PUB- Water Supply Network Dept. Safety Inspection Report

• Document/Contract No

• Project Title

• Date Inspection Conducted

  Date

• Consultant-in-charge

• Name of Section

• Team Lead of the Section

• PUB Officer in charge of the site

• Location
  Address

• 

• Instruction:
  ----------------------
  
  1. Answer all the questions and fields below.
  2. Add photos and notes by clicking on the paperclip icon, if applicable.
  3. To add a Corrective Action click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority and due date.
  4. Complete audit by providing digital signature.
  5. Share your report by exporting as PDF, Word, Excel or Web Link.

• PUB Contractor

SECTION A - DOCUMENTATION REVIEW

Safety & Health Management System Elements

• 1. Safety Policy

  Compliant

  Non-Compliant

  N/A

• 2. Safe Work Practices

  Compliant

  Non-Compliant

  N/A

• 3. Safety Training

  Compliant

  Non-Compliant

  N/A

• 4. Group Meetings

  Compliant

  Non-Compliant

  N/A

• 5. Incident Investigation And Analysis

  Compliant

  Non-Compliant

  N/A

• 6. In-House Safety Rules

  Compliant

  Non-Compliant

  N/A

• 7. Safety Promotion

  Compliant

  Non-Compliant

  N/A

• 8. System for the Evaluation, Selection and Control of Contractors

  Compliant

  Non-Compliant

  N/A

• 9. Safety Inspection

  Compliant

  Non-Compliant

  N/A

• 10. Maintenance Regime

  Compliant

  Non-Compliant

  N/A

• 11. Risk Assessment

  Compliant

  Non-Compliant

  N/A

• 12. Control of Movement and Use of Hazardous Chemicals

  Compliant

  Non-Compliant

  N/A

• 13. Occupational Health Programme

  Compliant

  Non-Compliant

  N/A

• 14. Emergency Preparedness

  Compliant

  Non-Compliant

  N/A

• 15. Environment Control Management

  Compliant

  Non-Compliant

  N/A

SECTION B - PREVENTIVE ACTIONS AGAINST DIFFERENT TYPES OF HAZARD

• NOTE:
  
  Attach Photo(s) of Hazard before and after follow-up on each identified by clicking the paperclip icon.

• Definition of Scores:
  
  0 - Unacceptable
  1 - Unsatisfactory (follow-up required)
  2 - Satisfactory but there is room for improvement
  3 - Satisfactory

• Select Type of Hazard

  Select Physical Hazards Chemical Hazards Mechanical Hazards Electrical Hazards Ergonomic Hazard Fire Hazard Fall from Height Hazard Confined Space Hazards Slip, Trip and Fall Hazards

  • Physical Hazards
  • Chemical Hazards
  • Mechanical Hazards
  • Electrical Hazards
  • Ergonomic Hazard
  • Fire Hazard
  • Fall from Height Hazard
  • Confined Space Hazards
  • Slip, Trip and Fall Hazards

• Physical Hazards
  
  A factor within environment that can harm the body without necessarily touching it.
  (Example: Noise, vibration, radiation, vacuum)

• Select the Score of Hazard

  0

  1

  2

  3

• Details of Hazard

• Chemical Hazards
  
  Exposure to chemicals can cause acute or long term detrimental health effect.
  (Example: Toxic, explosive, flammable)

• Select the Score of Hazard

  0

  1

  2

  3

• Details of Hazard

• Mechanical Hazards
  
  This could be cutting, shaping, boring or forming of stock. Regardless the type or work, the point of operation of the work must be safeguarded.
  (Example: Missing of machine guard)
  

• Select the Score of Hazard

  0

  1

  2

  3

• Details of Hazard

• Electrical Hazards
  
  Exposed contacts with live parts causing shock and burns. A dangerous condition where a worker can or does make electrical contact with energized equipment or a conductor.
  (Example: Electrocution)

• Select the Score of Hazard

  0

  1

  2

  3

• Details of Hazard

• Ergonomic Hazard
  
  A physical factor within the environment that harms the musculoskeletal system
  (Example: Repetitive movement, uncomfortable workstation height)

• Select the Score of Hazard

  0

  1

  2

  3

• Details of Hazard

• Fire Hazard
  
  A material, substance, or action that increases the likelihood of an accidental fire occurring.
  (Example: Large number of dead trees poses a fire hazards)

• Select the Score of Hazard

  0

  1

  2

  3

• Details of Hazard

• Fall from Height Hazard
  
  Anything in the workplace that could cause an unintended loss of balance or bodily support and result in a fall.
  (Example: People falling and objects falling onto people below.)

• Select the Score of Hazard

  0

  1

  2

  3

• Details of Hazard

• Confined Space Hazards
  
  Has limited or restricted means of entry or exit and is not designed for continuous occupancy.
  (Example: Poor air quality, toxic atmosphere)

• Select the Score of Hazard

  0

  1

  2

  3

• Details of Hazard

• Slip, Trip and Fall Hazards
  
  Falling on the same level.
  (Example: Stepping on slippery surface, foot striking against an object, stepping on an uneven surface and losing balance.)

• Select the Score of Hazard

  0

  1

  2

  3

• Details of Hazard

SECTION C - OTHER OBSERVATIONS

• Definition of Scores:
  
  0 - Unacceptable
  1 - Unsatisfactory (follow-up required)
  2 - Satisfactory but there is room for improvement
  3 - Satisfactory

• Select the Type of Hazard

  Select Compliant with PUB requirements & Contract Specifications on safety Housekeeping Customer Relations & Management Traffic Control Management

  • Compliant with PUB requirements & Contract Specifications on safety
  • Housekeeping
  • Customer Relations & Management
  • Traffic Control Management

• Compliant with PUB requirements & Contract Specifications on safety
  
  (Example: Lifting Pass, Safety Induction Sticker Life Saving Rules)

• Select the Score of Hazard

  0

  1

  2

  3

• Details of Hazard

• Housekeeping
  
  Poor housekeeping can be a cause of accidents
  (Example: Slip, Trip and Fall or being hit by objects.)

• Select the Score of Hazard

  0

  1

  2

  3

• Details of Hazard

• Customer Relations & Management
  
  (Example: Notice of nature of work, Information signage, warning signage.)

• Select the Score of Hazard

  0

  1

  2

  3

• Details of Hazard

• Traffic Control Management
  
  Generally come from the interaction between vehicles and pedestrians.
  (Example: Road accident)

• Select the Score of Hazard

  0

  1

  2

  3

• Details of Hazard

Completion

• Inspected by: (Name & Signature)

  Sign