Loss Prevention Inspection (LPI) Report

• JP Inspection Report

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

ADMINISTRATION

• Site safety staff attend required meetings

  Yes

  No

  N/A

• TBT is carried out and record is available

  Yes

  No

  N/A

• Safety personnel present at site

  Yes

  No

  N/A

• Sufficient coverage of safety personnel

  Yes

  No

  N/A

• Unsafe condition / act report

  Yes

  No

  N/A

• Permits and JSA are valid

  Yes

  No

  N/A

COMPRESSED GAS

• Individual cylinder storage- upright/secured

  Yes

  No

  N/A

• Placed in safe location / away from traffic

  Yes

  No

  N/A

• Proper manual handling

  Yes

  No

  N/A

• Proper separation of oxygen/fuel gas

  Yes

  No

  N/A

• Leak test liquid available and used daily

  Yes

  No

  N/A

• Caps replaced when not in use

  Yes

  No

  N/A

EMERGENCY

• Emergency number is made known to all?

  Yes

  No

  N/A

• Workers know where the First Aid Room is

  Yes

  No

  N/A

• Evacuation route kept clear

  Yes

  No

  N/A

• Workers know what to do when alarms sounds

  Yes

  No

  N/A

• Workers understand the various alarms

  Yes

  No

  N/A

• First Aid Kit available at site

  Yes

  No

  N/A

AERIAL LIFTS

• Are the operators trained?

  Yes

  No

  N/A

• Daily Pre-Inspection

  Yes

  No

  N/A

• Barricade in place

  Yes

  No

  N/A

• Vehicle Stability, operated from level firm ground (outrigger, pads etc.)

  Yes

  No

  N/A

• Good positioning of vehicle

  Yes

  No

  N/A

• Good housekeeping in bucket/ platform

  Yes

  No

  N/A

• Tool lanyards used

  Yes

  No

  N/A

• Workers do not use equipment as a means of access/ egress

  Yes

  No

  N/A

• Lower over-ride control operational/ practiced

  Yes

  No

  N/A

• Minimum of two men in basket

  Yes

  No

  N/A

• Boom retracted & lowered when driving

  Yes

  No

  N/A

WORK AT HEIGHT

• Workers understand WAH Procedure & 100% tie-off

  Yes

  No

  N/A

• Harness, Lanyards, Shock absorbers in good condition, inspected & color coded.

  Yes

  No

  N/A

• Workers wearing harness & lanyards properly

  Yes

  No

  N/A

• All surfaces have complete guardrails (handrail, midrails & toeboards/ permanent handrails)

  Yes

  No

  N/A

• Scaffolds/ work platforms not overloaded or with loose objects ?

  Yes

  No

  N/A

• Potential drop zones under work area barricaded to protect personnel from falling objects.

  Yes

  No

  N/A

• Tools & materials securely tied off

  Yes

  No

  N/A

• Life lines installed correctly and have current tag

  Yes

  No

  N/A

• Tripping hazards identified

  Yes

  No

  N/A

SCAFFOLDING

• Erect /dismantle by competent persons

  Yes

  No

  N/A

• Scaffold properly inspected / tagged

  Yes

  No

  N/A

• Workers understand Red Tag / Green tag system<br>

  Yes

  No

  N/A

• Platform free of debris

  Yes

  No

  N/A

• Scaffolds not undermined by excavations

  Yes

  No

  N/A

• Guardrails and toeboards in place

  Yes

  No

  N/A

• Material in good condition - no damage

  Yes

  No

  N/A

• Mobile scaffold use - stationary / no riders

  Yes

  No

  N/A

• Scaffolds checked after adverse weather

  Yes

  No

  N/A

• Base plates on solid ground

  Yes

  No

  N/A

• Scaffolds clamps capped on work platforms

  Yes

  No

  N/A

• Complete decking is provided whenever possible & is of scaffold grade material, no wooden decking

  Yes

  No

  N/A

• Scaffolds are free of defects & built per specifications

  Yes

  No

  N/A

• Scaffold boards are secured

  Yes

  No

  N/A

HEALTH HAZARD CONTROL

• Shelter/ shaded area available

  Yes

  No

  N/A

• Drinking water readily available at work location

  Yes

  No

  N/A

• Frequent water consumption encouraged

  Yes

  No

  N/A

• Respiratory Protection Program in place

  Yes

  No

  N/A

• Standing water removed from site asap

  Yes

  No

  N/A

HEALTH AND WELFARE

• Toilets clean and maintained regularly

  Yes

  No

  N/A

• Hand washing areas clean

  Yes

  No

  N/A

• Sufficient space for eating and resting

  Yes

  No

  N/A

• Hand washing facilities provided at eating areas

  Yes

  No

  N/A

• Vector control in place

  Yes

  No

  N/A

• Eating areas are clean & sanitary

  Yes

  No

  N/A

• Food waste stored in covered bins & removed on a daily basis

  Yes

  No

  N/A

TRANSPORTATION

• Banksmen for tele porters / forklift control

  Yes

  No

  N/A

• Seat belt use enforced

  Yes

  No

  N/A

• Tires, lights, etc. - maintained

  Yes

  No

  N/A

• Banksmen for truck reversing

  Yes

  No

  N/A

• Chocks used on trailers

  Yes

  No

  N/A

• Traffic regulations/speed limit enforced

  Yes

  No

  N/A

• Drivers give way to pedestrian traffic

  Yes

  No

  N/A

• No gaps / damaged boards in trailer bed

  Yes

  No

  N/A

HEAVY EQUIPMENT

• Operator qualified/certified

  Yes

  No

  N/A

• Regular inspection and maintenance

  Yes

  No

  N/A

• Blade/bucket lowered when not in use

  Yes

  No

  N/A

• Barricades around all swing radius

  Yes

  No

  N/A

• Back up alarm provided on all equipment

  Yes

  No

  N/A

• Signalman / Banksman in place and competent

  Yes

  No

  N/A

• Engine off when refueling

  Yes

  No

  N/A

HOUSEKEEPING

• Site layout planned

  Yes

  No

  N/A

• Site access/egress provided and marked

  Yes

  No

  N/A

• Access provided over or around excavated areas, like trenches

  Yes

  No

  N/A

• General organization- areas clean, tool rooms, storage etc.

  Yes

  No

  N/A

• Walkways & passageways clear & free of tripping hazards.

  Yes

  No

  N/A

• Delivered materials used within 3 days/ Unused material removed from site

  Yes

  No

  N/A

• Hard Barricades provided where necessary, barricade tape used properly, one shift only

  Yes

  No

  N/A

• Electrical cords, hoses, welding leads, etc. elevated to prevent trip hazards.

  Yes

  No

  N/A

• Scrap material/ timber free of protruding nails or other puncture hazards.

  Yes

  No

  N/A

• Elevated areas maintained clear of debris, materials, tools etc.

  Yes

  No

  N/A

• Scrap or trash containers available & emptied regularly.

  Yes

  No

  N/A

• Butt cans free of combustible material & emptied routinely.

  Yes

  No

  N/A

• No litter found in the area

  Yes

  No

  N/A

LADDERS, RAMPS, AND STAIRS

• Ladders inspected before use

  Yes

  No

  N/A

• Correct Ladder design and use for task

  No

  Yes

• Secured at top and/or base

  Yes

  No

  N/A

• Side rails extend 1m above top of platform

  Yes

  No

  N/A

• No standing on top three steps of step ladder

  Yes

  No

  N/A

• Ramps provided with handrail

  Yes

  No

  N/A

• Stairways properly built

  Yes

  No

  N/A

• Ladders not used as work platforms

  Yes

  No

  N/A

MATERIAL HANDLING

• Proper manual material handling

  Yes

  No

  N/A

• Material handling equipment is used to handle/ move material where possible.

  Yes

  No

  N/A

• Material handling equipment is labeled to identify load capacity.

  Yes

  No

  N/A

• Employee use gloves to protect hands when handling materials

  Yes

  No

  N/A

CRANES AND LIFTING

• Signalman only giving instructions to crane

  Yes

  No

  N/A

• Lift path/swing radius barriers in place

  Yes

  No

  N/A

• Safety latches (hooks)

  Yes

  No

  N/A

• Condition of wire ropes, slings, chains

  Yes

  No

  N/A

• Condition of shackles - no makeshift devices

  Yes

  No

  N/A

• Proper use of outriggers/supports

  Yes

  No

  N/A

• Taglines used and load well controlled

  Yes

  No

  N/A

• Inspection and maintenance-daily/monthly

  Yes

  No

  N/A

• Counterweight swing radius barricaded

  Yes

  No

  N/A

• Correct shackles for nylon slings used

  Yes

  No

  N/A

• Lift supervisor plans each lift properly

  Yes

  No

  N/A

• Crane trucks only used for unloading to ground

  Yes

  No

  N/A

• Assembly/ Disassembly Supervisor is competent & Qualified

  Yes

  No

  N/A

• Crane Assembly/ Disassembly Form signed off as required

  Yes

  No

  N/A

• Documented Pre-Lift Meeting is held

  Yes

  No

  N/A

• Operator/ Rigger/ Flagman are qualified

  Yes

  No

  N/A

• Crane outriggers fully extended & mats in use

  Yes

  No

  N/A

• Slings formally inspected quarterly & recorded

  Yes

  No

  N/A

• Rigger Gear (Plate Clamps, Lifting Beams, etc) marked with SWL

  Yes

  No

  N/A

• Load directed safely (does not pass over anyone)

  Yes

  No

  N/A

• Loads safely landed & blocked

  Yes

  No

  N/A

• Load charts are posted & utilized & operators manuals are available

  Yes

  No

  N/A

• Operator determines weight of load prior to performing lift

  Yes

  No

  N/A

PERSONAL PROTECTIVE EQUIPMENT

• Head protection with chin strap

  Yes

  No

  N/A

• Eye protection - Mandatory

  Yes

  No

  N/A

• Eye protection worn for welding / grinding / chipping etc)

  Yes

  No

  N/A

• Foot protection

  Yes

  No

  N/A

• Hearing protection

  Yes

  No

  N/A

• Hand protection - Mandatory

  Yes

  No

  N/A

• Hand protection worn while handling sharps materials / chemicals / hot / etc

  Yes

  No

  N/A

• Respiratory protection

  Yes

  No

  N/A

• Proper clothing

  Yes

  No

  N/A

• Life Jacket used

  Yes

  No

  N/A

• Workers near heavy equipment operations wear high visibility reflective safety vests.

  Yes

  No

  N/A

POWER HAND TOOLS

• Correct voltage

  Urgent

  Non-Urgent

• Properly grounded

  Yes

  No

  N/A

• Properly guarded at all times

  Yes

  No

  N/A

• Condition of plug and leads

  Yes

  No

  N/A

• Inspection and maintenance - daily/monthly

  Yes

  No

  N/A

• Correct disc/speed/size/type

  Yes

  No

  N/A

• Power disconnected when cleaning or maintenance

  Yes

  No

  N/A

• No damage to electric leads

  Yes

  No

  N/A

HAND TOOLS

• Correct tools for job & good condition

  Yes

  No

  N/A

• Correct use of tools

  Yes

  No

  N/A

• No makeshift / homemade tools

  Yes

  No

  N/A

• Workers understand the way to use the tool

  Yes

  No

  N/A

• Correct postion to use the tool safely

  Yes

  No

  N/A

• No banned tools in use or in tool boxes

  Yes

  No

  N/A

AIR COMPRESSOR & GENERATORS

• Pressure valves and mufflers

  Yes

  No

  N/A

• Air pressure gauge in working order

  Yes

  No

  N/A

• Hoses and connections good condition

  Yes

  No

  N/A

• Hard barricade provided with signs

  Yes

  No

  N/A

• Daily check sheet complete and signed by competent person

  Yes

  No

  N/A

• Whip lines utilised

  Yes

  No

  N/A

• Name of responsible person clearly visible

  Yes

  No

  N/A

FIRE PREVENTION

• Adequate fire extinguishers for hazards

  Yes

  No

  N/A

• Proper type and location

  Yes

  No

  N/A

• Fire watchers trained

  Yes

  No

  N/A

• Fire watches at correct locations

  Yes

  No

  N/A

• Inspection and maintenance - monthly

  Yes

  No

  N/A

• Fire extinguisher use reported

  Yes

  No

  N/A

WELDING/CUTTING

• Mandatory eye protection used

  Yes

  No

  N/A

• Gauges removed during relocation

  Yes

  No

  N/A

• Condition of hoses

  Yes

  No

  N/A

• Correct respiratory protection used

  Yes

  No

  N/A

• Shields / spark catchers installed

  Yes

  No

  N/A

• Grounding - close to work station

  Yes

  No

  N/A

• Cable condition/Rollup

  Yes

  No

  N/A

• Equipment off when not in use<br>

  Yes

  No

  N/A

• Machine frame grounded

  Yes

  No

  N/A

• Anti-Flash back arrestors - torch/gauge

  Yes

  No

  N/A

• Fire extinguisher immediately available & operable

  Yes

  No

  N/A

• Cables, cords, & hoses are elevated or protected to prevent tripping hazards

  Yes

  No

  N/A

• Compressed gas cylinders are labeled & stamped with current hydrostatic test date

  Yes

  No

  N/A

• Compressed gas cylinders are stored in purpose racks & valves capped

  Yes

  No

  N/A

• Regulator gauges are attached & in good condition

  Yes

  No

  N/A

• Compressed gas cylinder valves are turned off when not in use

  Yes

  No

  N/A

• Strikers are use to light torches

  Yes

  No

  N/A

• Welding rods are stored/ rod stubs placed in a container to prevent a tripping hazard

  Yes

  No

  N/A

• Compressed gas cylinders located outside of closed areas/ not exposed to slag or sparks

  Yes

  No

  N/A

ELECTRICAL SYSTEM

• Distribution panel locked

  Yes

  No

  N/A

• All cables are elevated at least 2m<br>

  Yes

  No

  N/A

• Plugboards must have covers

  Yes

  No

  N/A

• Warning signs posted/enforced

  Yes

  No

  N/A

• Distribution Panel with name of person responsible.<br>

  Yes

  No

  N/A

• Barricades and signs correctly placed

  Yes

  No

  N/A

• Inspection by LEW

  Yes

  No

  N/A

• Outlets, receptacles, junction boxes are approved & maintained

  Yes

  No

  N/A

• Where electrical cables are suspended or secured, they are done so by using non-conducting materials

  Yes

  No

  N/A

• Temporary lighting installed as required using approved materials

  Yes

  No

  N/A

SECURITY

• Effective work force control (crime, violence, assault etc)

  Yes

  No

  N/A

• Effective control of tools & equipment (loss prevention)

  Yes

  No

  N/A

• Effective investigation of loss

  Yes

  No

  N/A

• Controlled access (gates & perimeter)

  Yes

  No

  N/A

• Enforcement of restricted areas

  Yes

  No

  N/A

• Control of transportation

  Yes

  No

  N/A

• Emergency response coordination

  Yes

  No

  N/A

• Evacuation drill conducted

  Yes

  No

  N/A

• Monitoring/ control of lightning shelters

  Yes

  No

  N/A

NIGHT SHIFT OPERATIONS

• 1:25 ratio of HSE reps/ workers

  Yes

  No

  N/A

• Pre-job briefing to discuss night work expectations

  Yes

  No

  N/A

• High visibility retro-reflective safety apparel in use

  Yes

  No

  N/A

• High visibility retro-reflective signs used

  Yes

  No

  N/A

• Required lighting is provided for the work being performed

  Yes

  No

  N/A

• Lighting provided for all operations (no exceptions)

  Yes

  No

  N/A

• Work sites illuminated

  Yes

  No

  N/A

• Permanent lighting (Halogen) installed/ maintained

  Yes

  No

  N/A

• Cranes have load hooks & working areas adequately illuminated

  Yes

  No

  N/A

• Vehicle & equipment lighting operable (headlights, taillights, backup lights, rotating beacons)

  Yes

  No

  N/A

• Flashlights available

  Yes

  No

  N/A

• Clear protective eyewear used

  Yes

  No

  N/A

• Traffic Control Persons used as appropriate

  Yes

  No

  N/A

• Workers alert, not fatigued, drowsy, sleeping

  Yes

  No

  N/A

ENVIRONMENTAL

• Spill Cleanup kits available where required

  Yes

  No

  N/A

• Waste material containers labeled/segregated

  Yes

  No

  N/A

• Waste Skips not overflowing

  Yes

  No

  N/A

• Mosquito Prevention

  Yes

  No

  N/A

• Timely water pumping / sedement traps used

  Yes

  No

  N/A

• Correct Storage of hazardous chemicals

  Yes

  No

  N/A

• Safety Data Sheets (SDS) in place

  Yes

  No

  N/A

• Dust Controls

  Yes

  No

  N/A

• Secondary containment in place & of appropriate volume

  Yes

  No

  N/A

• Workers trained in spill clean-up

  Yes

  No

  N/A

• Prompt reporting of spills

  Yes

  No

  N/A

• Vehicle maintenance washing in approved areas

  Yes

  No

  N/A

• Proper disposal of materials & chemicals

  Yes

  No

  N/A

• Declaration of toxic / hazardous materials delivery

  Yes

  No

  N/A

SIGNATORY

• WSH Personnel

  Sign

• OMC Ops I/C

  Sign

• Contractor Representive

  Sign

• Contractor Representive

  Sign

• Yes

  No

  N/A

• Yes

  No

  N/A