Delta Company Ltd.

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Safety Checklist for 110KV Underground Cable Project

• Project Name:

• Contract No.

• Location:

  Select Al Maather Al Hazem Al Waha Al Marjhan Hindawiah Khuzam Murjan Taima Hail Madinah

  • Al Maather
  • Al Hazem
  • Al Waha
  • Al Marjhan
  • Hindawiah
  • Khuzam
  • Murjan
  • Taima
  • Hail
  • Madinah

• Circuit Route:

• Inspection Report:

• Inspection Date:

  Date

DESCRIPTION OF CHECKS

• 1. Baladiya/Municipality valid permission

  Yes

  No

  N/A

• 2. Maroor/Traffic valid permission

  Yes

  No

  N/A

• 3. Other concern authorities/parties valid permission (STC, telecoms, water departments and etc.)

  Yes

  No

  N/A

• 4. Traffic route diversion required

  Yes

  No

  N/A

• 5. Test pit/underground utilities surveillance done

  Yes

  No

  N/A

• 6. Approved Safety Officer designated

  Yes

  No

  N/A

• 7. Working area completely isolated

  Yes

  No

  N/A

• 8. Conrete barrier aligned and placed 0.5 meters apart

  Yes

  No

  N/A

• 9. Oranged colored safety plastic mesh installed

  Yes

  No

  N/A

• 10. Rotating/beacon lights in every trench corner and entry installed

  Yes

  No

  N/A

• 11. Lighting bulbs and LED lights installed

  Yes

  No

  N/A

• 12. Project information board in both ends of the whole trench installed.

  Yes

  No

  N/A

• 13. Warning and information signs installed.

  Yes

  No

  N/A

• 14. Access ladders and egress installed.

  Yes

  No

  N/A

• 15. Pedestrian temporary access bridges installed.

  Yes

  No

  N/A

• 16. All equipment's has valid 3rd party inspection certificate.

  Yes

  No

  N/A

• 17. Dump trucks/vehicles used has valid government registration.

  Yes

  No

  N/A

• 18. All operators and drivers has valid traffic and 3rd party illegibility/competency certification/licence.

  Yes

  No

  N/A

• 19. Fire extinguishers provided in motorized equipments.

  Yes

  No

  N/A

• 20. First aid kits provided adequately.

  Yes

  No

  N/A

• 21. All project personnel has complete PPE (shoes, helmet, vest)

  Yes

  No

  N/A

• 22. Toolbox meeting conducted.

  Yes

  No

  N/A

• 23. Removal of excavated materials from the site and disposed in an approved area.

  Yes

  No

  N/A

• 24. Proper housekeeping implemented.

  Yes

  No

  N/A

• 25. Proper shoring/slope protection installed.

  Yes

  No

  N/A

• 26. Subcontactor approved from National Grid.

  Yes

  No

  N/A

• Prepared by:

• Signature

  Sign

• Approved by Safety Consultant:

• Signature of Safety Consultant:

  Sign