Project/Contract No: OPERA PROJECT Area/Division: Date:

Location Unsafe act/Unsafe condition Action Required By Whom Closeout Date Closed
Date
1 Persons were foundSite Safety All
to be working Inspection
openings on theReportForeman Immediate
on the scaffolding which are platform shall be
having openings in between due protected properly by
to unavailability of platforms closing those using
Risk – Fall of persons leading to sufficient plywood.
injury.
2 No proper outriggers were Scaffolding shall be Supervisor Immediate
provided for the scaffolding and erected as per the &
person found working on the top manufacturer’s Foreman
of the scaffolding instruction where
Risk – Failure of scaffolding necessary outriggers,
leading to injury of persons platform, access,
guardrails etc. must be
provided.

3 Site made wooden tables are used Work at height to be Supervisor Immediate
by the people to work. The tables done using scaffolding
are not strong enough to hold the or ladders instead of
person and could lead to fall of site made tables thus
person. providing a safe work
Risk – Fall of persons leading to method.
injury.
4 Staff found working in the All persons working on Supervisor Immediate
scaffolding without wearing safety the scaffolding shall be
harness. using the safety
Risk – Fall of persons leading to harness. Warning letters
injury to be issued to the
violators.
Large openings and improper Scaffolding platforms Supervisor Immediate
5 housekeeping on the scaffolding should always be
platform where people are properly erected
working. without any opening
Risk – Fall of persons or materials and regular
leading to injury. housekeeping to be
done to avoid any
stacking of materials on
top of the scaffolding.
6 Persons working at site are found All persons shall use Supervisor Immediate
not to be using the chin strap their chin strap
provided on their helmet. provided along with the
Risk – Injury to persons helmet while working in
the site.
7 Persons are found to be spitting No persons shall be Supervisor Immediate
after eating tobacco materials allowed to eat or chew
such as gutkha making the site tobacco and spit in the
dirty. site. Violators will be
fined.
8Page 1 of 1 Persons found using damaged Damaged scaffolds to Supervisor Immediate
FT-OHSE-DEPA-21, Rev. 02 | 31-May-15
scaffolds which may lead to failure be removed from site
of scaffold and fall of persons. Also by scaffolding