Value a

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SITE INSTRUCTION Value

SITE INSTRUCTION TA2839-RHD-SI-004-RO

Client : PT. Unilever Oleochemical Indonesia Date : 12 January 2023

Project : Unioleo Marvel 2 Project no. : TA2839
To : All Contractors From : PT Haskoning Indonesia
Under the Conditions of the Contract we issue the following instruction.

This instruction does not constitute a variation. If you consider that this constiMes a cost variation and/or extension of time according to the Conditions of
ContracL please notify Royal HaskoningDHV in writing and submit according the Conditions ot the Contract, within the given timefmme from the date of
issue of this Instruction, your quotation for approval. Quoations should also describe the SI No. and the subject to which they relate. None of such
variation-related tasks should be implemented until they get approval from Royal HaskoningDHV.

Su bject : Construction SeP-Assessment Checklist

Dear Contractor,

Please find attached Construction Self-Assessment Checklist.

This checklist should be completed once a month by the project management of each contractor.
Compliance to this process is a critical safety indicator for Unilever.
Please submit your completed form to RHDHV by the 25th of each month.

Please go over each statement in the form and if there is a deviation against the standard or
room for improvement indicate this in the form by marking the °YES” box in the “do you propose
action” section.
Also include a short description of what action you will take to ensure compliance.
This can be done in the “remark” section.

Submission of this form can be done via the regular submittal procedures of RHDHV.
If you have any questions, do not hesitate to contact Odri Amir, RHDHV SHE manager for further
explanation.

Kind regards

Prepared by: Approved by Acknowledgement of receipt

Royal HaskoningDHV Contractor

Name: Leon rd Hutahaean Name:

v\rith dale 19 0 der 2022 Nih aate
Original to \ 0 Addressee

Copy to 0 Addressee, to sign and return 0 CM (RHDHV}

O Client 0 Site Representative (RHDHV)
0 PM (RHDHV}

Form: PM-04 Rev: 02

 Construction Self-Assessment: Checklist
The following pages list the main points to consider when you are checking the safety of
your site. If a statement cannot be confirmed, for example that all excavations are
properly shored, then you should state whether you propose action and what priority
you have given to the action. In the “Remarks" section can be entered such comments
as the work to be carried out and who is to do it.

Safety organization and management:

1. The enterprise has a written safety policy, which states Do you propose
action? the safety and health standards to which the employer No Yes Priority
should adhere

Remarks

2. Safety and health records are kept at the site

Do you propose
action? No Yes
Priority

Remarks

3. Training is conducted at all levels including

for managers, supervisors, workers, Do you propose
action? No Yes
subcontractors and contract workers
Priority

Remarks

4. Safety and health duties are specifically

assigned on site. Do you propose
action? No Yes
Priority

Remarks

5. Tool-box briefings and safety checks are Do you propose

used regularly on site. action? No Yes
Priority

Remarks

Site Planning, layout and security

6. There is an active safety committee at the site. Do you propose

action? No Yes
Priority

Remarks
policy is.
7. All workers are aware that the site manager
has established a safety policy and what the
G407-04 Construction Self-Assessment Checklist
 Priority
Do you propose action? No Yes

Remarks

8. Safety aspects are included appropriately in Do you propose

site planning and layout. action? No Yes
Priority

G407-04 Construction Self-Assessment Checklist

 Remarks

9. There is a fence at least 2m high at the Do you propose

boundary of the site. action? No Yes
Priority

Remarks

fi 0. Where this is not practicable, all excavations Do you propose

and openings are covered or fenced off at the action? No Yes
end of the working day. Priority

Remarks

11. Ladders are removed from position or their Do you propose

rungs boarded at the end of the working day. action? No Yes
Priority

Remarks

12. There is a traffic control system on site to

Do you propose
control the movement of vehicles in order to
action? No Yes
avoid danger to pedestrians.
Priority

Remarks

13. Everyone can reach their place of work safely —

Do you propose
that there are safe roadways, walkways,
action? No Yes
gangways, staircases, ladders and scaffolds.
Priority

Remarks

14. There is edge protection at all open sides of

gangways, floors, staircases and landings Do you propose
where there is a drop of 2m or more. action? No Yes
Priority

Remarks

15. Holes and openings are securely barricaded Do you propose

or provided with fixed, clearly marked action? No Yes
covers. Priority

Remarks

16. There are no projecting nails in timber.

Do you propose
action? No Yes
Priority

Remarks

17. There is adequate artificial lighting at places

where persons work after dark and such lighting Do you propose
does not throw deep shadows action? No Yes
Priority
G407-04 Construction Self-Assessment Checklist
 Remarks

18. The site is kept tidy and materials are Do you propose
stored safety action? No Yes
Priority

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 Remarks

19. Proper arrangements have been made for

Do you propose
collecting and disposing of waste and scrap at
action? No Yes
frequent intervals. Priority

Remarks

Excavations

20. An adequate supply of material such as timber,

Do you propose
trench sheets and props with which to shore
action? No Yes
the sides of excavations has been delivered to Priority
the site before the excavation work is to begin.

Remarks

21. There are daily inspections of excavations to Do you propose

determine the possibility of a cave-in and action? No Yes
weekly recorded inspections of the shoring. Priority

Remarks

22. The sides of excavations are Do you propose

sufficiently shored or sloped back to action? No Yes
45 degrees. Priority

Remarks

23. There is a method of work for putting in Do you propose

shoring which protects the shorer and does action? No Yes
not rely on people working within an Priority
unsupported trench.

Remarks

24. A sufficiently long ladder for safely getting in Do you propose

and out of excavations is available and in action? No Yes
use. Priority

Remarks

25. There are barriers to stop persons falling into Do you propose
the excavations. action? No Yes
Priority

Remarks

26. There are no buildings whose stability might

be affected by the excavations. Do you propose
action? No Yes
Priority

Remarks

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27. There is no spoil or equipment close to the
Do you propose
edge of the excavations likely to cause a
action? No Yes
collapse at the sides.
Priority

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 Remarks

28. Arrangements such as properly secured

Do you propose
stop blocks have been made to prevent
action? No Yes
vehicles driving into the excavations.
Priority

Remarks

Scaffolding

29. Scaffolds are erected under the supervision

Do you propose
of someone competent in scaffold erection.
action? No Yes
Priority

Remarks

30. There is proper access to all parts of the Do you propose

scaffold platforms. action? No Yes
Priority

Remarks

31. All the uprights of the scaffold are mounted Do you propose
on proper base plates and timber sole plates action? No Yes
if necessary, or prevented in some other way Priority
from slipping or sinking.

Remarks

32. No parts of the scaffold, including ties, have Do you propose

been removed after it was erected. action? No Yes
Priority

Remarks

33. The scaffold is secured to the building in Do you propose

enough places to prevent scaffold collapse. action? No Yes
Priority

Remarks

34. The uprights of the scaffold are vertical and

securely braced to prevent swaying or displacement. Do you propose
action? No Yes
Priority

Remarks

35. The working platforms are close boarded

with scaffold boards or planks of proper grade Do you propose
timber without obvious defects such as knots. action? No Yes
Priority

Remarks

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 Remarks

36. There are effective barriers and warning notices

to stop people using an incomplete scaffold, Do you propose
action? No Yes
e.g. one that is not fully boarded.
Priority

Remarks

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37. The boards are arranged so as to avoid the Do you propose
risk of tripping. action? No Yes
Priority

Remarks

38. Guard-rails and toe boards are erected to a safe Do you propose
height at the open sides and ends of scaffold action? No Yes
platforms from which there is a drop of 2m or Priority
more.

Remarks

39. Materials are evenly distributed over scaffolds Do you propose

designed to carry materials, and they are not action? No Yes
overloaded. Priority

Remarks

40. Unsecured tower scaffolds have a safe

Do you propose
height-to-base area ratio of not more than 3 to 1. action? No Yes
Priority

Remarks

41. The wheels of mobile tower scaffolds are Do you propose

properly locked and secured. action? No Yes
Priority

Remarks

42. Access ladders for tower scaffolds are

fitted internally and not externally. Do you propose
action? No Yes
Priority

Remarks

43. Workers on suspended scaffolds are using Do you propose

lifelines anchored overhead to the building and action? No Yes
not to the scaffold. Priority

Remarks

44. Scaffolds are inspected by a competent person at Do you propose

least once a week and always after windy and action? No Yes
bad weather. Priority

Remarks

45. The results of scaffold inspections are Do you propose

recorded and signed by the person who action? No Yes
carried out the inspections. Priority

Remarks
Remarks

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Ladders

46. Ladders are not being used for jobs which

require a scaffold. Do you propose
action? No Yes
Priority

Remarks

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47. Metal ladders are not being used near Do you propose
overhead power lines. action? No Yes
Priority

Remarks

48. The ladders that are in use are in good condition. Do you propose
action? No Yes
Priority

Remarks

49. Ladders are secured at or near the top Do you propose

whenever practicable even if only used for a action? No Yes
short time. Priority

Remarks

50. Where ladders cannot be secured at the top for Do you propose
technical reasons, they are secured near the action? No Yes
bottom or footed. Priority

Remarks

51. Ladders rise at least 1m above their landing Do you propose

places or the highest rung used. If this is not action? No Yes
practicable, there are adequate handholds. Priority

Remarks

52. Ladders are inspected regularly for signs Do you propose

of damage or corrosion. action? No Yes
Priority

Remarks

53. All ladders are marked for identification. Do you propose

action? No Yes
Priority

Remarks

Roof work slopes of more than 10

degrees.
54. Except where roof battens provide adequate
handholds and footholds crawling boards or
crawling ladders are used to work on roof

G407-04 Construction Self-Assessment Checklist

 Priority

Do you propose action? No Yes

Remarks

55. Sufficient guard-rails and toe boards or other

forms of edge protection are provided to Do you propose
prevent action? No Yes
Priority

G407-04 Construction Self-Assessment Checklist

 a worker or materials falling more than 2m from
sloping or flat roofs.

Remarks

56. There are crawling boards for work above Do you propose
fragile material such as asbestos cement sheets action? No Yes
or glass. Priority

Remarks

57. Precautions are taken during sheeting operations Do you propose

to stop persons falling from the edge of the action? No Yes
sheets. Priority

Remarks

58. Warning notices are displayed at all approaches Do you propose

to fragile roofs. action? No Yes
Priority

Remarks

59. There are guard-rails or covers at places where it Do you propose

is necessary to pass close to fragile material or to action? No Yes
roof lights. Priority

Remarks

60. Precautions are taken to stop debris falling Do you propose

onto others working under the roof work. action? No Yes
Priority

Remarks

Steel erection

61. Steel erectors work from temporary

Do you propose
access Platforms wherever possible.
action? No Yes
Priority

Remarks

62. Where temporary access platforms are not in use, Do you propose
action? steel erectors shall wear safety harnesses and lifelines No Yes
Priority attached to secure anchorage points.

Remarks

63. There are suitable anchorage points for the

Do you propose
attachment of safety harnesses and
action? No Yes
lifelines.
Priority

G407-04 Construction Self-Assessment Checklist

 Remarks

64. A tightly planked temporary floor is installed Do you propose

at Heights above 10 meters or two stories action? No Yes
when steel erection is in progress. Priority

G407-04 Construction Self-Assessment Checklist

 Remarks

65. A safety net is used where the distance of

Do you propose
fall exceeds two stories. .
action? No Yes
Priority

Remarks

66. Safety lines are used to prevent the Do you propose

dangerous swing of steelwork when it is action? No Yes
being raised or lowered by crane. Priority

Remarks

Work over water

67. A manned safety boat is in position Do you propose

action? No Yes
Priority

Remarks

68. There are a sufficient number of lifebuoys Do you propose

and tines conveniently to hand. action? No Yes
Priority

Remarks

69. The construction characteristics or the Do you propose

building being demolished have been action? No Yes
obtained before demolition begins. Priority

Remarks

70. Demolition operations are being directly Do you propose

supervised by a competent person who has action? No Yes
established a demolition plan. Priority

Remarks

71. A safe working platform has been provided Do you propose

from which demolition workers are operating action? No Yes
and not directly from the building. Priority

Remarks

72. Debris is not allowed to collect on floors to

create a danger of collapse. Do you propose
action? No Yes
Priority

Remarks

Confined spaces
G407-04 Construction Self-Assessment Checklist
73. The internal atmosphere of a confined space
Do you propose
is tested before work begins to ensure an
action? No Yes
adequate
Priority
level of oxygen in the air and freedom from toxic
gases

G407-04 Construction Self-Assessment Checklist

 Remarks

74. Self-contained breathing apparatus is used and a

Do you propose
Safety harness and a lifeline worn by those
action? No Yes
working In a confined space.
Priority

Remarks

75. Any confined space is adequately ventilated

with Fresh air before anyone enters. Do you propose
action? No Yes
Priority

Remarks

76. It is not possible for vehicle exhaust fumes to

collect in a manhole in which work is being Do you propose
carried on. action? No Yes
Priority

Remarks

77. Those working in a confined space are in direct Do you propose

communication with a worker outside the space action? No Yes
who is equipped with reserve apparatus and Priority
trained in its use.

Remarks

78. Underground services are located and made safe. Do you propose
action? No Yes
Priority

Remarks

Pilling

79. There is a firm level base for the crane or

crane mats are provided. Do you propose
action? No Yes
Priority

Remarks

80. Proper personal protective equipment is used

where Necessary. Do you propose
action? No Yes
Priority

Remarks

Transport
81. All site vehicles are in good repair.
Do you propose
action? No Yes

G407-04 Construction Self-Assessment Checklist

 Priority

Remarks

82. Roll-over protection is provided for vehicles Do you propose

that are liable to overturn. action? No Yes
Priority

Remarks

G407-04 Construction Self-Assessment Checklist

83. The steering, hand brake and foot brake of Do you propose
every vehicle in use works properly. action? No Yes
Priority

Remarks

84. Only workers who have received proper training

Do you propose
drive site vehicles and hold recognized driving action? No Yes
licences if they drive those vehicles on public Priority
roads.

Remarks

85. Drivers are trained to secure properly the loads

Do you propose
of all site vehicles. action? No Yes
Priority

Remarks

86. Those working with tipping lorries are trained not

to go beneath the raised body. Do you propose
action? No Yes
Priority

Remarks

87. Only authorised passengers are allowed to ride

Do you propose
on site vehicles and then in safe positions.
action? No Yes
Priority

Remarks

88. Vehicles are equipped with a reversing

Do you propose
signal where appropriate.
action? No Yes
Priority

Remarks

89. When vehicles reverse with a load the driver should

Do you propose
be directed by a second trained flagger or
action? No Yes
banksman.
Priority

Remarks

G407-04 Construction Self-Assessment Checklist

Cranes

90. Every crane (or excavator used as a crane) Do you propose action?
is inspected by the operator prior to use.
No Yes Priority

Remarks

91. Every crane is inspected weekly by a Do you propose action

competent person and a record is kept. No Yes Priority

Remarks

92. Every crane is thoroughly examined at regular Do you propose

intervals of not more than 12 months by a action? No Yes
competent person and a record is kept. Priority

Remarks

93. There is a test certificate for each crane.

Do you propose
action? No Yes
Priority

Remarks

94. Every crane is regularly maintained.

Do you propose
action? No Yes
Priority

Remarks

95. The crane operator is trained and competent for the specific piece of equipment
and is over the age of 18. Do you propose
action? No Yes

Priority
Remarks

96. The rated load capacities for varying radii of the Do you propose
jib operating speeds and instructions are displayed action? No Yes
and are visible to the operator. Priority

Remarks

97. Crane cabins are safe and well designed with Do you propose
safe means of access to them and crane action? No Yes
controls are clearly marked. Priority

Remarks

98. Crane operators and signalers / banksman Do you propose

are trained in the use of hand signals and action? No Yes
illustrations are displayed on site. Priority

G407-04 Construction Self-Assessment Checklist

 Remarks

99. Operators and banksmen find out the weight of a Do you propose action?

G407-04 Construction Self-Assessment Checklist

 load which they do not know before lifting it. No Yes Priority
banksmen have been trained in the attachment of
loads.

Remarks

100. Every crane of more than 1 ton capacity has Do you propose
an an efficient automatic safe load indicator action? No Yes
which is inspected weekly. Priority

Remarks

101. Every crane is operating on a hard and level Do you propose

base and crane outriggers are being used when action? No Yes
required. Priority

Remarks

102. There is a safe means of access to all parts of the Do you propose
action? crane to which it is necessary to go for operation or No Yes
Priority maintenance.

Remarks

Goods or platform hoists

103. Every goods or platform hoist including the

hoisting rope is inspected weekly by a Do you propose
competent person and a record kept. action? No Yes
Priority

Remarks

104. Every hoist is thoroughly examined by a

competent person every six months and a Do you propose
record kept. action? No Yes
Priority

Remarks

105. Every hoist is surrounded by a substantial fence Do you propose

to a height of 2m to prevent workers being stuck action? No Yes
by the hoist platform or falling down the Priority
hoistway.

Remarks

106. There are gates at all landings and points of Do you propose
access to the hoist platform. action? No Yes
Priority

Remarks

107. The gates are kept shut when the platform is not Do you propose
at that landing. action? No Yes
Priority

G407-04 Construction Self-Assessment Checklist

 Remarks

108. There is a load-rating plate on the hoist

platform giving its safe working load. Do you propose
action? No Yes
Priority

G407-04 Construction Self-Assessment Checklist

 Remarks

109. There is a notice prohibiting workers from riding Do you propose

on the platforms of goods hoists. action? No Yes
Priority

Remarks

110. The operator is trained and competent and is Do you propose

aged over 18. action? No Yes
Priority

Remarks

111. There is overhead protection against falling Do you propose

material over the operator's position. action? No Yes
Priority

Remarks

112. Controls are arranged so that the hoist can Do you propose
be operated from one position only action? No Yes
Priority

Remarks

113. The platform has brakes or devices which will Do you propose
hold It and the load in position if the hoisting action? No Yes
rope or mechanism fails. Priority

Remarks

114. There are at least three full turns of rope on Do you propose
the winch winding down when the platform is action? No Yes
in its lowest position. Priority

Remarks

115. A proper signaling system is in use.

Do you propose
action? No Yes
Priority

Remarks

Gin or pulley wheels

116. The supporting beam is securely attached to

Do you propose
two uprights.
action? No Yes
Priority

G407-04 Construction Self-Assessment Checklist

 Remarks

117. The lifting ropes are in good condition Do you propose

action? No Yes
Priority

G407-04 Construction Self-Assessment Checklist

 Remarks

118. The hooks are properly designed and constructed. Do you propose
action? No Yes
Priority

Remarks

Ergonomics

119. Mechanical power is used to replace heavy Do you propose

work When possible. action? No Yes
Priority

Remarks

120. Effective rest periods are included in the Do you propose

workday. action? No Yes
Priority

Remarks

121. Alternative methods are available to reduce Do you propose action

strain in strenuous tasks. No Yes Priority

Remarks

122. Work is done in a sitting position whenever Do you propose

possible action? No Yes
Priority

Remarks

123. Materials, tools and controls are Kept within

Do you propose
easy reach of the worker.
action? No Yes
Priority

Remarks

124. Machines with cabins are checked and

Do you propose
maintained regularly.
action? No Yes
Priority

Remarks

G407-04 Construction Self-Assessment Checklist

Machinery

125. All dangerous parts such as exposed gears. chain Do you propose
action? drives and projecting shafts are adequately guarded. No Yes
Priority

G407-04 Construction Self-Assessment Checklist

 Remarks

126. All guards are secured and in good repair. Do you propose action?
No Yes Priority

Rerriarks

Hand tools

127. Hand tools are regularly inspected for safe condition Do you propose action?
No Yes Priority

Remarks

128. Tool handles are free from splits and cracks.

Do you propose
action? No Yes
Priority

Remarks

129. Tool handles are firmly fixed to the heads of all

tools Do you propose
action? No Yes
Priority

Remarks

130. Hammers, chisels and other impact tools do Do you propose action?
not have mushroomed heads. No Yes Priority

Remarks

131. The edges or teeth of cutting tools are kept

sharp. Do you propose
action? No Yes
Priority

Remarks

Cartridge-operated tools (or bolt guns)

132. The operators of bolt guns are properly trained Do you propose
so that they are able to deal with misfires. action? No Yes
Priority

Remarks

133. The operators are informed and trained on the basis of the

G407-04 Construction Self-Assessment Checklist

 manufacturers' instructions.
Do you propose
action? No Yes
Priority

Remarks

134. Belt guns and cartridges not in use are Do you propose action?
unloaded and kept in a secured place. No Yes Priority

G407-04 Construction Self-Assessment Checklist

 Remarks

135. Bolt guns are regularly cleaned and inspected

each day before use. Do you propose
action? No Yes
Priority

Remarks

136. Safety helmets, safety goggles and safety shoes Do you propose
action? are worn by the operator and others within the vicinity. No Yes
Priority

Remarks

137. Ear protection is used by the operator Do you propose

particularly when working in confined spaces. action? No Yes
Priority

Remarks

Power-driver machinery

138. Circular saw blades are adequately guarded. Do you propose

action? No Yes
Priority

Remarks

139. The fence is locked securely in position

before using a circular saw. Do you propose
action? No Yes
Priority

Remarks

140. Push-sticks are used when hand feeding Do you propose

material into a circular saw or when removing action? No Yes
cut pieces. Priority

Remarks

141. Compressed air tools are used with caution Do you propose
and are never directed at people. action? No Yes
Priority

Remarks

Electrical equipment

G407-04 Construction Self-Assessment Checklist

142. Electrical equipment, including portable electric
Do you propose
tools is supplied from a reduced voltage supply
action? No Yes
or
Priority
special measures are taken to protect equipment
and cables from mechanical damage and wet
conditions.

Remarks

143. Electrical equipment including wires and cables is Do you propose action?

G407-04 Construction Self-Assessment Checklist

 inspected for signs of damage or
interference daily or before use. No Yes Priority

Remarks

144. All connections to the power supply are made Do you propose
by proper connections or plugs. action? No Yes
Priority

Remarks

145. All connections to plugs are properly made so

Do you propose
that the cable grip holds the cable firmly and
action? No Yes
prevents the ground or earth wire from being
Priority
pulled out.

Remarks

146. All electrical equipment is grounded or earthed. Do you propose

action? No Yes
Priority

Remarks

147. Where anything may contact overhead electric

lines (such as crane jibs, tipper lorries or Do you propose
action? No Yes
scaffolding the electricity supply is isolated or
Priority
precautions taken.

Remarks

148. Where the supply to overhead power lines has not

been turned off, ensure that other precautions Do you propose
such as the erection of °goalposts” have been action? No Yes
taken to prevent contact with the lines. Priority

Remarks

149. The location of underground cables has been marked Do you propose
action? and precautions taken to avoid contact with them. No

Yes Priority
Remarks

Welding and cutting

150. Precautions are taken to protect welders, as well Do you propose
as others working near the welding process. action? No Yes
Priority

G407-04 Construction Self-Assessment Checklist

 Remarks

151. Cylinders are stored properly and separately Do you propose

from one another. action? No Yes
Priority

Remarks

G407-04 Construction Self-Assessment Checklist

152. Precautions are taken to prevent an accumulation of Do you propose
action? toxic gases and fumes. No Yes Priority

Remarks

Compressed gas (LPG, acetylene)

153. Cylinders are properly stored. Do you propose

action? No Yes
Priority

Remarks

154. The valves of all cylinders are closed when Do you propose
the cylinder is not use. action? No Yes
Priority

Remarks

155. No LPG cylinders are located inside huts. Do you propose

action? No Yes
Priority

Remarks

156. There are proper waste receptacles for Do you propose

combustible material and all waste is removed action? No Yes
regularly from the site. Priority

Remarks

Hazardous substances

157. All harmful materials such as asbestos and lead Do you propose
have been identified and suitable precautions action? No Yes
taken. Priority

Remarks

158. All containers of hazardous chemicals in use on

Do you propose
site are properly labeled.
action? No Yes
Priority

Remarks

159. Chemical safety data sheets are available for Do you propose
obtaining information about hazardous chemicals action? No Yes
in use. Priority

G407-04 Construction Self-Assessment Checklist

 Remarks

160. Advice given by chemical safety data sheet Do you propose

is followed. action? No Yes
Priority

G407-04 Construction Self-Assessment Checklist

 Remarks

161. Workers are aware of the hazards of the substances Do you propose
action? they are using and have been informed of the No Yes Priority
precautions to be taken by them in particular
when using cement.

Remarks

162. Workers have been trained in the handling and Do you propose
use of hazardous chemicals. action? No Yes
Priority

Remarks

Noise and vibration

163. All pneumatic drills/concrete breakers are

Do you propose
fitted with silencer muffs.
action? No Yes
Priority

Remarks

164. Exhaust systems of other machinery are Do you propose

fitted with silencers. action? No Yes
Priority

Remarks

165. Machinery covers are kept closed while Do you propose

the machinery is in use. action? No Yes
Priority

Remarks

166. Hearing protection is worn when working at Do you propose

or near noisy processes. action? No Yes
Priority

Remarks

167. Hearing protection is properly fitted and

maintained in a clean and sanitary condition. Do you propose
action? No Yes
Priority

Remarks

Lighting; exposure to heat and cold

168. All parts of the work site are properly lit by Do you propose
natural or artificial light whenever work is going action? No Yes
on Priority
G407-04 Construction Self-Assessment Checklist
 Remarks

169. Adequate welfare facilities are provided in hot Do you propose

climates and suitable working time action? No Yes
arrangements are made. Priority

G407-04 Construction Self-Assessment Checklist

 Remarks

170. Workers are adequately protected when Do you propose

cold weather is experienced. action? No Yes
Priority

Remarks

Personal protective equipment

171. Personal protective clothing and equipment is Do you propose

provided to protect the head, eyes, hands and action? No Yes
feet. Priority

Remarks

172. Respiratory protective equipment is required

Do you propose
is available and workers are trained in its
action? No Yes
use.
Priority

Remarks

173. The workers wear and use the protective

clothing and equipment. Do you propose
action? No Yes
Priority

Remarks

Welfare facilities

174. There are sufficient and suitable

lavatories, water closets including Do you propose
urinals. action? No Yes
Priority

Remarks

175. There are sufficient and suitable washing

Do you propose
facilities including soap and means of drying.
action? No Yes
Priority

Remarks

176. There are separate lavatories and washing Do you propose

facilities for men and women workers. action? No Yes
Priority

Remarks

G407-04 Construction Self-Assessment Checklist

177. There is sufficient and suitable accommodation Do you propose
for the storage and drying of both “streef’ and action? No Yes
work clothing. Priority

Remarks

178.
Do you propose
179. There are sufficient and suitable facilities action? No Yes
for preparing and eating food. Priority

G407-04 Construction Self-Assessment Checklist

 Remarks

180. There are sufficient and suitable provisions

Do you propose
made for first aid and medical treatment. action? No Yes
Priority

Remarks

181. All workers are trained about action to be taken in

Do you propose
emergency first aid situations following an accident.
action? No Yes
Priority

Remarks

Fire precautions

182. There are the right number and type of Do you propose
fire extinguishers on the site. action? No Yes
Priority

Remarks

183. There are adequate escape routes in case of Do you propose

fire. action? No Yes
Priority

Remarks

184. The amount of flammable liquids in actual

Do you propose
use does not exceed a day's supply. action? No Yes
Priority

Remarks

185. Flammable liquids are kept in safe containers

Do you propose
held in a proper store area.
action? No Yes
Priority

Remarks

186. Smoking is prohibited while using flammable liquids. Do you propose

action? No Yes
Priority

Remarks

G407-04 Construction Self-Assessment Checklist