Title Page
-
Performed in
-
Performed by
-
Company
Verificação de Segurança e Ambiente
SITE IDENTIFICATION
-
Promotor:
-
Client Nº:
-
Business Segment:
-
Address:
-
Name of the Health and Safety Coordinator:
MAIN CONSTRUCTOR/ EPC
-
Name of the Main Constructor:
-
Responsible Manager of the Main Constructor:
SUBCONTRACTOR IDENTIFICATION
-
Subcontractor Company Name:
-
Name of Subcontractor Supervisor:
-
Name of the Subcontractor Health and Safety Technician
-
Name of Subcontractor Employees
SERVICE PROVIDER (Under subcontracted companies)
-
Name of Service Provider(s):
-
Name of the Service Provider's Officer:
-
Name of Service Provider's Employees:
CONSTRUCTION SITE DOCUMENTATION
-
Communication of job site to local authorities
-
Health and Safety Plan available on site
-
Health and Safety Plan validated by the Safety Coordinator
-
Completed Monitoring and Prevention Logs/records
-
Risk assessment available on site
-
Risk assessment addresses sexual discrimination, biodiversity among other relevant risks
-
Is available a list with sensitive or vulnerable workers on site (ex. minor workers or workers with specific assistance needs)
-
Is implemented entry control records for visits and contractors
-
Notes on documentation
TRAINING AND AWARENESS
-
The workers at the site received an initial on-site training (ex. risk assessment, emergencies, waste management)
-
Workers responsible for maneuvering machines have the appropriate training (e.g., Ramming, Forklift, Excavator, other)
-
Workers know medical assistance center, emergency measures, escape routes and meeting point.
-
The Occupational Health and Safety Policy and Code of Conduct for Suppliers were made available to subcontractors.
HOUSEKEEPING
-
Construction site is fenced and can be closed to control access
-
Fencing has pictograms and safety, emergency and warning signs for possible dangers on site
-
Roads and accesses are well defined
-
Roads and accesses are made with materials such as basalt to avoid puddles
-
Construction site clean and tidy
-
There are safety signs on the construction site (e.g., mandatory use of protective footwear, helmet)
-
Adequate storage of materials, equipment and tools
-
Waste-free work areas
-
Adequate lighting in work areas
-
Work areas are delimited (e.g. risk of falling materials, handling of loads and machines circulation)
-
Trenches with a depth of more than 1.2m are protected/ entrenched
-
Trenches that remain open are delimited
-
Correctly identified waste (e.g. LER code)
-
Proper separation of waste (e.g. wood, cardboard, etc.)
-
Chemicals labelled and stored properly (ex. with contention bucket and covered) and away from areas of potential water contamination
-
Chemical Safety Data Sheets are available
EMERGENCY
-
First aid kit available on site
-
First aid kit with products within validity
-
Fire extinguisher available on site
-
Fire extinguisher within validity
-
The location of the fire extinguisher and first aid kit is signposted
-
The emergency contacts details is affixed
-
The he identification of the meeting point is affixed
-
Is defined an internal incident communication and management procedure
WORK EQUIPMENT
-
Proper record book for internal maintenance of equipment, vehicles and machinery (ex. specific checklist for each type of equipment or machinery, to check weekly, or before start using the equipment/vehicles)
-
Appropriate ladder(s) in good condition
-
Portable power tools: check that you have certified tools; Tools in good condition and with the proper protections (e.g. grinder, etc.)
-
Hand tools: check if you have certified tools; Tools in good condition and with the proper protections
-
Absence of overhead power lines
-
Circulating machinery, with CE making, light and audible signaling
-
Absence of non-approved accessories on the machines
-
Machines are stabilized and leveled
-
Ramming machine(s) in good condition and with valid maintenance
-
Ramming machine(s) with safety devices
-
Telescopic handler(s) in good condition and kept within validity
-
Telescopic handler(s) with maximum load indication marked
-
Lifting platform(s) with collective protections
-
Lifting platform(s) in good condition and maintained within validity
-
Lifting platform(s) with maximum load indication marked
-
Certified scaffold(s)
-
Scaffold(s) validated for use
-
Certified slings, shackles or other lifting accessories in good condition
-
Other work equipment with mandatory verification (e.g. ladders, grinders, slings)
-
Notes on Work Equipment
EPIs
-
Proper record of PPE´s delivery per worker
-
Is available a list of all the PPE's mandatory on site
-
Use of helmet
-
Use of protective footwear
-
Use of high-visibility vest
-
Correct use of the fall protection kit
-
Correct use of eye protection
-
Correct use of noise protection
-
Correct use of mechanical protective gloves
-
Correct use of dust mask
-
PPE in good condition
-
Notes on PPE
FINAL CONNECTION/ ELECTRICAL INSTALLATION
-
Safe access to the electrical panel/ Power station
-
Electrical panel properly signaled
-
Proper lighting
-
Area is dry and clean
-
Calibration Certificate of Voltage Measuring Equipment
-
Correct use of dielectric protective gloves
-
Correct use of helmet and visor appropriate for electrical hazard
-
General circuit breaker in the opening position and locked/ work carried out without voltage
-
Electrical lock out – tag out registration signed by a competent person, responsible for its execution
-
Validated on site
