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GOPALPUR PORTS LTD.

Arjeepali, Odisha-Ganjam.
WORKMAN CAMP INSPECTION REPORT

Name of Location :
Name of Block :
Inspected By :
Date & Time :

SL. POINTS OBSERVATION MEASURES

NO.
ACCESS & EGRESS
Are the entry roads / walkways / passages
1.
to camp kept clear?
Are the walkways & roads are even and free
2.
from water logging?
Is the entry inside workmen camp
3.
restricted?
4. Is Illumination level OK in access / egress?
GENERAL
Are dustbin / garbage bins allocated for
1.
each & every colony?
Is the garbage being disposed off on regular
2.
basis?
Are the drinking water facilities adequate in
3.
the Workmen camp?
Is there any emergency communication
4.
system established?

5. Is the Workmen camp constructed with

Non-Fire Hazard Material?

6. Are Fire Extinguishers & Fire Buckets

available and maintained regularly?

7. Are locations of Fire Extinguishers & Fire

Buckets listed out & displayed?
8.
Are First-aid facilities available?
9. Whether disinfection activities carried out on
regular basis?

LIVING AREA
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GOPALPUR PORTS LTD.
Arjeepali, Odisha-Ganjam.
WORKMAN CAMP INSPECTION REPORT

SL. POINTS OBSERVATION MEASURES

NO.
1. Whether Cement Flooring provided?
2. Condition of the Side walls / Roof Sheet
3. Is shelter strong enough to with stand wind
pressure?
4. Whether the electrical connections provided
are safe.
5. Is the ventilation of the rooms adequate?
6. Is the illumination of the rooms adequate?
Are the doors and windows in good
7.
condition?
Is the general hygienic condition of the
8.
rooms adequate?

KITCHEN
1. Are kitchens kept clean and tidy?
2. Is the water supply adequate for cooking?
Is the garbage of kitchen being disposed off
3.
every day?
Are the utensils are being cleaned on
4.
regular basis?
Are gas cylinders & other flammable
5. materials kept in safe area (away from fire)?
Are suitable regulator, Connecting tube &
6. connections with the cylinder O.K
7. Are fire extinguishers kept out side kitchen?
UTILITIES AREA
Is the Wash area - Water tanks constructed
1. as per the Design Drawing?
2. Are adequate toilets available?
Are the toilets are being cleaned on regular
3. basis?

Is there adequate water facility available for

4. toilet and bath?
Are the septic tanks and soak pit working
5. properly?
 .
GOPALPUR PORTS LTD.
Arjeepali, Odisha-Ganjam.
WORKMAN CAMP INSPECTION REPORT

SL. POINTS OBSERVATION MEASURES

NO.
Is area around bathrooms cleaned & kept
6. dry and non-slippery?
7. Is proper drainage provided?
8. Is drinking water available?
9. Is water tank tap not leaking?

10. Is water tank cleaned regularly?

Any Other Information

Details of the Camp:

1. No of workmen residing in the labour camp - ________________________

2. Name of the Visiting Doctor - ________________________

3. Frequency & Timing of Doctors Visit - ________________________

HSEO Workmen Camp In charge

Name: Name :

Signature: Signature :