Information

  • JP Inspection Report

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

ADMINISTRATION

  • Site safety staff attend required meetings

  • TBT is carried out and record is available

  • Safety personnel present at site

  • Sufficient coverage of safety personnel

  • Unsafe condition / act report

  • Permits and JSA are valid

COMPRESSED GAS

  • Individual cylinder storage- upright/secured

  • Placed in safe location / away from traffic

  • Proper manual handling

  • Proper separation of oxygen/fuel gas

  • Leak test liquid available and used daily

  • Caps replaced when not in use

EMERGENCY

  • Emergency number is made known to all?

  • Workers know where the First Aid Room is

  • Evacuation route kept clear

  • Workers know what to do when alarms sounds

  • Workers understand the various alarms

  • First Aid Kit available at site

AERIAL LIFTS

  • Are the operators trained?

  • Daily Pre-Inspection

  • Barricade in place

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

  • Good positioning of vehicle

  • Good housekeeping in bucket/ platform

  • Tool lanyards used

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

  • Lower over-ride control operational/ practiced

  • Minimum of two men in basket

  • Boom retracted & lowered when driving

WORK AT HEIGHT

  • Workers understand WAH Procedure & 100% tie-off

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

  • Workers wearing harness & lanyards properly

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

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

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

  • Tools & materials securely tied off

  • Life lines installed correctly and have current tag

  • Tripping hazards identified

SCAFFOLDING

  • Erect /dismantle by competent persons

  • Scaffold properly inspected / tagged

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

  • Platform free of debris

  • Scaffolds not undermined by excavations

  • Guardrails and toeboards in place

  • Material in good condition - no damage

  • Mobile scaffold use - stationary / no riders

  • Scaffolds checked after adverse weather

  • Base plates on solid ground

  • Scaffolds clamps capped on work platforms

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

  • Scaffolds are free of defects & built per specifications

  • Scaffold boards are secured

HEALTH HAZARD CONTROL

  • Shelter/ shaded area available

  • Drinking water readily available at work location

  • Frequent water consumption encouraged

  • Respiratory Protection Program in place

  • Standing water removed from site asap

HEALTH AND WELFARE

  • Toilets clean and maintained regularly

  • Hand washing areas clean

  • Sufficient space for eating and resting

  • Hand washing facilities provided at eating areas

  • Vector control in place

  • Eating areas are clean & sanitary

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

TRANSPORTATION

  • Banksmen for tele porters / forklift control

  • Seat belt use enforced

  • Tires, lights, etc. - maintained

  • Banksmen for truck reversing

  • Chocks used on trailers

  • Traffic regulations/speed limit enforced

  • Drivers give way to pedestrian traffic

  • No gaps / damaged boards in trailer bed

HEAVY EQUIPMENT

  • Operator qualified/certified

  • Regular inspection and maintenance

  • Blade/bucket lowered when not in use

  • Barricades around all swing radius

  • Back up alarm provided on all equipment

  • Signalman / Banksman in place and competent

  • Engine off when refueling

HOUSEKEEPING

  • Site layout planned

  • Site access/egress provided and marked

  • Access provided over or around excavated areas, like trenches

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

  • Walkways & passageways clear & free of tripping hazards.

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

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

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

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

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

  • Scrap or trash containers available & emptied regularly.

  • Butt cans free of combustible material & emptied routinely.

  • No litter found in the area

LADDERS, RAMPS, AND STAIRS

  • Ladders inspected before use

  • Correct Ladder design and use for task

  • Secured at top and/or base

  • Side rails extend 1m above top of platform

  • No standing on top three steps of step ladder

  • Ramps provided with handrail

  • Stairways properly built

  • Ladders not used as work platforms

MATERIAL HANDLING

  • Proper manual material handling

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

  • Material handling equipment is labeled to identify load capacity.

  • Employee use gloves to protect hands when handling materials

CRANES AND LIFTING

  • Signalman only giving instructions to crane

  • Lift path/swing radius barriers in place

  • Safety latches (hooks)

  • Condition of wire ropes, slings, chains

  • Condition of shackles - no makeshift devices

  • Proper use of outriggers/supports

  • Taglines used and load well controlled

  • Inspection and maintenance-daily/monthly

  • Counterweight swing radius barricaded

  • Correct shackles for nylon slings used

  • Lift supervisor plans each lift properly

  • Crane trucks only used for unloading to ground

  • Assembly/ Disassembly Supervisor is competent & Qualified

  • Crane Assembly/ Disassembly Form signed off as required

  • Documented Pre-Lift Meeting is held

  • Operator/ Rigger/ Flagman are qualified

  • Crane outriggers fully extended & mats in use

  • Slings formally inspected quarterly & recorded

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

  • Load directed safely (does not pass over anyone)

  • Loads safely landed & blocked

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

  • Operator determines weight of load prior to performing lift

PERSONAL PROTECTIVE EQUIPMENT

  • Head protection with chin strap

  • Eye protection - Mandatory

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

  • Foot protection

  • Hearing protection

  • Hand protection - Mandatory

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

  • Respiratory protection

  • Proper clothing

  • Life Jacket used

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

POWER HAND TOOLS

  • Correct voltage

  • Properly grounded

  • Properly guarded at all times

  • Condition of plug and leads

  • Inspection and maintenance - daily/monthly

  • Correct disc/speed/size/type

  • Power disconnected when cleaning or maintenance

  • No damage to electric leads

HAND TOOLS

  • Correct tools for job & good condition

  • Correct use of tools

  • No makeshift / homemade tools

  • Workers understand the way to use the tool

  • Correct postion to use the tool safely

  • No banned tools in use or in tool boxes

AIR COMPRESSOR & GENERATORS

  • Pressure valves and mufflers

  • Air pressure gauge in working order

  • Hoses and connections good condition

  • Hard barricade provided with signs

  • Daily check sheet complete and signed by competent person

  • Whip lines utilised

  • Name of responsible person clearly visible

FIRE PREVENTION

  • Adequate fire extinguishers for hazards

  • Proper type and location

  • Fire watchers trained

  • Fire watches at correct locations

  • Inspection and maintenance - monthly

  • Fire extinguisher use reported

WELDING/CUTTING

  • Mandatory eye protection used

  • Gauges removed during relocation

  • Condition of hoses

  • Correct respiratory protection used

  • Shields / spark catchers installed

  • Grounding - close to work station

  • Cable condition/Rollup

  • Equipment off when not in use<br>

  • Machine frame grounded

  • Anti-Flash back arrestors - torch/gauge

  • Fire extinguisher immediately available & operable

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

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

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

  • Regulator gauges are attached & in good condition

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

  • Strikers are use to light torches

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

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

ELECTRICAL SYSTEM

  • Distribution panel locked

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

  • Plugboards must have covers

  • Warning signs posted/enforced

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

  • Barricades and signs correctly placed

  • Inspection by LEW

  • Outlets, receptacles, junction boxes are approved & maintained

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

  • Temporary lighting installed as required using approved materials

SECURITY

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

  • Effective control of tools & equipment (loss prevention)

  • Effective investigation of loss

  • Controlled access (gates & perimeter)

  • Enforcement of restricted areas

  • Control of transportation

  • Emergency response coordination

  • Evacuation drill conducted

  • Monitoring/ control of lightning shelters

NIGHT SHIFT OPERATIONS

  • 1:25 ratio of HSE reps/ workers

  • Pre-job briefing to discuss night work expectations

  • High visibility retro-reflective safety apparel in use

  • High visibility retro-reflective signs used

  • Required lighting is provided for the work being performed

  • Lighting provided for all operations (no exceptions)

  • Work sites illuminated

  • Permanent lighting (Halogen) installed/ maintained

  • Cranes have load hooks & working areas adequately illuminated

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

  • Flashlights available

  • Clear protective eyewear used

  • Traffic Control Persons used as appropriate

  • Workers alert, not fatigued, drowsy, sleeping

ENVIRONMENTAL

  • Spill Cleanup kits available where required

  • Waste material containers labeled/segregated

  • Waste Skips not overflowing

  • Mosquito Prevention

  • Timely water pumping / sedement traps used

  • Correct Storage of hazardous chemicals

  • Safety Data Sheets (SDS) in place

  • Dust Controls

  • Secondary containment in place & of appropriate volume

  • Workers trained in spill clean-up

  • Prompt reporting of spills

  • Vehicle maintenance washing in approved areas

  • Proper disposal of materials & chemicals

  • Declaration of toxic / hazardous materials delivery

SIGNATORY

  • WSH Personnel

  • OMC Ops I/C

  • Contractor Representive

  • Contractor Representive

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.