Safety Checklists for Buildings

SITE SAFETY AUDIT CHECKLISTS i)

Checkl Che cklist ist for Safety Safety Qualit Quality y Reco Record rd

ii) Che Checkl cklist ist for Buildi Building ng Works Works iii) iii) Che Checkl cklist ist for for Metal Metal Scaff Scaffold olding ing Work Works s iv) Checklis Checklistt for for Mast Mast Climbing Climbing Workplat Workplatform form v) Che Checkl cklist ist for Civil Civil Engin Engineer eering ing Work Works s vi) Checklis Checklistt for Suspen Suspended ded Scaffo Scaffolding lding Works Works (Gondola) (Gondola)

2/24

CHECKLIST FOR SAFETY QUALITY RECORD

Contractor

:

Contract Name

:

Blk Nos.

:

Contract No

:

Date

:

Type of Work

:

Time

:

Safety Inspection No.

:

S /N

ITEMS

PERMIT 1)

Regi Regist stra rati tion on of of Fact Factor ory y with with Min Minis istr try y of Man ManPo Powe werr (MOM)

LICENCE 1)

Lice Licenc nce e to oper operat ate e and and use use elec electr tric ical al or or supp supply ly installation

SAFETY MANAGEMENT 1)

Safe Safety ty and and Healt Health h Manag Managem emen entt Syste System m (SHM (SHMS) S)/S /Saf afet ety y Programme submission

2)

SHMS SHMS/S /Saf afet ety y Prog Progra ramm mme e ap appr prov oval al by by Co Cons nsul ulta tant nt

3)

Mont Monthl hly y saf safet ety y rep repor ort/ t/au audi diti ting ng repo report rt by WSHO/site safety supervisor

ACTS AND REGULATION 1)

A cop copy y of of Wor Workp kpla lace ce Safe Safety ty and and Hea Healt lth( h(WS WSH) H) Act Act

2)

A cop copy y of of WSH WSH(C (Con onst stru ruct ctio ion) n) Regu Regula lati tion ons s

RECORDS 1)

Pers Person onal al Prot Protec ecti tive ve Equi Equipm pmen entt

REPORT OF VISIT

REMARKS

3/24

S /N

ITEMS

RECORDS

(cont'd)

2)

Supe Superv rvis isor ors' s' Safet Safety yC Cou ours rse e / Workers' Safety Orientation Course Certificate

3)

Auth Author oris ised ed o ope pera rato torr for for mach machin iner ery y

FIRST AID 1)

List List of of firs firstt aid aid item items s and and its its medi medica call sup suppl plie ies s

2)

Name Name of firs firstt aid aider er and and the their ir cert certif ific icat ates es

MOBILE CRANE 1)

Subm Submis issi sion on for for saf safe e use use of mobi mobile le cran crane e

2)

Appr Approv oval al for for use use of of mobi mobile le cra crane ne by by Cons Consul ulta tant nt

3)

6-mo 6-mont nthl hly y check checkli list st and and certi certifi fica cate te for for test testin ing g and inspection by Approved Examiner(AE)

4)

Week Weekly ly chec checki king ng of cran crane e acc acces ess s by by sit site e engineer/supervisor

5)

3-mo 3-mont nthl hly y che check ckli list st for for mai maint nten enan ance ce by mechanic

6)

Dail Daily y che check ckin ing g by by ope opera rato torr

TOWER CRANE 1)

Subm Submis issi sion on for for saf safe e use use of Towe Towerr Cran Crane e

2)

Appr Approv oval al for for use use of of Towe Towerr Cran Crane e by Cons Consul ulta tant nt

3)


4)

3-mo 3-mont nthl hly y chec checkl klis istt for for main mainte tena nanc nce e by mec mecha hani nic c

5)


REPORT OF VISIT

REMARKS

4/24

S /N

ITEMS

METAL SCAFFOLD 1)

Subm Submis issi sion on for for ere erect ctio ion n of of met metal al scaf scaffo fold ld

2)

Approv Approval al for erecti erection on of metal metal scaffo scaffold ld by Con Consul sultan tantt

3)

Week Weekly ly sca scaff ffol old d regi regist ster er by by scaf scaffo fold ld sup super ervi viso sorr

4)

3-mo 3-mont nthl hly y chec checki king ng by by Prof Profes essi sion onal al Eng Engin inee eerr (PE) (Civil) or his engineers

5)

Subm Submis issi sion on for for dis disma mant ntli ling ng of of meta metall sca scaff ffol old d

6)

Approv Approval al for disman dismantli tling ng of metal metal scaffo scaffold ld by Con Consul sultan tantt

PASSENGER-CUM-MATERIAL HOIST (P/M) 1)

Subm Submis issi sion on for for saf safe e use use of P/M P/M hoi hoist st

2)

Appr Approv oval al for for use use of P/M P/M Hoi Hoist st by Cons Consul ulta tant nt

3)


4)

3-mo 3-mont nthl hly y chec checkl klis istt for for main mainte tena nanc nce e by mec mecha hani nic c

5)


MAST CLIMBING WORKPLATFORM 1)

Subm Submis issi sion on for for saf safe e use use of work workpl plat atfo form rm

2)

Appr Approv oval al for for use use of of wo work rkpl plat atfo form rm by by Co Cons nsul ulta tant nt

3)

6-mo 6-mont nthl hly y cert certif ific icat ate e for for test testin ing g and and inspection by Approved Examiner(AE)

REPORT OF VISIT

REMARKS

5/24

S /N

REPORT OF VISIT

ITEMS

MAST CLIMBING WORKPLATFORM

(cont'd)

4)

Week Weekly ly wor workp kpla latf tfor orm m regi regist ster er by by wo work rkpl plat atfo form rm supervisor

5)

Mont Monthl hly y chec checki king ng by by PE (Civ (Civil il)) or or his his engi engine neer ers s

SUSPENDED SCAFFOLD (GONDOLA) 1)

Subm Submis issi sion on for for saf safe e use use of gond gondol ola a

2)

Appr Approv oval al for for use use of gond gondol ola a by by Con Consu sult ltan antt

3)

6-mo 6-mont nthl hly y cer certi tifi fica cate te for for testing and inspection by Approved Examiner(AE)

4)

Week Weekly ly chec checki king ng by gond gondol ola a supe superv rvis isor or

5)

Mont Monthl hly y chec checki king ng by by PE (Civ (Civil il)) or or his his engi engine neer ers s

SUBMISSION AND APPROVAL FOR TEMPORARY STRUCTURES BY CONSULTANT 1)

Workers' quarter

2)

Hoarding

3)

Entr Entry/ y/ex exit it ove overh rhea ead d shel shelte terr

4)

Refuse chute

5)

Mate Materi rial al rec recei eivi ving ng pla platf tfor orm m

6)

Meta Metall stai stairc rcas ase e to cons constr truc ucti tion on leve levell

7)

Ligh Lightw twei eigh ghtt pane panels ls tran transp spor orti ting ng cart cart

8)

Conc Concre rete te batc batchi hing ng plan plantt

REMARKS

6/24 REPORT S /N

ITEMS

OF VISIT

REMARKS

OTHERS

1)

2)

3)

* _/ _/

= Satisfactory/Yes

NA

= Not Applicable

X -

= No Not provided/Not satisfactory/Inadequate/No = Briefing Remark/Advice

INSPECTED BY NAME INITIAL/DATE Copy To:

OFFICERS

INITIAL/DATE

REMARK

i) ii) Action Taken

Stop/Warn/Admin/Lifting on ______________/Nil

*CONSULTANTS /OTHERS : ________________ NAME

INITIAL/DATE

REMARK

i)

CONSULTANT'S SO:

- Fo For your follow-up action.

i i)

CONSULTANT'S SS:

- Fo For your action/filing.

CONT CONTRA RACT CTOR OR

* Delete whichever is applicable

- For For imme immedi diat ate e rect rectif ific icat atio ion. n.

7/24

CHECKLIST FOR BUILDING WORK

Contractor

:

Contract Name

:

Blk Nos :

Contract No

:

Date

:

Type of Work

:

Time

:


: REPORT

S /N

ITEMS

1)

Pers Person onal al Prot Protec ecti tive ve Equi Equipm pmen entt worn worn by workers/site staff

2)

Barr Barric icad ade e to open open side sides s of buil buildi ding ngs/ s/ excavation

3)

Barr Barric icad ade e to lift lift open openin ings gs

4)

Pass Passen enge gerr cum cum mate materi rial al hois hoistt a) Swing metal gates b) Hoist landing/shelter

BLK

STY

OF VISIT

REMARKS

8/24

S /N

ITEMS

5)

Clos Closel ely y dec decke ked d con conti tinu nuou ous s wor worki king ng platform with toe boards at top most level. (NA for this checklist if the checklist for metal scaffold is used)

6)

a) Platfo Platform rms s at alte altern rnat ate e stor storey ey in lift lift shafts

b) Platforms at alternate storey in central refuse chutes

7)

Peri Periph pher eral al Over Overhe head ad Shel Shelte terr prov provid ided ed.. (NA for this checklist if the checklist for metal scaffold is used)

8)

Over Overhe head ad shel shelte ters rs to exit exit and and ent entry ry poin points ts of building

9)

Over Overhe head ad shel shelte terr to exit exit/e /ent ntry ry poin pointt of passenger/material hoist

10) 10)

Temp Tempor orar ary y Ref Refus use e Chu Chute te prov provid ided ed

11)

Metal Metal stairc staircase ase to constr construct uction ion levels levels provided

12)

Sound Sound cover cover to centra centrall refu refuse se chute chute top opening provided

13)

Safety Safety Inform Informati ation on Board Board and Assemb Assembly ly Stage/Safety Notice Board provided

BLK

STY

REPORT OF VISIT

REMARKS

9/24

S /N 14) 14)

ITEMS

BLK

REPORT OF VISIT

STY

REMARKS

AUTH AUTHOR ORIS ISED ED PERS PERSON ONS S a) Passenger/Material hoists operated by authorised person b) Vehicles driven by authorised person c) Machinery operated by authorised person d) Mobile/Tower crane operated by aut or se person

15)

UNSAFE ACTS a) Workers not pillioning on dumpers b) Workers not pillioning on excavator c) No unsafe work procedures d) No unsafe act of workers

16)

OTHERS

* _/ _/

= Satisfactory/Yes

NA

= Not Applicable

X -

= N No ot provided/Not satisfactory/Inadequate/No = Briefing Remark/Advice


OFFICERS

INITIAL/DATE

REMARK

i) ii) Action Taken


*CONSULTANT/Other* : NAME

INITIAL/DATE

REMARK

i)

CONSULTANT'S SO:

-

For your follow-up action

i i)

CONSULTANT'S SS:

-

For your action/filing

CONTRACTOR


-

For immediate rectification.

CHECKLIST FOR METAL SCAFFOLDING WORK

Contractor

:

Contract Name

:

Blk Nos. :

Contract No

:

Date

:

Type of Work

:

Time

:


:

REPORT S /N

1)

ITEMS

FOUNDATIONS a) Scaffold erected erected on firm ground b) Scaffold not endangered by open excavation

2)

SOLEPLATES Proper soleplates used

3)

BASEPLATES Proper baseplates fitted to all standards or legs of scaffold

4)

FOOT - TIES Foot-ties fitted to both inner and outer standards

5)

ALIGNMENT OF SCAFFOLD COMPONENTS a) Standards or Frames vertical b) Ledgers and transoms levelled

BLK

OF VISIT

REMARKS

S /N

ITEMS

6)

TORSION CABLE Tensioned torsion cable at every cantilever bracket and C-channel

7)

TUBES AND FITTINGS a) Ledgers connected connected to standards with right angle couplers b) Transoms connected to the standards with right-angle couplers c) End to end connections in members staggered in adjacent bays and adjacent pairs

8)

FRAMES a) Standards connected end to end with either sleeve couplers or joint pins b) Armlocks installed at all vertical joints between frames c) Cross bracings are fitted and connected to frames

9)

Scaf Scaffo fold lds s erec erecte ted d one one lift lift abov above e the the top most level (Not applicable for mechanised formwork system)

10)

TIE BACK a) At every 2 lifts or at every floor starting from base b) Spaced not more than 3 bays or 7.5 metres apart whichever is lesser c) Spaced no further than one bay from ends in a staggered manner d) To every standard above the level of the peripheral overhead shelter e) Effective temporary tie immediately below top most level

11) 11)

HORI HORIZO ZONT NTAL AL BRAC BRACIN INGS GS OR 'LA 'LACI CING NG'' At every 5 lifts of frame, tube or modular scaffold to both inner and outer standards

12)

DEBRIS NET Debris screening net erected to prevent particles and debris dislodged from the scaffold

BLK

REPORT OF VISIT

REMARKS

S /N

ITEMS

13)

LADDER Ladders are securely attached to the scaffold for access

14) 14)

SCAF SCAFFO FOLD LD COMP COMPON ONEN ENT T MATE MATERI RIAL AL a) Scaffold components and fittings showing no signs of deterioration b) All fittings are tight and undamaged

15)

BRACIN BRACING G for for TUBE TUBE or or MODU MODULAR LAR SCAFFO SCAFFOLD LD a) Diagonal bracings connected either to projecting transoms with right-angle couplers or to the standards with swivel couplers b) Ledger bracings connected to the ledgers with right-angle couplers or to the standards with swivel couplers c) Ledger/diagonal bracings connected end to end using either sleeve couplers or joint-pins

16)

Guardr Guardrail ails s are are fitted fitted and connec connected ted to standards

17)

WORKIN WORKING G PLATF PLATFORM ORM (BELOW (BELOW TOP MOST MOST LEVEL LEVEL)) Closely decked continuous working platform with toeboards immediately below top most level (Minimum width 635mm)

18)

WORKIN WORKING G PLATF PLATFORM ORM (AT EVERY EVERY ALTE ALTERNA RNATE TE LIFT LIFT)) a) Closely decked continuous working platform with toeboards at every alternate lift of metal scaffold b) WORKING PLATFORM (ISOLATED) Closely decked isolated working platform with toeboards and guardrail. c) WORKING PLATFORM (SIZE) For timber and metal deckings, the plank used shall be at least 200mm wide and 38mm thick and it is not projecting beyond its end support by more than 4 times its thickness d) METAL DECKING Metal deckings are held down securely to prevent uplift and cantilever effects

19) 19)

PERI PERIPH PHER ERAL AL OVE OVERH RHEA EAD D SHEL SHELTE TER R Continuous peripheral overhead shelter provided not endangered by moving machinery

BLK

REPORT OF VISIT

REMARKS

REPORT S /N 20) 20)

ITEMS PROF PROFES ESSI SION ONAL AL ENGIN ENGINEE EER' R'S S DRAWIN DRAWING G Scaffolds are erected strictly in accordance with the Professional Engineer's design and drawings

21) 21)

SCAF SCAFFO FOLD LD DIS DISMA MANT NTLI LING NG/E /ERE RECT CTIO ION N a) WARNING SIGNBOARDS Warning signboards stating "Caution. Do not use the scaffold." in 4 official languages placed at strategic locations b) TIE BACKS Tie backs are not released in advance of scaffold dismantling c) BARRICADES Barricades erected to restrict access to the scaffold

22) 22)

DISM DISMAN ANTL TLED ED SCAF SCAFFO FOLD LD COMP COMPON ONEN ENTS TS Dismantled scaffold components brought to the ground by a safe method

23) 23)

QUAL QUALIF IFIE IED D SCAF SCAFFO FOLD LD SUPE SUPERV RVIS ISOR OR Qualified scaffold supervisor supervises the scaffold erection/dismantling operation

24) 24)

QUAL QUALIF IFIE IED D SCA SCAFF FFOL OLD D EREC ERECTO TORS RS Qualified scaffold erectors erecting/dismantling the scaffold

25) 25)

SAFE SAFETY TY HAR HARNE NESS SS AND AND LIF LIFEL ELIN INES ES Safety harness and lifelines used by the scaffold erectors

BLK

OF VISIT

REMARKS

REPORT S /N

ITEMS

BLK

OF VISIT

REMARKS

OTHERS 26)

* _/

= Satisfactory/Yes

NA

= Not Applicable

X -

= Not provided/Not satisfactory/Inadequate/No = Briefing Remark/Advice


OFFICERS

INITIAL/DATE

REMARK

i) ii) Action Ta Taken

Stop/Warn/Admin/Lifting on on __ ______________/Nil

*CONSULTANT/Other : _________________ NAME

INITIAL/DATE

REMARK

i)

CONSULTANT'S SO:

- For your follow-up action.

i i)

CONSULTANT'S SS:

- For your action/filing.

CONTRACTOR


- For immediate rectification.

CHECKLIST FOR MAST CLIMBING WORKPLATFORM

Contractor Site

Blk No. :

Contract No

Date

:

Type of Work

Time

:


REPORT S /N

ITEMS

1)

Adeq Adequa uate te warn warnin ing gs sig igns ns plac placed ed conspicuously at strategic locations

2)

Effe Effect ctiv ive e barr barric icad ades es at grou ground nd leve levell

3)

ELCB ELCB prov provid ided ed at the the dis distr trib ibut utio ion n con contr trol ol panel and a proper cover to the fuse box

4)

Safe Safety ty devi device ces s are are in good good work workin ing g condition

5)

The The tieb tiebac acks ks syst system em erec erecte ted d according to PE's drawing

6)

The The mas masts ts stan stands ds on leve levell and and firm firm grou ground nd

BLK

OF VISIT

REMARKS

REPORT S /N

ITEMS

7)

All All out out-r -rig igge gers rs are are ful fully ly exte extend nded ed and and properly supported

8)

No u una naut utho hori rise sed d exte extens nsio ion n of work workpl plat atfo form rm

9)

Guar Guardr drai ails ls of of the the wo work rkpl plat atfo form rm ove overl rlai aid d with with fine screening debris net

10) 10)

Meta Metall stai stairc rcas ase e prov provid ided ed a and nd sec secur urel ely y attached to workplatform

11) 11)

Load Load even evenly ly dist distri ribu bute ted d ins insid ide e the the workplatform

12) 12)

No obs obstr truc ucti tion on to to the the oper operat atin ing g path pathwa way y of the workplatform

13) 13)

Work Workpl plat atfo form rms s are are lowe lowere red d to to the the base/ground level when not in use

14) 14)

Elec Electr tric ical al cab cable les s in the the drum drum

15) 15)

Elec Electr tric ical al cabl cables es and and plu plugs gs are are not damaged

16) 16)

Safe Safe wor worki king ng loa load d and and max. max. no. no. of of oper operat ator ors s (not more than 3 persons for single mast and 5 persons for twin masts) are prominently displayed at the side of the workplatform

BLK

OF VISIT

REMARKS

S /N

ITEMS

17) 17)

No over overlo load adin ing g of work workpl plat atfo form rm

18)

Erection/Dismantling of workplatform

REPORT OF VISIT

BLK

REMARKS

a) Workplatform supervisor supervises tne work b)

Mast Mast tie tieba back ck dir direc ectl tly y belo below w th the e wo work rkpl plat atfo form rm ins insta tall lled ed prior to erection/not released prior to dismantling

c)

Conn Connec ecti tion ons s betw betwee een n mast masts s prop proper erly ly secu secure red d before operating the workplatform

19)

Personal Pr Protective Eq Equipment

a) Workers/Riggers anchor safety belt to independent lifeline b) Safety helmet worn by workers/riggers

20)

Housekeeping

OTHERS 21)

* _/

= Satisfactory/Yes

NA

= Not Applicable

X -



OFFICERS

Initial/Date

REMARK

i) ii) Action Taken

*Stop/Warn/Admin/Lifting on _______/Nil

*CONSULTANT /Other : NAME

INITIAL/DATE

REMARK

i)

CONSULTANT'S SO:

-

For your follow-up action.

i i)

CONSULTANT'S SS:

-

For your action/filing.

CONTRACTOR * Delete whichever is applicable

CHECKLIST FOR SUSPENDED SCAFFOLDING WORK (GONDOLA)

Contractor

:

Site

:

Blk No. :

Contract No

:

Date

:

Type of Work

:

Time

:


:

REPORT S /N

ITEMS

1)

Vali Valid d Cert Certif ific icat ate e of lift liftin ing g mach machin ine e by Approved Examiner(AE)

2)

Prot Protec ecti tive ve hoar hoardi ding ngs/ s/ba barr rric icad adin ing g at ground floor.

3)

Warn Warnin ing gs sig ignb nboa oard rds sp pla lace ced d at strategic locations

4)

ELCB ELCB prov provid ided ed at the the dis distr trib ibut utio ion n control panel

5)

Prop Proper er cove coverr to Fuse Fuse box box

6)

Four Four wire wire rope ropes s prov provid ided ed for for each cradle (min. 8mm ø)

BLK

OF VISIT

REMARKS

S /N

ITEMS

7)

Wire Wire rope ropes s fre free e fro from m def defec ects ts and and properly tensioned

8)

Safe Safety ty wire wire rope ropes s ind indep epen ende dent ntly ly anchored to a permanent structure

9)

Brac Bracke kets ts prop proper erly ly clam clampe ped d to roof structures

10) 10)

Brac Bracke kets ts used used acco accord rdin ing g to to PE' PE's s drawings

11) 11)

Hook Hooks s & Angl Angle e Bra Brack cket ets s are are prop proper erly ly secured in position by wire ropes according to PE's drawing.

12) 12)

Fist Fist'' grip grips/ s/'U 'U'' shac shackl kles es/' /'Bu Bull ll Dog Dog'' grips used to fasten the joint of wire ropes

13) 13)

Wire Wire rope ropes s pro prote tect cted ed from from direct contact with existing structure

BLK

REPORT OF VISIT

REMARKS

REPORT S /N

ITEMS

14) 14)

Wire Wire rope ropes s for for "tie "tie back backs" s" of the the anchorage system used according to PE's drawings

15) 15)

Safe Safe wor worki king ng loa load d an and d ma maxi ximu mum m allowable no. of operators (not more than 3) prominently specified at the cradle side

16) 16)

OutOut-ri rigg gger ers s spac spaced ed n not ot mor more e than 3.2m apart

17) 17)

Pers Person onal al Prot Protec ecti tive ve Equi Equipm pmen ent: t: a)

Workers/Riggers an anchor safety harness to independent lifeline

b)

Safety helmet worn by workers/riggers

OTHERS

18)

BLK

OF VISIT

REMARKS

* _/

= Satisfactory/Yes

NA

= Not Applicable

X -



OFFICERS

INITIAL/DATE

REMARK

i) ii) Action Taken


* CONSULTANT/Other : NAME

INITIAL/DATE

REMARK

i)

CONS CONSUL ULTA TANT NT'S 'S SO: SO:

- For For your your foll follow ow-u -up p acti action on..

i i)

CONSULTANT'S SS:

- For your action/filing.

CONTRACTOR


-

For immediate rectification.

22/24

CHECKLIST FOR CIVIL ENGINEERING WORK

Contractor

:

Contract Name

: __________________________________________________________

Contract No

:

Date

:

Type of Work

:

Time

:


:

S /N

ITEMS

1)

Pers Person onal al Prot Protec ecti tive ve Equi Equipm pmen entt Reco Record rd

2)

Nameli Nam elist st of author authoried ied operat operators ors to operat operate e mach machine inery ry vehicles

3)

Firs Firstt Aid Aid Box Box wit with h ade adequ quat ate e med medic ical al supp suppli lies es

4)

Adequa Adequate te warnin warning g signbo signboard ards s placed placed and conspi conspicuo cuousl usly y at strategic strategic locations

5)

Route conver Route conversio sion ns sign ignboa boards rds for public public inform informati ation on and convenience ( where piblic access is affected)

6)

Blin Blinke kerr ligh lights ts to to tren trench ches es/w /wor orks ks to to exis existi ting ng roa road d

7)

Shor Shorin ing g to e exc xcav avat ated ed tre trenc nche hes s more more tha than n 1.5m 1.5m d dee eep p

8)

Shor Shorin ing g to to exc excav avat ated ed tren trench ch more more than than 4m deep deep constructed according to PE's design and drawings

REPORT OF VISIT

REMARKS

23/24

S /N

ITEMS

9)

Open Open sid sides es of of ex exca cava vati tion on a are re gua guard rded ed b by y adeq adequa uate te and effective barricades ( min 1.1m height)

10)

Tempor Temporary ary acce access ss with with raili railing ng prope properly rly secu secured red over over trenches

11)

Ladder Ladders,s s,stai tairwa rways ys or ramp ramps s provid provided ed in tren trenche ches s of more more than 1.2m depth

12)

Materi Materials als kept kept away away from from the edges edges of of trenc trenches hes ( at least 610mm away from the trench)

13)

Safety Safety cove coverr across across road road o open pening ing /ove /overr drain drain openi opening ng

14)

Overhe Overhead ad prote protecti ction on for for worker workers s workin working g in the the manhol manholes es near buildings under construction

15)

Tunnel Tunnel const construc ructed ted accor accordin ding g to PE's PE's design design and draw drawing ings s

16)

Approv Approved ed venti ventilia liatio tion n system system p prov rovide ided d in tunn tunnel el in accordance to PE's design and drawings

17)

Flash Flash back back Arres Arrestor tor or or fitted fitted tto o regula regulator tor and and blowp blowpipe ipe of of gas cyclinder

18)

Person Personal al Protec Protectiv tive e Equipme Equipment nt worn worn by worker workers/s s/site ite staff staff

19)

Vehicl Vehicles/ es/mac machin hinery ery oper operate ated d by autho authoris rised ed perso persons ns

20)

Housekeeping

REPORT OF VISIT

REMARKS

24/24

REPORT S /N

ITEMS

OF VISIT

REMARKS

OTHERS

21)

* _/ _/

= Satisfactory/Yes

NA

= Not Applicable

X -

= No Not provided/Not satisfactory/Inadequate/No = Briefing Remark/Advice


OFFICERS

INITIAL/DATE

REMARK

i) ii) Action Taken


*CONSULTANT/OTHERS* : ________________ NAME

INITIAL/DATE

REMARK

i)

CONSULTANT 'S SO:

- Fo For your follow-up action.

i i)

CONSULTANT'S SS:

- Fo For your action/filing.

CONT CONTRA RACT CTOR OR


- For For imme immedi diat ate e rect rectif ific icat atio ion. n.

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