Annexure-F

SAFETY CHECK LIST PRIOR TO COMMENCEMENT OF WORK

LOA Ref:
NAME OF THE PROJECT:
NAME OF THE LINE:
NAME OF THE AGENCY:
PROJECT MANAGER OF THE AGENCY:
Available /
S.NO: CHECK LIST REMARKS, IF ANY
Not
available
1 SAFETY PLAN submitted to
POWERGRID(Copy)
Certification to International Standards ( ISO-
2
9001; ISO-14001; OHSAS 18001 ) (copies of
Certificates)
3 Safety Policy of the Company /Agency (Copy)
4 Contract Labour Licence (Copy)
5 Registration under BOCW Act, 1996 (Copy)
6 Workmen Compensation Insurance Policy
(Copy)
Deployment of full time Project Safety Officer
7 (Name / Qualification / Experience /
Designation).
Activity wise Safety Check List to be verified by
8
Site (Copy)
Safe Work Procedures / Instructions in the
9 language understood by the workers for each
activity (Copy)
Manpower deployment plan activity wise,
10 with Organization Structure.
Site Communication facilities (Details)
11
Training Plan for the workers ( Induction / On-
12
site Training )
13 Emergency preparedness plan (copy)
14 T&P deployment plan ( List / Test Certificates )
Discharge Rods /cables (suitable for different
15 voltage class/availability/Site deployment plan)

DOC NO: D-2-12-XX-01-02, Rev-2 Page 226 of 237

 16 Personal Protective Equipment (PPE)
Quantity Plan for
Item Available additional
quantity
Safety Helmets confirming to IS:2925
a
Full Body Double Lanyard Safety Belts
b confirming to IS:3521 / EN 361
c Rope Grab Mobile Fall Arrestor for ascending /
descending the Tower
Retractable Fall Arrestor for vertical
d movement from cross arm to conductor / roller
Horizontal Life Line Fall Arrestor for movement
e within the Tower from one member to another
f Safety shoes suitable for TL construction
g Cotton Safety Gloves for material handling
h Leather Safety Gloves for Steel work
i Electrical Safety Gloves for S/D works
j Gum Boots for concreting work
k Dust Masks for cement handling
l Other PPE, if any
Remarks / Comments, if any

SIGNATURE / NAME / DESIGNATION SIGNATURE / NAME / DESIGNATION

OF POWERGRID REPRESENTATIVE REPRESENTATIVE
Copy To:

(1) Regional In-charge / POWERGRID /

(2) Projects In-charge (Region) / POWERGRID /

(3) Site Incharge / POWERGRID /

(4) Project In-charge / AGENCY /

DOC NO: D-2-12-XX-01-02, Rev-2 Page 227 of 237

 Annexure-G
EXCAVATION & FOUNDATION

DATE OF INSPECTION:
NAME OF THE LINE:
LOCATION NO:
CLASSIFICATION OF SOIL & TYPE OF TOWER

NAME OF THE AGENCY:

SITE ENGINEER / SUPERVISOR OF THE AGENCY:

SAFETY OFFICER OF THE AGENCY:

S.NO: CHECK LIST YES / NO REMARKS, IF ANY

Check List to be v
1 supervisor / Gang leader is available at Site and
updated.
Safe Work Procedures / Instructions in the language
understood by the workers available with Site
2
supervisor / Gang leader and workers are aware of the
safe work procedures.
Pep talk on safety issues to the workers being done by
3 the Safety Stewards / Supervisor / Engineer / Safety
Officer of the Agency.

Appropriate safety messages / warnings are displayed

4
at site to caution the workers
Adequate warning / protection to public / children
5 moving nearby ensured (RED FLAGS / CAUTION TAPE /
ROPE / BOARDS).
Sufficient Angle of Repose / slope provided to prevent
6
collapse of soil at vulnerable locations.

Adequate shoring and shuttering provided in

7
colapsible soil conditions.
(a) Drilling and Blasting, if any, carried out with
8 adequate precautions.
(b) Whether the blaster is a valid license holder?
Dewatering of the pits is being done, wherever
9
required.
Clear edges to prevent fall of objects inside the pit the
10 excavated earth, stones and tools dumped atleast half
of the depth of the pit away from the pit edges.

DOC NO: D-2-12-XX-01-02, Rev-2 Page 228 of 237

 Machines like concrete mixer, vibrator, etc, placed
away atleast half of the depth of the pit from the pit to
11
avoid collapse of the pit due to vibrations produced by
these machines.
The steel plate (chute) used for pouring the concrete
into the pit properly anchored to prevent the same from
12
falling into the pit, endangering the persons inside the
pit.
Jacks used for supporting the template are properly
13 positioned / anchored to avoid sliding down of the
template from the jacks and endangering the workers.

All ladders used are of sound construction,

14
appropriate height and free from any defect.
All the workers are provided with good quality
15 SAFETY HELMETS confirming to BIS Standard
IS:2925.
All the workers engaged in steel work are provided
16
with LEATHER SAFETY GLOVES.

The workers engaged in concreting work inside the pit

17
are provided with GUMBOOTS.

The workers engaged in handling cement are

18
provided with appropriate DUST MASKS.

Appropriate SAFETY BELT / fall protection provided to

19 workers working on form box to pour concrete into the
form box / ramming in form box.
(a) First aid box with listed items as per BOCW Act,
1996 available.
(b) Number of First Aid Trained persons and their
names.
20 (c) First Aid Register is available at site.
(d) Nearby medical facilities for use during exigencies
identified (Location / Phone No.)
Atleast one vehicle (four wheeler) is available for
21
use in case of emergencies.

SIGNATURE / NAME / DESIGNATION SIGNATURE / NAME / DESIGNATION

OF POWERGRID REPRESENTATIVE REPRESENTATIVE
Copy To:
(1) Regional In-charge / POWERGRID /

(2) Projects In-charge (Region) / POWERGRID /

(3) Site Incharge / POWERGRID /

(4) Project In-charge / AGENCY /

DOC NO: D-2-12-XX-01-02, Rev-2 Page 229 of 237

 Annexure-H
TOWER ERECTION
DATE OF INSPECTION:
NAME OF THE LINE:
LOCATION NO:
CLASSIFICATION OF SOIL & TYPE OF TOWER:
NAME OF THE AGENCY:
SITE ENGINEER / SUPERVISOR OF THE AGENCY:
SAFETY OFFICER OF THE AGENCY:
S.NO: CHECK LIST YES / NO REMARKS, IF ANY

1
supervisor / Gang leader is available at Site and
updated.
Safe Work Procedures / Instructions in the language
2
understood by the workers available with Site
supervisor / Gang leader and workers are aware of
the safe work procedures.
Pep talk on safety issues ( importance of safety,
inspection of T&P and PPEs, proper use of PPEs,
3 safe tower erection practices, safe shut down
practices / safe material handling / house keeping ,
etc.) to the workers being done by the Safety
Stewards / Supervisor / Engineer / Safety Officer of
the Agency.
4 Adequate warning / protection to public / children
moving nearby ensured (RED FLAGS / CAUTION
TAPE / ROPE / BOARDS).
5 Appropriate safety messages / warnings are
displayed at site to caution the workers.
Back filling of soil completed before taking up tower
6 erection.

7 All the workers are provided with good quality Brand:

SAFETY HELMETS confirming to BIS Standard
IS:2925.
The workers engaged in Tower Erection work at
8 height are provided with good quality FULL BODY Brand:
DOUBLE LANYARD SAFETY BELTS confirming to
BIS Standard IS: 3521 / EN 361.
Other PPEs provided to the workers:
9 SAFETY SHOES / COTTON HAND GLOVES for
material handling / ELECTRICAL SAFETY GLOVES
for S/D works

DOC NO: D-2-12-XX-01-02, Rev-2 Page 230 of 237

 The workers engaged in Tower Erection work at
height are provided with FALL PROTECTION
10 SYSTEMS like Rope Grab Mobile Fall Arrestor for
ascending / descending the Tower / Retractable Fall
Arrestor ( for vertical movement) / Horizontal Life Line
Rope for moving from one member to another
member (Horizontal movement within the Tower).
The fitters working on the tower have been trained on
11 safety for work at height before deployment for tower
erection works and Training Records maintained.
The workers engaged in Tower Erection work at
12 height are anchoring the LIFE LINE Rope / Lanyard
of the Safety Belts to rigid support.
(a) First aid box with listed items as per BOCW Act,
1996 available.
(b) Number of First Aid Trained persons and their
13 names.
(c) First Aid Register is available at site.
(d) Nearby medical facilities for use during
exigencies identified (Location / Phone No.).
Shutdown of state EB Power Lines, wherever
14
required, are taken, and no short cut methods used
and chances taken.
All tie members / diagonal members and all bolts are
15 fixed as the tower is erected progressively upwards to
avoid uneven transmission of loads.
16 All the nuts and bolts of STUB have been properly
tightened.
17 All step bolts have been properly tightned.

18 Adequate guying arrangement provided at different

levels to ensure proper stability of the tower being
erected progressively.
Atleast one vehicle (four wheeler) is available for use
19 in case of emergencies.
(a) Condition of derricks, pulleys and other load
bearing T & Ps are found to be sound and free
20 from any defect.
(b) Whether all lifting T&P have been tested for safe
working load and valid test certificates available
and checked?
The polypropylene / wire ropes are of adequate
21 strength & free from any damage.
The damaged / discarded ropes and steel wires are
removed and not kept along with the other usable
T&P, to prevent their use.

DOC NO: D-2-12-XX-01-02, Rev-2 Page 231 of 237

 The pulleys are of adequate strength / proper size
22 (diameter).
In open type pulleys, the locking arrangement and
the safety pin are found to be healthy and fool proof.
The derricks are provided with adequate guys and
23 are properly tyed to the tower main leg to prevent
from slipping.
In case erection of tower is done with central derrick /
24 Gin pole, adequate precautions are taken for guying /
anchoring arrangement
25 Adequate no. of fitters / ground helpers are deployed
for the Tower Erection work.
26 Whether the persons working in the ground are
sufficiently away from the tower when erection is in
progress?
27 Whether adequate precautions are taken when
working near Road / Rail / River / adjoining Power
Line?

SIGNATURE / NAME / DESIGNATION SIGNATURE / NAME / DESIGNATION

OF POWERGRID REPRESENTATIVE REPRESENTATIVE
Copy To:
(1) Regional In-charge / POWERGRID /
(2) Projects In-charge (Region) / POWERGRID /
(3) Site Incharge / POWERGRID /
(4) Project Incharge / AGENCY /

DOC NO: D-2-12-XX-01-02, Rev-2 Page 232 of 237

 Annexure-I
STRINGING
DATE OF INSPECTION:
NAME OF THE LINE:
REACH / LOCATION NO:
NAME OF THE AGENCY:
SITE ENGINEER / SUPERVISOR OF THE AGENCY:
SAFETY OFFICER OF THE AGENCY:

S.NO: CHECK LIST YES / NO REMARKS, IF ANY

1 supervisor / Gang leader is available at Site and

updated.
Safe Work Procedures / Instructions in the language
2 understood by the workers available with Site
supervisor / Gang leader and workers are aware of the
safe work procedures.
Pep talk on safety issues (importance of safety,
inspection of T&P and PPEs, proper use of PPEs, safe
3 stringing practices, safe shut down practices, safe
material handling / house-keeping , safety to public /
children, etc.) to the workers being done by the Safety
Stewards / Supervisor / Engineer / Safety Officer of the
Agency.
4 Adequate warning / protection to public / children
moving nearby ensured (RED FLAGS / CAUTION
TAPE / ROPE / BOARDS).
Flag men are posted at all the intermediate Spans /
5 Towers with proper SIGNALING FLAGS AND
COMMUNICATION GADGETS and they are keeping
watch over the movement of general public / children
and warning them when they come close.
6 Number of walkie Talkie available at Site & their
healthiness.
7 All the workers are provided with good quality Brand:
SAFETY HELMETS confirming to BIS Standard,
IS:2925.
The workers engaged in Tower Erection work at height
8 are provided with good quality FULL BODY DOUBLE Brand:
LANYARD SAFETY BELTS confirming to BIS Standard
IS:3521 / EN 361.
Other PPEs provided to the workers:
9 SAFETY SHOES / COTTON HAND GLOVES for
material handling / ELECTRICAL SAFETY GLOVES
for S/D works

DOC NO: D-2-12-XX-01-02, Rev-2 Page 233 of 237

 The workers engaged in work at height are provided
with FALL PROTECTION SYSTEMS like Rope Grab
10 Mobile Fall Arrestor for ascending / descending the
Tower / Retractable Fall Arrestor ( for vertical
movement from cross arm to conductor / roller) /
Horizontal Life Line Rope for moving from one member
to another member (Horizontal movement within
tower).
The fitters working on the tower have been trained on
11 safety for work at height before deployment for tower
erection works and Training Records maintained.
Life Line Rope / Lanyard of the Safety Belts are
12 properly anchored
/ looped while the person is working at height / moving
along the insulator string / conductor.
13 Whether the Towers have been permanently earthed?
(a) First aid box with listed items as per BOCW Act,
1996 available.
(b) Number of First Aid Trained persons and their
14
names.
(c) First Aid Register is available at site.
(d) Nearby medical facilities for use during exigencies
identified (Location / Phone No.).
Before commencing stringing activity, all Tower
15 Members and Bolt & Nuts are fixed and the Bolts
properly tightened. WRITTEN
CLEARANCE to take up stringing obtained.
Before commencing stringing activity, it is ensured that
16 all missing
Tower Members and Bolt & Nuts are replaced.
RECORDS OF CONFIRMATION OF LIQUIDATION
OF DEFECTS MAINTAINED.
17 Proper fixing of split pins and their verification before
hoisting the Insulator String is being ensured.
Adequate number of BACK STAYS, depending on type
18 of conductors (TWIN / QUAD / HEXA), are provided for
all the cross arms of the end Tower, and are properly
fixed to the dead-man
before taking up Tensioning.
19 Shutdown of state EB power lines, wherever required,
are taken with PTW, and no short cut methods used
and chances taken.

Page 234 of 237

DOC NO: D-2-12-XX-01-02, Rev-2
 (a) Adequate capacity local earths suitable for
appropriate voltage power lines are used to prevent
any electric shock while working on or near charged
EB Lines / Power Line crossings. These earths are
properly fixed to ensure proper contact with the
20 conductors. Healthiness of discharge rods / cables
found OK.
(b) Whether a person is stationed near EB Power Line
isolating points, especially in LT Lines, to prevent
inadvertent charging before return of PTW.
(c) Name of the Engineer / Supervisor available /
responsible at Site for ensuring proper fixing of local
earths and their removal during power line shut
downs & normalizing.
21 Atleast one vehicle (four wheeler) is available for use
in case of emergencies.
The polypropylene / wire ropes are of adequate
22 strength & free from any damage. The damaged /
discarded ropes and steel wires
are removed and not kept along with the other usable
T&P, to prevent their use.
(a) Condition of Load bearing links such as D-shackles,
Come- along clamps, steel ropes, pulleys, etc., are
23 found to be sound and free from any defect.
(b) Whether all lifting T&P have been tested for safe
working load and valid test certificates available
and checked?
The Stringing M/C / Tensioner / Puller are properly
24 anchored and also properly earthed to prevent any
electric shock due to induction
/ lightning to the operators.
25 Whether Braking arrangement of TSE Machines /
conductor drum stand / E/W Turn table is proper ?
Proper scaffolding arrangements are made during
27 stringing of
conductor at Road crossings and Railway crossings.
28 Whether FINAL SAG operation is being done by
WINCH M/C.

SIGNATURE / NAME / DESIGNATION SIGNATURE / NAME / DESIGNATION

OF POWERGRID REPRESENTATIVE REPRESENTATIVE
Copy To:
(1) Regional In-charge / POWERGRID /
(2) Projects In-charge (Region) / POWERGRID /
(3) Site Incharge / POWERGRID /
(4) Project In-charge / AGENCY /

DOC NO: D-2-12-XX-01-02, Rev-2 Page 235 of 237