Information

  • 工程名稱

  • Document No.

  • 承判商名稱

  • Conducted on

  • Location
  • 檢查人員

1 个人防护用品状况 PPE

  • 1.1 施工现场人员是否有穿上安全帽,反光衣和安全鞋 Operatives in worksite were observed wearing helmet,high visibility vest and safety shoes?

  • 1.2 反光衣的反光条是否有效 The tapes of high visibility vest works?

  • 參考圖片 Photo

  • no label
  • 1.3 用挖機打路面是否佩戴以下PPE: 耳罩 PPE for digging the ground: hearing protection

  • 參考圖片 Photo

  • no label
  • 1.4 風炮作业人员是否佩戴以下PPE: 防尘口罩,手套,防护眼镜,耳罩 PPE for jackhammer operation: dust mask, gloves, goggles, hearing protection

  • 參考圖片 Photo

  • no label
  • 1.5 砂轮作业人员是否佩戴以下PPE: 防护眼镜,耳罩 PPE for abrasive wheel operation goggle, hearing protection

  • 參考圖片 Photo

  • no label
  • 1.6 焊接作业人员是否佩戴以下PPE: 皮手套,焊接面罩 PPE for welding: leather gloves, welding mask

2 道路施工安全 Project on roads

指示牌状况 Signage condition

  • 2.1 是否有清晰的工程牌(工程编号,施工开始时间及期限等基本信息)Project signage clear(Project code, start date and duration of construction work)

  • 參考圖片 Photo

  • no label
  • 2.2 是否有清晰的交通指示牌(如不在交通道路上施工,则无需交通指示牌)Traffic signage clear

围栏 Barricades

  • 2.3 围栏是否相互紧扣,并连续不断围绕工地范围 Are the work area have barricades to secure the work area from unauthorized accesses

  • 參考圖片 Photo

  • no label
  • 2.4 围栏状况是否良好(由於圍欄自身原因無法相互緊扣視為"No") Are the barricades in good condition

  • 參考圖片 Photo

  • no label
  • 2.5 雪糕筒和夜间指示灯状况是否良好(无残旧或损坏)Are the traffic cones and flashing lights(at night) in good condition

  • 參考圖片 Photo

  • no label

行人安全 (施工现场无行人道时为不适用)Passenger safety (not applicable if no pedestrian way close by the worksite)

  • 2.6 是否有清晰的行人指示牌 The signage for passenger is clear

  • 參考圖片 Photo

  • no label
  • 2.7 對開挖過後的行人道是否擺放防滑踏板 If anti-slip pedals are in place and in good condition on the excavated pedestrian way

  • 參考圖片 Photo

  • no label
  • 2.8 行人通道是否畅通无阻 Pedestrian way is clear of slip, trip and falls

  • 參考圖片 Photo

  • no label

3 工作场所\清洁 Work place / housekeeping / storage / hygiene

  • 3.1 地盘是否清洁(0為最差,3為最好) Worksite is clean and tidy (0 is the worst, 3 is the best)

  • Add media

  • 3.2 地盘范围内无人吸烟 Nobody smoking in the worksite

  • 3.3 通道是否通畅(电线,工具等乱摆在通道上) Paths in the worksite clean (No cables, tools)

  • 參考圖片 Photo

  • no label
  • 3.4 未使用的喉管是否堆放妥善及稳固 The pipes are well stored

  • 參考圖片 Photo

  • no label
  • 3.5 木板上的钉子是否除去或壓平 The nails on the wood are removed or planished

  • 參考圖片 Photo

  • no label

4 急救箱和火险(如果現場沒有,其相關項一律視為"No")First aid case and fire extinguishers (the related items should be "No" if they are nit found on the worksite

  • 4.1 急救箱状况是否保持清洁並無破損 Is first aid case clean and no damage

  • 4.2 急救箱是否有适当的标识,如「+」字 First aid case clearly labelled, such as Red Cross

  • 參考圖片 Photo

  • no label
  • 4.3 急救箱的药品是否在保质期内(抽查) No contents past their expiry date

  • 4.4 有否合格的灭火筒(压力指针在绿色区域,并且灭火筒在保质期内) Is there exist qualified fire extinguishers on the worksite (gauze in green area

  • 參考圖片 Photo

  • no label
  • 4.5 工作人员是否有使用灭火筒的常识(询问任意现场施工人员) Are the workers on site trained to use fire extinguishers

5 电力安全 Electrical safety

  • 5.1 电箱插座和电缆插头是否为防水型 Sockets and Plug are water proof?

  • 參考圖片 Photo

  • no label
  • 5.2 电缆线是否完好无破损(破損處用防水膠布包好視為"Yes") No frayed or damage electrical cables

6 环境影响 Environmental

  • 6.1 化学品容器是否有清晰标签 All containers labelled correctly?

  • 參考圖片 Photo

  • no label
  • 6.2 是否將化學品容器,废油桶是否有放在防漏盘内(固體化學品不需要)Chemical containers and oil drum are put in the spill trays

  • 參考圖片 Photo

  • no label
  • 6.3 是否有适当灑水以防止施工的扬尘产生(現場沒有灑水,但無看到揚塵時視為不適用) Water is sprayed to avoid raising dust (not applicable if no water spray with no dust on site)

  • 參考圖片 Photo

  • no label
  • 6.4 露天存储石粉等原料时是否有适当遮盖(挖出來的泥土視為不適用) Sands and stones stored are properly covered

  • 參考圖片 Photo

  • no label

7 开挖作业 Excavator

  • 7.1 挖掘机标识是否清晰(「机器转动,请勿靠近」) Does excavator has the sign on it ("Keep away, turning machine")

  • 參考圖片 Photo

  • no label
  • 7.2 挖泥车行驶的地面是否平稳 If the ground steady even while the excavator is running

  • 參考圖片 Photo

  • no label

8 基坑防护 Excavator

  • 8.1 有否使用梯子或其他安全方式(如临时台阶或斜坡)进入基坑 Ladders or other means (such as temporary steps or sloping) provided to access trench

  • 參考圖片 Photo

  • no label
  • 8.2 泥头堆放是否离开坑边0.6米以上 Earth is stored st least 0.6 meter away from the trench

  • 參考圖片 Photo

  • no label
  • 8.3 坑道开挖深于1.2米时是否有装设闸板及撑架,或是采用斜坡方式挖掘进行挖掘 Excavation are shored or sloped when the depth is more than 1.2 meter

  • 8.4 沿坑边装设铺板或其他适当的材料作为防护,其高度是否大于15厘米 Shoring equipment must extend 15cm above the ground level (tp prevent materials, tools from rolling or falling into the trench

  • 8.5 是否用泵或其他办法抽出坑内积水(水位需要低於雨鞋高度,基坑内无水时为不适用) Water in excavation need to be discharged

  • 參考圖片 Photo

  • no label
  • 8.6 從基坑內抽水時未將水洒到人行道或馬路上 The water exhausted from trench is not drained on the road or pedestrian way

9 吊装作业 Lifting

  • 9.1 起重设备(吊索,吊环)是否完好有破损 The slings/ chains and hooks in good conditions

  • 參考圖片 Photo

  • no label
  • 9.2 起重机吊钩是否有防脱钩安全装置(鸭舌) Hooks equipped safety latch

  • 參考圖片 Photo

  • no label
  • 9.3 被吊物悬空时,禁止人员在吊臂下停留及穿行 Employees kept from under suspended loads

  • 參考圖片 Photo

  • no label

10 焊接与切割 Welding and cutting

  • 10.1 气樽是否直立放置并固定 Gas cylinders stored upright and secured

  • 參考圖片 Photo

  • no label
  • 10.2 压力表状况是否良好无破损 Meter is in good condition

  • 參考圖片 Photo

  • no label
  • 10.3 软管是否完好无破损 Hose is in good condition

  • 10.4 是否有采取防护措施防止焊接强光、火星影响路人(无行人路过的地方为不适用) Install welding shields to protect the passengers from the light and spark of the operation

  • 參考圖片 Photo

  • no label

Sign off

  • Auditor's signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.