Professional Documents
Culture Documents
Name of Business Partner: M/s WIPL 1 = Untidy area minor issues sets pool example
Location: Ch. 226+500 Date: 03.02.2023 2 = Restricted access, unacceptable trash, disorderly
Area name: Highway activates (CH 212+000 to CH 232+100 ) Area owner: Mr. Bikkina Sivannarayana 3 = Rule or procedure violation, potential injury
Brief description of Job: RE wall construction AIC Name AIC 02 4 = Unsafe condition, serious injury potential
Weather : Clear Priority Matrix : Severity 1 &2 – Low Risk , Severity 3 Medium Risk & Severity 4 and 5 – High Risk Actions
Unsafe conditions
Sub-Location
Working at Height
Material Handling
Machine guarding
Unsafe acts
Good Citizens
Housekeeping
Traffic Safety
Owner's EIC
Violations X
Supervisor
Number of
Violations
Scaffolding
Excavation
Electrical
Partner's
Violators
Business
Preventive Actual Date of
Severity
Severity
Description Corrective action
Others
S No Responsible Person Target Date Status Verified by Observation Pic Compliance Pic
4&5
P&M
PPE
Action/s completion
Training needs to
Workzone found not barricaded and Ch. 226+500 Mr. Bikkina Mr. Shaik Kommalapati Mr. Shaik Kommalapati
1 0 0 1 4 4 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 Proper barricading and signages to be provided be conducted for 05.02.2023 - close
cautionary sign boards not provided Sivannarayana Dastagiri awareness Dastagiri
Training needs to
Proper packing not provided during lifting Ch. 226+500 Mr. Bikkina Mr. Shaik Kommalapati Ensure use of tagline and proper packing during be conducted for Mr. Shaik Kommalapati
2 0 0 1 4 4 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 05.02.2023 - close
and tagline not used during shifting Sivannarayana Dastagiri panel shifting awareness Dastagiri
Training needs to
ASLI found not functioning properly on Ch. 226+500 Mr. Bikkina Mr. Shaik Kommalapati be conducted for Mr. Shaik Kommalapati
3 0 0 1 3 3 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 Ensure proper functioning of ASLI 05.02.2023 - close
pick and carry crane Sivannarayana Dastagiri awareness Dastagiri
Training needs to
4 nos of workmen and 1nos of operator Ch. 226+500 Mr. Bikkina Mr. Shaik Kommalapati be conducted for Mr. Shaik Kommalapati
4 2 5 1 3 3 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 Ensure availability of job specific PPEs 05.02.2023 - close
found without PPEs Sivannarayana Dastagiri awareness Dastagiri
Training needs to
Flagman not deployed at vehicle reversing Mr. Bikkina Mr. Shaik Kommalapati Ensure availability of flagman at vehicle Mr. Shaik Kommalapati
5 Ch. 226+500 0 0 1 4 4 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 be conducted for 05.02.2023 - close
area Sivannarayana Dastagiri reversing area awareness Dastagiri
2 5 5 18 18 3 0 0 0 0 1 0 0 0 1 2 1 0 2 3
% of Good Citizen 29%
Number of Violations 5