Description of Severity rating:

Safety Risk Field Audit

Name of Business Partner: M/s WIPL 1 = Untidy area minor issues sets pool example

Location: Ch No. 198 (Flyover) Date: 21.10.2022 2 = Restricted access, unacceptable trash, disorderly

Area name: FlyOver Area owner: Mr. Mrutunjay Majumdar 3 = Rule or procedure violation, potential injury

Brief description of Job: Workshop activity AIC Name AIC 03 4 = Unsafe condition, serious injury potential

5 = Immediate serious injury potential, stop activity immediately and correct

Mr. Jinka Penchalaiah, Mr.
Audit Team : Munna Kumar, Mr. Deepak
Yadav

Audit Time : 11.00:to 12:00 Hours

Weather : Clear Priority Matrix : Severity 1 &2 – Low Risk , Severity 3 Medium Risk & Severity 4 and 5 – High Risk Actions

Unsafe conditions
Sub-Location

Unsafe acts
Good Citizens

Housekeeping

Traffic Safety
Owner's EIC

Violations X

Working at

Scaffolding
Excavation
Number of
Supervisor

Violations

Explosion

Electrical

Handling
Partner's
Preventive Actual Date of

Violators

guarding

Material
Machine
Business

Fire and
Severity

Severity
Description Corrective action

Others
Height
S No Responsible Person Target Date Status Verified by Observtion Pic Compliance Pic

4&5

P&M

PPE
Action/s completion

Good Observation :Proper Material Ch 198 Flyover Mr. Jinka -

1 Mr.Mrutunjay Majumdar 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 No action required - - - -
stacking was found Penchalaiah

Observation: Non standard ladder found Standard ladder must be used for height work PTW and checklist
Mr. Jinka to be ensured Mr. Jinka
2 used for height work and the angle of ladder Ch 198 Flyover Mr.Mrutunjay Majumdar 0 5 1 4 4 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 and angle of ladder placement must be before start of Mr.Mrutunjay Majumdar 22.10.2022 - Open
Penchalaiah Penchalaiah
placement was not proper. mainatined at 1:4 ratio. height work.

Observation: No fall protection Proper fall protection and working platform PTW and checklist
Ch 198 Flyover Mr. Jinka to be ensured Mr. Jinka
3 arrangement and improper working Mr.Mrutunjay Majumdar 0 5 1 4 4 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 arrangemnent to be ensured before working at Mr.Mrutunjay Majumdar 22.10.2022 - Open
Penchalaiah before start of Penchalaiah
platform found at height work. height. height work.

Awareness
training to be
Observation: Guard missing on grinding Ch 198 Flyover Mr. Jinka done. Mr. Jinka
4 Mr.Mrutunjay Majumdar 0 1 1 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 Safe guards must be provided. Checklists to be Mr.Mrutunjay Majumdar 22.10.2022 - Open
machine Penchalaiah Penchalaiah
filled up before
use

2 11 3 11 11 2 0 0 1 0 0 0 0 0 0 0 0 0 3 0
% of Good Citizen 15%
Number of Violations
3
Average Severity Index 3.67
Number of Severity 4 & 5 Violations 2
Number of Workers Observed 5
Number of People on Site 7
% of Workers Observed 71.43

Total Number of Violations Closed 0

Number of 4S & 5S Closed 0