BARISAN PERFORMA

SAFETY AND HEALTH DEPARTMENT

Induction Content Date :

Site Safety Induction & Staff Orientation

NO SUBJECT REMARKS
1 Safety Plan
2 General Overview
3 Housekeeping
4 Fire Prevention
5 Electrical Hazards
6 Hand, Power Actuated Tools
7 Fall Protection (Guard Rails & Toe Board)

8 Scaffolding (Use Personal Fall Arrest System)

9 Floor Opening & Exposed Edge
10 Trench, Excavation & Shoring
11 Material Handling
12 Welding And Burning
13 Sky Lift, Passenger & Material Hoist
14 Machinery And Generator Sets
15 Cranes (Crawler / Tower / Mobile)
16 Basic Signage
17 SPC Welfare, Recognition & Rewards
18 Usage Of Prohibited Drugs / Intoxication / Smoking
19 Offences And Penalties Scheme
20 Personal Protective Equipment
21 Others; Please Specify:

Inducted by : Verified by:

Induction Name list:

 BARISAN PERFORMA
SAFETY AND HEALTH DEPARTMENT

No Name Passport Trade Nationality

1
2
3
4
5
6

7
8
9
10
11
12
13
14
15
16
 BARISAN PERFORMA
SAFETY AND HEALTH DEPARTMENT

FIRE EXTINGUISHER MONTHLY INSPECTION RECORD

DATE OF INSPECTION :

COMPANY / PERSON RESPONSIBLE : I

INSPECTED BY :

EXTINGUISHER EXACT LOCATION OK / DEFECTIVE CORRECTIVE ACTION /

NO. REMARKS
1

10

11

Checked by Verified by

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 BARISAN PERFORMA
SAFETY AND HEALTH DEPARTMENT

FIRST AID RECORD Date :

Available( / ) Quantity
No Description
Not Available( X )
1 Antiseptic Cream
2 Antisepic Lotion
2 Bandage
3 Plaster
4 Senitizer
5 Gloves
6 Safety pins
7 Scissors
8 Tape Surgical
9 Mask
10 Dettol
11
12
13

Checked by : Verified by :

SAFETY INSPECTION REPORT

 BARISAN PERFORMA
SAFETY AND HEALTH DEPARTMENT

DATE OF INSPECTION : TIME : AM / PM

LOCATION INSPECTED :

INSPECTION CONDUCTED BY :

No Inspection Items OK Need Action Comments

01. Housekeeping

02. Safety Signage’s

03. Barricading

04. Tools Safety

05. Machineries / Equipment

06. Material Storage

07. PPE Usage

08. Electrical Safety

09. Fire Protection

10. Noise Protection

11. Pressurized Systems Safety

12. Vehicle Control

13. Scaffold Safety

14. Others

Inspected by Verified by

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 BARISAN PERFORMA
SAFETY AND HEALTH DEPARTMENT

Machinery Checklist

Machine Type
Machine No
Project
Operator Name
Date
OK=(/) Action Needed=(X) Not Applicable=(N/A)
/ X N/A Remarks

Wheels, Track,
Tyre

Bucket

Guards

Body parts

Fluid :
Hydraulic,
Engine oil
Brakes

Lamp

Hons

Hydraulic :
rams, hoses

Checked by Verified by

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