OCCUPATIONAL HEALTH AND SAFETY
Site Risk Assessment Checklist
Assessment Date: 15/12/2024
Site ID: 1103
Site : Baghdad/R4
Site type: / RT OD
Assessor Name: Alwaleed khalid Title: ENG Signature:
Status
Category Potential Hazards Yes No
NA
Safe Unsafe
Person(s) who carry the job: اﻟﺸﺨﺺ اﻟﺬي ﯾﻘﻮم ﺑﺎﻟﻌﻤﻞ
1- Are all team members are competent, certified and authorized to do the job? ﻛﻞ اﻻﻓﺮاد ﻣﺆھﻠﯿﻦ وﻣﺼﺮح ﻟﮭﻢ ﻟﻠﻘﯿﺎم ﺑﺎﻟﻌﻤﻞ
People
2- Are all team members are medically fit to do the job they are assigned to? اﻓﺮاد اﻟﻌﻤﻞ ﻻﺋﻘﯿﻦ طﺒﯿﺎ ﻟﻠﻘﯿﺎم ﺑﺎﻟﻌﻤﻞ اﻟﻤﻜﻠﻒ ﻟﮭﻢ
3- Is a competent supervisor available on site? وﺟﻮد ﻣﺸﺮف ﻣﺨﺘﺺ ﻓﻰ اﻟﻤﻮﻗﻊ
4- Is any high risk activity by minimum of two personnel attending and at least one of them trained on emergency procedures; (e.g.
WAH rescue, emergency shutdown, first aid, firefighting …etc.?) واﺣﺪ ﻣﻨﮭﻢ ﻋﻠﻰ اﻻﻗﻞ ﻣﺪرب ﻋﻠﻰ,وﺟﻮد اﺛﻨﯿﻦ ﻋﻠﻰ اﻻﻗﻞ ﻓﻰ ﺣﺎﻟﺔ اﻻﻧﺸﻄﺔ اﻟﺨﻄﯿﺮه
اﺟﺮاءات اﻟﻄﻮارىءﻣﺜﻞ اﻻﻧﻘﺎذ واﻟﻄﻮارىء واﻻﺳﻌﺎﻓﺎت اﻻوﻟﯿﮫ وﻣﻜﺎﻓﺤﺔ اﻟﺤﺮاﺋﻖ
1- Is the site housekeeping in good condition? اﻟﻤﻮﻗﻊ ﻧﻈﯿﻒ
2- Is the site secured and has limited access?
General Site Conditions
3- Are the site & surrounding area free from flammable, combustible liquids, or gases, explosive agents, vapors, fumes, dusts and ...)
mists? اﻟﻤﻮﻗﻊ واﻟﻤﻨﻄﻘﮫ اﻟﻤﺤﯿﻄﮫ ﺧﺎﻟﯿﮫ ﻣﻦ اﻟﻤﻮاد اﻟﻤﺸﺘﻌﻠﺔ واﻟﺒﺘﺮوﻟﯿﮫ واﻟﻐﺎزات واﻻﺑﺨﺮة واﻻﺗﺮﺑﮫ واﻟﻀﺒﺎب واﻻدﺧﻨﮫ
4- Are all the means (e.g. doors, road, stairs ..etc.) allow safe access and egress? ( ﺗﺴﻤﺢ ﺑﺎﻟﺪﺧﻮل واﻟﺨﺮوج...,اﻟﺴﻼﻟﻢ,اﻟﻄﺮﯾﻖ,ﻛﻞ اﻟﻮﺳﺎﺋﻞ)اﻻﺑﻮاب
5- Is there a safe distance from overhead electrical cables? وﺟﻮد ﻣﺴﺎﻓﺔ آﻣﻨﮫ ﻣﻦ ﻛﺒﻼت اﻟﻜﮭﺮﺑﺎء
6- Is the site free of animals, snake, and other harmful attacks? اﻟﺜﻌﺎﺑﯿﻦ واي ﺣﯿﻮاﻧﺎت اﺧﺮي ﺿﺎرة, اﻟﻤﻮﻗﻊ ﺧﺎﻟﻰ ﻣﻦ اﻟﺤﯿﻮاﻧﺎت
7- Is electromagnetic risk controlled? اﻟﺘﺤﻜﻢ ﻓﻰ ﺧﻄﺮ اﻟﻜﮭﺮوﻣﻐﻨﺎطﯿﺴﯿﮫ
8- Are all electrical conductors and apparatus passed visually inspection "isolated and working properly" (e.g. wires, cables, switches,
controls, generator, transformers, lamps, batteries, fuses, D.B protection, earth means installed ..etc.)? ﻛﻞ اﻟﺘﻮﺻﯿﻼت اﻟﻜﮭﺮﺑﯿﮫ ظﺎھﺮه وﻣﻌﺰوﻟﮫ
اﻻرﺿﻲ(وﺗﻌﻤﻞ ﺑﺼﻮرة ﻣﻨﺎﺳﺒﮫ,اﻟﻔﯿﻮزات,اﻟﻤﺼﺎﺑﯿﺢ,اﻟﻤﻮﻟﺪات,اﻟﻤﻔﺎﺗﯿﺢ,اﻟﻜﺎﺑﻼت,اﻻﺳﻼك
9- Is there any further unsafe condition observed in site ?
1- Is manual lifting used in accordance with good practices "e.g. planned, appropriate pulley's system used, drop zones marked,
secured and done under supervision …etc."? (ﯾﺆﻣﻦ ﺗﺤﺖ اﺷﺮاف,ﻧﻘﺎط ھﺒﻮط ﻣﻌﻠﻮﻣﮫ,ﻧﻈﺎم ﺑﻜﺎرات ﻣﻨﺎﺳﺒﮫ,اﻟﺮﻓﻊ اﻟﯿﺪوي طﺒﻘﺎ ﻟﻠﻄﺮﯾﻘﮫ اﻟﺴﻠﯿﻤﮫ)ﻣﺨﻄﻂ
2- Are lifting operations planned before being undertaken and using suitable equipment, competent operator who has a valid license
and applying good work practices? وﺟﻮد ﻋﺎﻣﻞ ﻣﺨﺘﺺ ﻟﺪﯾﮫ ﺷﮭﺎدة وﺻﻼﺣﯿﮫ ﻟﻠﻘﯿﺎم ﺑﺎﻟﺮﻓﻊ,واﺳﺘﺨﺪام ادوات ﻣﻨﺎﺳﺒﮫ,ﻋﻤﻠﯿﺎت اﻟﺮﻓﻊ ﻣﺨﻄﻂ ﻟﮭﺎ ﻗﺒﻞ اﻟﺒﺪء
3- Are appropriate controls for WAH applied (e.g. only by trained and physically proven, two riggers minimum, using fall arrestor or
fall restraint system properly ..etc.? ( ﻣﺘﺴﻠﻘﯿﻦ ﻋﻠﻰ اﻻﻗﻞ2,ﺗﻄﺒﯿﻖ اﻟﺘﺤﻜﻢ اﻟﻤﻨﺎﺳﺐ ﻓﻰ اﻟﻌﻤﻞ ﻋﻠﻰ ارﺗﻔﺎﻋﺎت)ﻣﺪرب وﻗﺎدر ﺟﺴﻤﺎﻧﯿﺎ
4- Is the rooftop safe (e.g. roof edge protected, no skylight, no fragile roof, no weak points)? ( ﻏﯿﺮ,ﻋﺪم وﺟﻮد ﻓﺘﺤﺎت,ﺣﺪود اﻟﺴﻄﺢ ﻣﺤﻤﯿﮫ
Activity
ﻋﺪم وﺟﻮد ﻧﻘﺎط ﺿﻌﯿﻔﮫ ( ﺳﻄﺢ اﻟﻤﻮﻗﻊ اﻣﻦ,ھﺶ
5- Safe load limits are calculated prior to start the work? ﺣﺴﺎب اﻻﺣﻤﺎل اﻻﻣﻨﮫ ﻗﺒﻞ اﻟﺒﺪء ﻓﻰ اﻟﻌﻤﻞ
6- Is the area under loading clear and allow safe movements? Is drop zone barricaded? اﻟﻤﻨﻄﻘﮫ ﺗﺤﺖ اﻟﺤﻤﻞ ﺧﺎﻟﯿﮫ واﻣﻨﮫ ﻟﻠﺤﺮﻛﮫ
7- Rigging equipment for material handling is inspected prior to use in each shift? ﻓﺤﺺ ادوات اﻟﺘﺼﺒﯿﻦ ﻗﺒﻞ اﻟﺒﺪء ﻓﻰ اﻟﻌﻤﻞ
8- Are all Hot Works controls are applied (e.g. planned, trained on use and techniques ones, using proper PPEs, rescue and emergency
plan developed and n place …etc.? ﻣﺪرب ﻋﻠﻰ اﻻﻧﻘﺎذ واﻟﻄﻮارئ(اﻟﺘﺤﻜﻢ ﻓﻰ اﻻﻋﻤﺎل اﻟﻌﺎﺟﻠﮫ,اﺳﺘﺨﺪام وﺳﺎﺋﻞ اﻻﻣﺎن,ﻣﺪرب ﻋﻠﯿﮭﺎ,)ﻣﺨﻄﻂ ﻟﮭﺎ
9- Are electrical work controls applied (e.g. no live electrical activity, proper PPEs, Lockout/ Tagout, portable hand tools grounded and
double insulated, earth means, permanent wiring used instead of extension cords …etc.? ﺗﻄﺒﯿﻖ اﻟﺘﺤﻜﻢ ﻓﻰ اﻋﻤﺎل اﻟﻜﮭﺮﺑﺎء)ﻋﺪم اﻟﻌﻤﻞ ﻓﻰ اﻟﻜﮭﺮﺑﺎء
ﻧﻈﺎم اﻻرﺿﻰ, ﻧﻈﺎم اﻟﻐﻠﻖ,)اﻟﺤﯿﮫ
1- Are appropriate PPEs used and pre-inspected as hazards are indicated? اﺳﺘﺨﺪام وﺳﺎﺋﻞ اﻟﺤﻤﺎﯾﮫ اﻟﺸﺨﺼﯿﮫ وﻓﺤﺼﮭﺎ ﻋﻨﺪ ﺗﺤﺪﯾﺪ اﻟﺨﻄﺮ
2- Are fall protection PPEs and tools used in a good safe working condition (e.g. harness, lifelines and lanyards)? وﺳﺎﺋﻞ اﻟﺤﻤﺎﯾﮫ ﻣﻦ اﻟﺴﻘﻮط
ﻓﻰ ﺣﺎﻟﺔ ﺟﯿﺪه ﻗﺒﻞ اﻻﺳﺘﺨﺪام
3- Foot & head protection in a good safe working condition? ﺣﺎﻣﻰ اﻟﻮﺟﮫ واﻟﻘﺪم ﻓﻰ ﺣﺎﻟﮫ آﻣﻨﮫ
4- Are tools and equipment subject to appropriate system of pre-use/after use checks, visual examination and are thy maintained in a
safe condition, neatly stored, safely carried? ﻓﺤﺺ اﻻدوات ﺑﺎﻟﻨﻈﺮ وﺗﺨﺰﯾﻨﮭﺎ ﺑﻌﻨﺎﯾﮫ وﺣﻤﻠﮭﺎ ﺑﺎﻣﺎن
1- Is there an emergency response plan in place? وﺟﻮد ﺧﻄﺔ طﻮارىء ﻓﻰ ﻣﻜﺎن اﻟﻌﻤﻞ
Emergency
Response
2- Are people well trained in the emergency plan? اﻓﺮاد اﻟﻌﻤﻞ ﻣﺪرﺑﯿﻦ ﻋﻠﻰ ﺧﻄﺔ اﻟﻄﻮارىء
3- Is the first aid kit fully loaded with all the required materials? ﺷﻨﻄﺔ اﻻﺳﻌﺎﻓﺎت اﻻوﻟﯿﮫ ﺗﺤﺘﻮي ﻋﻠﻰ ﺟﻤﯿﻊ اﻻدوات اﻟﻤﻄﻠﻮﺑﮫ
4- Is there a certified fire fighter at the site? وﺟﻮد ﺷﺨﺺ ﻣﺆھﻞ ﻟﻤﻜﺎﻓﺤﮫ اﻟﺤﺮﯾﻖ
- Is there a certified working at height rescuer at the site? وﺟﻮد ﺷﺨﺺ ﻣﺪرب ﻋﻠﻰ اﻻﻧﻘﺎذ ﻓﻰ ﺣﺎﻟﺔ اﻟﻌﻤﻞ ﻋﻠﻰ ارﺗﻔﺎﻋﺎت
1103 Sorento 15/12/2024
Alwaleed Khalid 46289
The driver follow driving safety rules (wear seatbelt, never over speed, never
3 Tire condition is good, lights, indicators must be working in normal condition.
Driver Signature TL Name & Signature :
:ﻋﻠﻲ ﻣﮭﻨﺪس ﻓﺮﯾﻖ اﻟﻌﻤﻞ اﻟﺘﺄﻛﺪ ﻣﻦ اﻟﺘﺎﻟﻲ ﻗﺒﻞ ذھﺎب اﻟﻔﺮﯾﻖ ﻟﻠﻌﻤﻞ
he following contacts :
1 › Company emergency contact no. ‹ ١
› Ambulance service no. ‹
› Fire brigade no. ‹
› Police no. ‹
2 Each team has certified 1st aid person and the ٢
training must include basic
3 Each team has 1st aid kit
4 Each team has fire ٤
5 Each rigger trained on climbing must be trained ٥
on rescue also
In case of any occupational health and safety emergency within site affecting the safety, health or wellbeing of personnel or
exposing the hazard of damage to equipment do the following:
6 Hold and stop immediately all activities " ﺗﻮﻗﻒ ﻋﻦ اداء اﻻﻋﻤﺎل ﻓﻮرا ٦
If someone of crew is injured, secure the person to a
٧
7 safer place, if site is compromised which would
lead to instant danger
Provide 1st aid assistance, by certified 1st aid ﻓﻘﻂ ﻋﻦ طﺮﯾﻖ ﺷﺨﺺ ﻣﻌﺘﻤﺪ،ﻗﻢ ﺑﺘﻘﺪﯾﻢ اﻻﺳﻌﺎﻓﺎت اﻻوﻟﯿﺔ ٨
8
person
Contact emergency service, Ambulance service, Police ٩
9
or Fire brigade according to emergency type
10 Contact company emergency contact
11 Contact direct supervisor
direct supervisor must inform the
12
occupational Health and Safety department ١٢
Note that any incident whether minor or severe including
13 injury or damage or near miss occur it must be reported
١٣
immediately according to previous sequence
