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‫م‬.‫م‬.

‫الهـنـدســيـة ش‬ ‫عـــزعــمـــان‬
IZZ OMAN ENGINEERING LLC

DAILY SITE HSE INSPECTION


IZZ-HSEF-14, REV-1

Date : ________________________ Name of the contractor: _______________________

Location : ________________________ Inspected By : _______________________

Name of the HSE person: ________________________ Area Responsible : _______________________

AREA OF OBSERVATION(√ on appropriate box)


Yes No
1 FIRE PROTECTION
2 ELECTRICAL SAFETY
3 PERSONAL PROTECTIVE E QUIPMENT(PPE)
4 WORK AT HEIGHT
5 EXCAVATION
6 LIFTING GEARS / OPERATIONS
7 HAND TOOLS / POWER TOOLS / CABLES
8 WORK PERMIT
9 HOUSE KEEPING / MATERIAL STACKING
10 VEHICLE / DRIVING
11 WELDING / CUTTING
12 FLOOR / WALL OPENINGS
13 CHEMICALS / FLAMMABLE MATERIALS
14 CONCRETING / SHUTTERING / REBAR WORKS
15 CARPENTRY / PAINTING / GRIT BLASTING
16 SCAFFOLDING / LADDER
17 MANUAL HANDLING
18 STEEL ERECTION
19 CONFINED SPACE WORK
20 COMPRESSED GASES
21 ENVIRONMENTAL ISSUES
22 PORTABLE DG SET
23 EARTH MOVINGEQUIPMENTS
24 OTHERS
25
Unsafe Condition / Unsafe Act /

Immediate corrective action taken: Person Responsible for the area

Signature of the Supervisor:

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