Project No.

Document No.

Revision No.
DAILY HSE CHECKLIST Date:
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TO: PROJECT MANAGER: Date :

PROJECT: Serial No:

1. SAFETY EQPTS. (PPE) 4. LIFTING GEARS 8. ELECTRICITY

HELMETS HOOKS/ SHACKLES ELCB PROVIDED
SAFETY BOOTS RINGS/EYE BOLTS CONDITION OF CABLE
OVERALLS SLINGS - BELT / CHAIN CABLE NOT ON WALKWAYS
GLOVES CABLE PROTECTED ON WALKWAYS
SAFETY BELT / HARNESS 5 FIRE PRECAUTION CABLE NOT SUBMERGED IN WATER
EYE PROTECTION FIRE EXTINGUSHERS CORRECT PLUGS / SOCKETS
NOSE PROTECTION PERSONNEL TRAINING TRAILING LEADS
EAR PROTECTION WARNING SIGNS OTHERS

2. SCAFFOLDS 6. LIFTING APPLIANCES 9. SITE STATUS

BASE/SOLE PLATES
STANDARDS/LEDGERS
TIES/BRACING
LADDERS / POSITIONS
MOBILE ACCESS TOWERS
STATIC ACCESS TOWERS
WORKING PLATFORMS
GUARD RAILS/TOE BOARDS
MATERIALS TOWERS
FALSE WORKS
CRADLES
TOWER CRANES GENERAL TIDINES
MOBILE CRANES NAILED WOODS
PASSENGER/GOODS HOISTS MATERIALS STACKING
HOIST GATES/MESH STRIPPING OF SHUTTERS
OVER RUN/ARRESTOR GEAR SITE LIGHTING
HOIST LEVEL INDICATOR ACCESS WAY
RACK & PINION HOISTS FLOOR OPENINGS COVERED
TRAINED HOIST OPERATOR EDGE PROTECTIONS
TRAINED FORKLIFT DRIVER GRINDERS USED SAFELY
DUMPERS / BOB CATS EDGE WORKS PRECAUTIONS
SPECIAL APPLIANCES OTHERS

3. EXCAVATIONS 7. MECH PLANT 10. HEALTH & WELFARE

ACCESS / LADDERS
GUARDING
TIMBERING / STRUTING
TEMPORARY WORKS
EXCAVATION SPOILS
SPOILS AWAY FROM EDGE
REMARKS:
PORTABLE TOOLS PROVISION FOR DRINKING WATER
CARTRIDGE HAMMERS SHADED EATING AREA
WOOD WORKS MACHINERY TOILET FACILITIES
OTHER MACHINERY WASHING FACILITIES
TRANSPORT FIRST AID ROOM
EARTHMOVING PLANT TRAINED FIRST AIDER

HSE ENGINEER
C.C: CM