HSE-CHECKLIST-GT-REV00

Grand Toolbox (Monthly)

Site / Station Name Location

Program Project Manager

Date Permit Holder

No Topic (√) No Topic (√)

1 New LFI / Safety issue – Accident/Near Miss/ 17 Hot Work (Direct) – Welding / Cutting / Grinding /
Regulations etc Oxy Cutter
2 Personal Health – 18 Attendance – Safety Induction / Toolbox / Manhours
Alcohol/Drug/Cigarette/Hygiene/First Aid
3 Personal Protective Equipment – (PPE) 19 Meinhardt Requirement – PTW / WCF / JHA
4 Hazard Identification, Risk Assessment & Risk Control 20 12 Life Saving Rules / Golden Rules / Goal Zero
– (HIRARC)
5 Notification of Accident, Dangerous Occurrence, 21 Scaffolding Safety / Working At Height / Body
Occupational Poisoning & Occupational Disease – Harness / Fall Prevention / Fall Protection
(NADOOPOD)
6 Emergency Preparedness/Fire/Explosion/Physical 22 Weekly Scaffold Inspection / Tagging
Injury – (ERP)
7 Traffic-Related Activities / Traffic Management 23 Machinery Inspection & Servicing – Crane (Daily /
System / Public Monthly)
8 Work-related with Hazardous zone / Fire Hazards / 24 Environmental – Drainage / Silt Trap / Chemical
Spark Storage
9 Work Near Power Lines / Underground Utility / 25 Logistic Management at Site / Dust Exposure / Public
LOTTOTO Road
10 Public Safety / Workplace Access / Green Zone / Red 26 Schedule Waste / Biological Waste / Wastewater
Zone Treatment
11 Safe Operation of Wire Extension / Electrocution / 27 Housekeeping and Material Arrangement
Slip, Trip & Fall
12 Safe Operation of Machinery / Electrical Tools 28 Oil Spillage – Machinery / Generator / Compressor
13 Safe Operation of Vehicle / Transportation / Travel 29 Workers Welfare – Toilet / Drinking Water / First Aid
to Workplace Room
14 Electrical Safety – ELCB / MCB / Cover / 30 Chemical – Storage / Labelling / Spilling /
Termination / Earthing
15 Utility & Services Safety – Fibre 31 Machinery Rotating Parts – Cover /
Optic/KTMB/TNB/JBA/etc
16 Confined Space / AGT / AESP / Ventilation 32 Lifting Work – Critical Lift / Heavy Lift / Tandem Lift

Others Issue Highlighted / Comment / Improvement:

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 HSE-CHECKLIST-GT-REV00

Grand Toolbox (Monthly)

Conducted By Verified By Witnessed By

Name: Name: Name:

Position: Position: Position:

Attendance

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