Safety Risk Field Audit Description of Severity rating:

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

Location: Ch. No. 223+600 Box Culvert Date: 07.02.2023 2 = Restricted access, unacceptable trash, disorderly

Area name: Structure activities (CH 212+000 to CH 232+100) Area owner: Mr. Shashwato Chakraborty 3 = Rule or procedure violation, potential injury

Brief description of Job: Box Culvert activities AIC Name AIC 04 4 = Unsafe condition, serious injury potential

Mr. Satnam Singh . Mr. Om 5 = Immediate serious injury potential, stop activity immediately and correct
Prakash Tiwari . Mr. Ayush Goyal
Audit Team : . Mr. Sunil Kapoor . Mr.
Maharajan K . Mr. Chandan
Yadav

Audit Time : 10:00 to 11:00 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
Supervisor

Number of
Violations

Explosion

Electrical
Partner's
Preventive Actual Date of

Handling
Violators

guarding
Machine

Material
Business

Fire and
Severity

Severity
Description Corrective action

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

4&5

P&M

PPE
Action/s completion

Training to be
Improper access arrangement provided for Ch. No. 223+600 Box Culvert Mr. Shashwato conducted for
1 Mr. Sunil Kapoor 0 0 1 4 4 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 Proper access arrangements to be provided increasing Mr. Sunil Kapoor 09.02.2023 - close Work is completed
accessing working platform Chakraborty
awareness

Training to be
Mr. Shashwato conducted for
2 Improper stacking of materials found at site Ch. No. 223+600 Box Culvert Mr. Sunil Kapoor 0 0 1 2 2 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 Proper stacking of materials to be followed increasing Mr. Sunil Kapoor 09.02.2023 - close
Chakraborty
awareness

Training to be
06 Nos of workers found without basic Ch. No. 223+600 Box Culvert Mr. Shashwato conducted for
3 Mr. Sunil Kapoor 0 6 1 3 3 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 Ensure availability of job specific PPEs increasing Mr. Sunil Kapoor 09.02.2023 - close Work is completed
PPEs at site Chakraborty
awareness

Training to be
06 Nos of workers found without safety Ch. No. 223+600 Box Culvert Mr. Shashwato Ensure screening and safety induction prior to conducted for
4 Mr. Sunil Kapoor 0 0 1 2 2 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 increasing Mr. Sunil Kapoor 09.02.2023 - close Noted,Will fulfill all the needs from now on
induction Chakraborty deployment
awareness

Training to be
Mr. Shashwato conducted for
5 Workzone found not hard barricaded Ch. No. 223+600 Box Culvert Mr. Sunil Kapoor 0 0 1 4 4 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 Workzone needs to be hard barricaded increasing Mr. Sunil Kapoor 09.02.2023 - close Work is completed
Chakraborty
awareness

0 6 5 15 15 2 0 1 0 0 0 0 0 1 0 1 1 1 3 2
% of Good Citizen 0%
Number of Violations
5
Average Severity Index 3.00
Number of Severity 4 & 5 Violations 2
Number of Workers Observed 6
Number of People on Site 6
% of Workers Observed 100.00

Total Number of Violations Closed 0

Number of 4S & 5S Closed 0