way Proper stacking
Slip/trip hazard Materials in place

7). Fire prevention 14). PPE

Debris/waste stored PPE provided
Fire extinguisher Are PPE standard
combustible material Are PPE worn

Hazards and Control measures

Activity Hazards Control measures

Toolbox talk attendees

 DLF India Limited Doc Date 20/07/2021

Health, Safety and Environment Doc Ref HSE-CTN-HPP-FMT-021

Doc Rev 00
Safe To Start Work Format
Pilot HSE Department

Nos Name of Workmen Signature

Verified by

Site Engineer