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 Hazards Fire Hazards Fall from Height Hazards Confined Space Hazards Slip, Trip and Fall Hazards

  • Physical Hazards
  • Chemical Hazards
  • Mechanical Hazards
  • Electrical Hazards
  • Ergonomic Hazards
  • Fire Hazards
  • Fall from Height Hazards
  • 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 type of Physical Hazards

  Select Failure to use ear plugs when required Failure to use face shield when required Others, please specify

  • Failure to use ear plugs when required
  • Failure to use face shield when required
  • Others, please specify

• Details of Hazard

• Select the Score of Hazard

  0

  1

  2

  3

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

• Select the type of Chemical Hazards

  Select SDS for hazardous substance unavailable Container containing substance not labelled Containment/drip tray unavailable Others, please specify

  • SDS for hazardous substance unavailable
  • Container containing substance not labelled
  • Containment/drip tray unavailable
  • Others, please specify

• Details of Hazard

• Select the Score of Hazard

  0

  1

  2

  3

• 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 type of Mechanical Hazards

  Select Machinery/LG/LM not in good working condition LG/LM certificate invalid Modified/handmade tool found on site Moving part of machinery/tool not enclosed with safe guard Others, please specify

  • Machinery/LG/LM not in good working condition
  • LG/LM certificate invalid
  • Modified/handmade tool found on site
  • Moving part of machinery/tool not enclosed with safe guard
  • Others, please specify

• Details of Hazard

• Select the Score of Hazard

  0

  1

  2

  3

• 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 type of Electrical Hazards

  Select Generator not incorporated with RCCB/ELCB Generator improperly earthed Extension SOA not incorporated with RCCB/ELCB Extention SOA not protected with cover Others, please specify

  • Generator not incorporated with RCCB/ELCB
  • Generator improperly earthed
  • Extension SOA not incorporated with RCCB/ELCB
  • Extention SOA not protected with cover
  • Others, please specify

• Details of Hazard

• Select the Score of Hazard

  0

  1

  2

  3

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

• Select the type of Ergonomic Hazards

  Working space inadequate

  Others, please specify

• Details of Hazard

• Select the Score of Hazard

  0

  1

  2

  3

• Fire Hazards
  
  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 type of Fire Hazards

  Select Fire extinguisher not provided/not in good working conditions Gas cylinder not equipped with pressure regulator/non-return valve/flashback arrestor Gas cylinder not secured/placed upright or on even ground Hose/manifold not in good working condition Others, please specify

  • Fire extinguisher not provided/not in good working conditions
  • Gas cylinder not equipped with pressure regulator/non-return valve/flashback arrestor
  • Gas cylinder not secured/placed upright or on even ground
  • Hose/manifold not in good working condition
  • Others, please specify

• Details of Hazard

• Select the Score of Hazard

  0

  1

  2

  3

• Fall from Height Hazards
  
  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 type of Fall from Height Hazards

  Select Material/equipment placed near edge of trench Fall protection measures inadequately provided for opening >2m Fall protection measures not implemented in accordance to FPP PTW for WAH unavailable Others, please specify

  • Material/equipment placed near edge of trench
  • Fall protection measures inadequately provided for opening >2m
  • Fall protection measures not implemented in accordance to FPP
  • PTW for WAH unavailable
  • Others, please specify

• Details of Hazard

• Select the Score of Hazard

  0

  1

  2

  3

• 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 type of Confined Space Hazards

  Select CS warning sign/PTW not displayed Mechanical ventilation insufficient Training records for workers in CS unavailable Continuous gas monitoring records unavailable Others, please specify

  • CS warning sign/PTW not displayed
  • Mechanical ventilation insufficient
  • Training records for workers in CS unavailable
  • Continuous gas monitoring records unavailable
  • Others, please specify

• Details of Hazard

• Select the Score of Hazard

  0

  1

  2

  3

• 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 type of Slip, Trip and Fall Hazards

  Select Poor housekeeping Others, please specify

  • Poor housekeeping
  • Others, please specify

• Details of Hazard

• Select the Score of Hazard

  0

  1

  2

  3

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)

• Details of Hazard

• Select the Score of Hazard

  0

  1

  2

  3

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

• Details of Hazard

• Select the Score of Hazard

  0

  1

  2

  3

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

• Details of Hazard

• Select the Score of Hazard

  0

  1

  2

  3

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

• Details of Hazard

• Select the Score of Hazard

  0

  1

  2

  3

Completion

• Inspected by: (Name & Signature)

  Sign