Daily EHS checklist

• Cofferdam Number

  Select B1 B2 B3 B4 B5 B6 B7 B8 B9 B10 B11 B12 B13 B14 B15 B16 B17 B18 B19 B20 B21 B22 B23 B24 B25 B26 B27 B28 B29 B30 B31 B32

  • B1
  • B2
  • B3
  • B4
  • B5
  • B6
  • B7
  • B8
  • B9
  • B10
  • B11
  • B12
  • B13
  • B14
  • B15
  • B16
  • B17
  • B18
  • B19
  • B20
  • B21
  • B22
  • B23
  • B24
  • B25
  • B26
  • B27
  • B28
  • B29
  • B30
  • B31
  • B32

• Time

• Shift

  morning shift

  Extended shift

  Night shift

• Prepared by

Foreman on site

• Name of foreman

1.0 - SAFE PLAN ACTION

• 1.1 - Have the PPE column in SPA properly identified and ticked off?

  Yes

  No

  N/A

• 1.2 - Have the Hazard in SPA properly identified and ticked off?

  Yes

  No

  N/A

• 1.3 - Have the WAH properly identified and ticked off?

  Yes

  No

  N/A

• 1.4 - Have the material equipment movement properly identified and ticked off?

  Yes

  No

  N/A

• 1.5 - Have the control measure been properly identified and ticked off?

  Yes

  No

  N/A

• 1.6 - Has the endorsement signature column been agreed upon and signed by the local supervisor?

  Yes

  No

  N/A

• 1.7 - Has the endorsement signature column been agreed upon and signed by the workers?

  Yes

  No

  N/A

• 1.8 Has the SPA been signed by the Exyte supervisor, contractor supervisor, and contractor EHS?

  Yes

  No

  N/A

• 1.9 Has the foreman been clearly briefed about the work tasks for the workers?

  Yes

  No

  N/A

• 2.0 Has the work conducted at the cofferdam, as indicated in the SPA and PTW tallied?

  Yes

  No

  N/A

• 2.1 Is the writing easy to read and have potential hazards been clearly identified?

  Yes

  No

  N/A

• 2.2 Is the title which indicates PTW and SPA and is based on MOS and Hirack?

  Yes

  No

  N/A

2.0 - Material / Tool Storage

• 3.1 - Are materials and tools stored neat and orderly?

  Good

  Fair

  Poor

  N/A

• 3.2 - Are materials stored on bakers scaffolds or off the ground

  Good

  Fair

  Poor

  N/A

• 3.3 - Are materials stored out of the path of travel?

  Good

  Fair

  Poor

  N/A

• 3.4 - Are tools stored in secured gang boxes?

  Good

  Fair

  Poor

  N/A

• 3.5 - Is the access and egress for each cofferdam properly tagged for safe use?

  Yes

  No

  N/A

3.0 - SIGNAGES

• 4.1 - Is the KKSB job posting board on the job and accessible ?

  Yes

  No

  N/A

• 4.2 - Is the first aid kit stocked and current?

  Yes

  No

  N/A

• 4.4 - Is emergency location information posted? Hi

  Yes

  No

  N/A

5.0 - Fall Protection

• 5.1 - Are fall hazards present on this job?

  Yes

  No

  N/A

• 5.2 - Are employees exposed to falls trained in fall protection?

  Yes

  No

  N/A

• 5.3 - Is fall protection equipment available and inspected?

  Yes

  No

  N/A

6.0 - Ladders

• 6.1 - Are ladders inspected before use on this job?

  Yes

  No

  N/A

• 6.2 - Are the proper sized ladders for tasks available?

  Yes

  No

  N/A

• 6.3 - Are ladder capacities being followed?

  Yes

  No

  N/A

• 6.4 - Is the belt buckle rule being followed?

  Yes

  No

  N/A

• 6.5 - Are ladders placed on firm and level surfaces?

  Yes

  No

  N/A

• 6.6 - Is working on ladders being done while facing the ladder?

  Yes

  No

  N/A

• 6.7 - Are ladders being used only by KKSB employees?

  Yes

  No

  N/A

7.0 - Lifts and Booms (AWP'S)

• 7.1 - Are operators authorized to use the equipment?

  Yes

  No

  N/A

• 7.2 - Is proper fall protection equipment in place and used?

  Yes

  No

  N/A

• 7.3 - Are Aerial Work Platforms free of unwanted debris?

  Yes

  No

  N/A

8.0 - Scaffolding

• 8.1 - Are scaffolds being used and being inspected?

  Yes

  No

  N/A

• 8.2 - Are employees trained in scaffold use?

  Yes

  No

  N/A

• 8.3 - Are guard rails, mid rails, and toe boards in place?

  Yes

  No

  N/A

• 8.4 - Is safe access provided to scaffold?

  Yes

  No

  N/A

• 8.5 - Are platforms free of debris and tripping hazards?

  Yes

  No

  N/A

9.0 - Electrical

• 9.3 - Are energized panels covered with approved covers?

  Yes

  No

  N/A

• 9.4 - Are energized panels labeled with voltage rating ?

  Yes

  No

  N/A

• 9.5 - Are electrical closets closed and locked?

  Good

  Fair

  Poor

  N/A

• 9.6 - Are all extension cords in good condition?

  Good

  Fair

  Poor

  N/A

• 9.8 - Is there an arc-flash kit on site?

  Good

  Fair

  Poor

  N/A

10.0 - LOTO

• 10.1 - Is LOTO program in use?

  Yes

  No

  N/A

• 10.2 - Are locks and tags being used properly identifying user of lock?

  Yes

  No

  N/A

11.0 - Lighting/Temps

• 11.1 - Are areas sufficiently light?

  Yes

  No

  N/A

• 11.2 - Are temp lights properly hung?

  Yes

  No

  N/A

• 11.3 - Are temp light covers in place?

  Yes

  No

  N/A

• 11.4 - Is cordage supported by non-conductive means?

  Yes

  No

  N/A

• 11.5 - Are all splices properly enclosed in junction boxes?

  Yes

  No

  N/A

12.0 - Live Work

• 12.1 - Is live work being conducted?

  Yes

  No

  N/A

• 12.2 - Are employees qualified to perform work?

  Yes

  No

  N/A

• 12.3 - Are limited live kits present?

  Yes

  No

  N/A

13.0 - Excavation

• 13.1 - Are any trenches to be dug 4' or deeper?

  Yes

  No

  N/A

• 13.2 - Is there a competent person on site?

  Yes

  No

  N/A

• 13.3 - Is air monitoring being conducted in trenches 4' or deeper?

  Yes

  No

  N/A

• 13.5 - Are any trenches to be dug 5' or deeper?

  Yes

  No

  N/A

• 13.6 - Are proper shoring means in place?

  Yes

  No

  N/A

14.0 - Confined Space?

• 14.1 - Is confined space work being conducted?

  Yes

  No

  N/A

• 14.2 - Is a competent person present?

  Yes

  No

  N/A

• 14.3 - Have employees been trained?

  Yes

  No

  N/A

• 14.4 - Is confined space kit present and calibrated?

  Yes

  No

  N/A

15.0 - Fire Protection

• 15.1 - Are fire extinguishers present?

  Yes

  No

  N/A

• 15.2 - Are flammable liquids stored in proper containers?

  Yes

  No

  N/A

16.0 - Cranes/Rigging

• 16.1 - Is operators certification current?

  Yes

  No

  N/A

• 16.2 - Loads/Radius indicators as required?

  Yes

  No

  N/A

• 16.3 - Are all safeties on or being used?

  Yes

  No

  N/A

• 16.4 - Are wire rope, slings, and chains safe to use?

  Yes

  No

  N/A

• 16.5 - Are all shackles safe to use?

  Yes

  No

  N/A

• 16.6 - Is rigger/signalman qualified?

  Yes

  No

  N/A

• 16.7 - Are outriggers/supports being used properly?

  Yes

  No

  N/A

• 16.8 - Are tag lines being used properly?

  Yes

  No

  N/A

• 16.9 - Was a daily inspection completed before work was started?

  Yes

  No

  N/A

• 16.10 - Is counterweight swing radius barricaded?

  Yes

  No

  N/A

• 16.11 - Is all work being done at a safe distance (minimum 10') from power lines?

  Yes

  No

  N/A

• 16.12 - Is area below load clear of all unnecessary personnel?

  Yes

  No

  N/A

17.0 - PPE

• 17.1 - Is all necessary PPE available to employees?

  Yes

  No

  N/A

• 17.2 - Are all employees using required Hard Hat.

  Yes

  No

  N/A

• 17.3 - Are all employees using required Safety Glasses?

  Yes

  No

  N/A

• 17.4 - Are all employees using required Gloves?

  Yes

  No

  N/A

• 17.5 - Are all employees wearing proper clothing as required?

  Yes

  No

  N/A

• 17.6 - Are all employees using face shields when required?

  Yes

  No

  N/A

• 17.7 - Are all employees using hearing protection when required?

  Yes

  No

  N/A

• 17.8 - Are all employees using respiratory protection when required?

  Yes

  No

  N/A

• 17.9 - Are all employees using proper fall protection when required?

  Yes

  No

  N/A

19.0 - Hand tools/Power tools/Powder Actuated tools

• 19.1 - Are employees using the proper tools for the job?

  Yes

  No

  N/A

• 19.2 - Are employees using tools with all guards in place?

  Yes

  No

  N/A

• 19.3 - Are all power cords being used in good condition?

  Yes

  No

  N/A

• 19.4 - Are all power cords being used plugged in to GFCI receptacles?

  Yes

  No

  N/A

• 19.5 - Are both hands being used when required for power tools?

  Yes

  No

  N/A

• 19.6 - Is vice being used to secure material being cut?

  Yes

  No

  N/A

• 19.7 - Is employee using Powder Actuated tools certified?

  Yes

  No

  N/A

• 19.8 - Are used cartridges being disposed of properly?

  Yes

  No

  N/A

• 19.9 - Is proper PPE being used?

  Yes

  No

  N/A

• 19.10 - Are tools being properly inspected, cleaned, maintained, and stored?

  Yes

  No

  N/A

24.0 - Chemical Exposure

• 24.1 - Is SDS available for all chemicals being used?

  Yes

  No

  N/A

• 24.2 - Are there engineering controls to limit/eliminate exposure to fumes/dust?

  Yes

  No

  N/A

• 24.3 - Are employees using proper PPE during exposure to chemicals?

  Yes

  No

  N/A

25.0 - Fuel Storing and Refilling

• 25.1 - Are gas/diesel cans metal?

  Yes

  No

  N/A

• 25.2 - Are flammable liquids being stored in designated location away from stairways or exits?

  Yes

  No

  N/A

• 25.3 - Refueling being done with equipment off and cool?

  Yes

  No

  N/A

• 25.4 - Is proper PPE being used during refueling?

  Yes

  No

  N/A

26.0 - Hole Protection

• 26.1 - Are all holes over 2" in diameter covered?

  Yes

  No

  N/A

• 26.2 - Are all covers designed to support 2 times intended load?

  Yes

  No

  N/A

• 26.3 - Are all covers secured?

  Yes

  No

  N/A

27.0 -Signage’s and barricades

• 27.1 - Are all materials properly barricaded?

  Media

• 27.2- Are signage's properly displayed?

  Media

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• FIRDAUS/NAVIN/ASHRAF

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