GROUP SERVICES HUB PROJECT
PROJECT NUMBER:6000001949
Document Title: Rev:00
OHS QUESTIONNAIRE- CONTRACTOR OHS REQUIREMENTS Ref No:OHSF-11-02
COMPANY : _________________________________________________________________
Pls Note the questionnaire to be filled only by Manager/Engineer incharge for the works
1. Project Specific yes No Specify Details
Organogram submitted
To whom and when
2. Manpower <50 >100
Current
Expected manpower at peak
Itemized according to Location
3. Date 2016 2017
Started on the project
Duration
4. Friday yes No
Having works
Night shifts
5. Company yes No
Safety Personnel on site(If yes)
Full or part time FULL PART
Names, Contact nos.
Company safety management
system
6. Work Specific yes No
Method Statement
Risk assessment submitted and
approved
Attached proof of communication
( Training Register)
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CONTRACTOR OHS REQUIREMENTS
7. Tool Box Talk yes No Specify Details
Conducting Daily/weekly
Where are you getting the topics to
discuss?
8. Daily safe task yes No
Instruction being conducted by your
supervisors on site
proof of communication forwarded to
NBTC OHS Department
9. EMV/Power tools yes No
Plant/Equipment
Prepare a separate list if required
10. Competency Certificates yes No
Readily available and submitted to
OHS Dept E.g. welders, mobile plant
operators, hilti gun and other
operator of power tools, scaffolds
etc.
NAME:
POSITION:
DATE/TIME:
SIGN:
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CONTRACTOR OHS REQUIREMENTS
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