BUILDER HOIST CHECKLIST

PROJECT : Syngene 1401 CHECKLIST NO:

CLIENT : Syngene International Ltd. DATE & TIME:

PMC : CBRE South Asia Pvt. Ltd. REGISTRATION NO:

CONTRACTOR : MAKE:

LOCATION/AREA :

INSPECTION CONDUCTED:

S. No. Description Yes/No

1. Check for verticality of the hoist mast
2. Is anchorage for the mast and supporting structure adequate? Yes/No
3. Is end mast piece is provided? Yes/No
4. Is over hoist limit switch working? Yes/No
5. Condition of ropes and diversion pulleys Yes/No
6. Is hoist position safe, free from falling material hazard? Yes/No
7. Is Winch platform strong, provided with hand rail & toe-board? Yes/No
8. Is hoist break checked? Yes/No
9. Operator’s visibility to all unloading platforms and vice versa is clear? Yes/No
10. Are warning signals established& used? Yes/No
11. Is hoist protected from unauthorized operations? Yes/No
12. Is earthing provided? Yes/No
13. Are rotating parts of hoist adequately guarded including finger Guard for bucket movement?
Yes/No
14. Is ground level entry to winch area is restricted with wicket gate? Yes/No
15. Is protection against tripping hazards due to railing of ropes provided? Yes/No
16. Are signaling system functioning (Light & Bell)? Yes/No
17. Are daily check procedure followed? Yes/No
18. Checked the operator’s fitness Yes/No
19. Are authorized operators are allowed all the time? Yes/No
20. SWL displays in terms of load, materials etc.? Yes/No
21. Restriction on the size &loading in the bucket? Yes/No

Any other safety issues: ……………………………………………………………………………………………………………………………

OHSE Incharge of Contractor signature/Name/Date: …………………./………………/……………………

Discipline P&M Engineer of Contractor Signature/Name/Date: ……………………../……………………../…………………

CBRE Reviewed and

Accepted □ Rejected □ Observation Incorporated & Closed □

Comments:……………………………………………………………………………………………………………………………………………

PMC- CBRE Discipline Engineer Signature/Name/Date: ………………………/……….………………./……………………

CBRE OHSE Manager Signature/Name/Date: ……………………/…………………………. /…………………

CBRE South Asia Pvt. Ltd Page 1 of 1

Format No. K019-OHS-BH-Ch-021/Rev02/Jan2016