Professional Documents
Culture Documents
LOCATION
INSPECTED BY
POSITION
Complete all applicable checklist items. Indicate your response to each question with a Y= Yes,
N= No, NA= Not Applicable. If an entire section is not applicable, so indicate. When appropriate,
include a more detailed explanation in the notes portion of the survey.
Page 1 of 8
Is the medical emergency telephone number(s) posted?
Are first-aid kits with necessary supplies easily accessible, periodically inspected, and
replenished as needed?
Are emergency washing facilities readily available on site?
Is there adequate clean and cold drinking water and cups on site?
Is the appropriate number of toilets and washing facilities provided?
Are toilets and washing facilities sanitary?
Is eating and resting facility provided and sanitized?
Housekeeping
Are all work areas clean and orderly?
Are walking surfaces dry or slip-resistant/
Are spilled materials or liquids cleaned-up immediately?
Is combustible scrap, debris, and waste safely contained and removed for the site
promptly?
Are covered metal waste cans used for oily and paint-soaked waste?
Are work areas adequately lighted and/or ventilated?
Are site access roads clear and passable?
Are security fences or gates well secured?
Is there proper signage for site access for easy routes or right-of-ways?
Are materials properly stacked or piled?
Notes:
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Fire Prevention
Sandblasting
Page 3 of 8
Is the Operator’s Hood air supplied?
Is the air filter periodically checked?
Is the condition of the air purity periodically checked and recorded?
Do the dead-man switched periodically checked and functions properly?
Are the hoses properly grounded?
Do operators wear proper personal protective equipment (PPE)?
Do helpers wear proper personal protective equipment (PPE)?
Is there an adequate proper warning signs in the job site?
Notes:
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Are proper excavation protection system such as shoring, trench box, or slopping applied?
Is the recommended spoil clearance of 2 ft or 0.6 m from the edge of the excavation
observed and followed?
Are barriers, appropriate warning signs, and/or lightings installed?
Is there access and egress with its ladders extended by 1 meter from the edge of the
excavation?
Are there cross over installed for pedestrians’ safety?
Page 4 of 8
Is gas and oxygen being tested and measured periodically?
Is emergency rescue equipment readily available in the site?
Notes:
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Do authorized and trained personnel only use welding, cutting, and brazing equipment?
Are gauges, hoses, cylinder valves, couplings, and regulators regularly inspected and
maintained in good working conditions?
Do operators wear proper personal protective equipment (PPE)?
Are cables/cords regularly check for damages and should have no splices within 10 ft of
holder?
Is the electrical holder/ground clamp secured and in good condition?
Is there adequate ventilation to prevent accumulation of fumes in the work area?
Notes:
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Compressed Gas
Page 5 of 8
Heavy Equipment
Notes:
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Are the timbers used for this purpose has adequate strength?
Are the concrete forms having firm footings, adequately supported, with side slope bracing,
plumbed, and leveled?
Are the workers wearing and/or using proper Personal Protective Equipment (PPE)?
Notes:
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Air Compressors
Are the air pressure gauges regularly checked to make sure it is working properly?
Are the hoses and connectors regularly checked for any damages?
Is the air compressor regularly checked and maintained to make sure that is working
properly?
Are engine guards installed?
Is the drain regularly checked?
Notes:
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Page 6 of 8
Cranes and Lifting Devices
Transportation
Are the buses, pick-up trucks, and other vehicles regularly checked and maintained to
ensure its overall operating condition?
Is the mandatory use of seatbelts strictly adhered by drivers and passengers?
Are all drivers holder of Saudi Arab government license?
Are the vehicle’s tires, brakes, lights, fire extinguisher etc. regularly checked to ensure it is
in good working condition?
Notes:
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Chemical Storage
Are warning signs and/or labels installed and storage area locked to avoid unauthorized
entry?
Is Scott-Air-Pak respirator mask with oxygen tank available on site?
Notes:
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Page 8 of 8