ROADBRIDGE LLC (QATAR) - RECORD OF DAILY SAFETY INSPECTION

Information

DOCUMENT NUMBER:
PROJECT WHERE INSPECTION WAS CARRIED OUT:
DATE OF INSPECTION:
INSPECTION CARRIED OUT BY:
GENERAL WORK ACTIVITIES WITNESSED DURING INSPECTION:

Welfare Facilities & Office Safety

Appropriate Welfare Facilities Available with required Sanitation levels? Rest Area, Smoking Area, Water Station, Toilets, Eating Facilities etc.
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:
Are Office Floors free of trip hazards?
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:
Are Office Exit doors free of obstruction?
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:
Are Fire extinguishers in good order and within inspection date?
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:
No unnecessary fire hazards (paper etc) left around office?
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:

SUMMARY

Remarks
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Procedures/Safe System of Work

Where works require a Permit, is this in place, applicable to the works and signed by the required authorities and personnel?
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:
Has a Pre-Task Brief or an applicable substitute been carried out by the Supervisor and have all members of the work party signed to this document?
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:
The Pre-Task Brief or agreed substitute has the required information and covers the main Hazards and applicable Control Measures which will be implemented to remove or reduce the associated risks of the Task?
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:
The works carried out are adequately controlled and managed by the Supervisor present?
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:
All supporting documents required by the task is available at the works location?
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:
Where works are carried out adjacent to other workers/other contractors, communication is evident to reduce the risk of incident from working in close proximity with such activities?
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:

SUMMARY

Remarks
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Work Activities

Is Plant Pedestrian Segregation Evident in the Work Areas?
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:
Are appropriate numbers of competent Flagmen present to control the Plant?
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:
Is Plant & Equipment in Good Working order and operated by a competent person (Trained & Experienced)?
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:
Is the Daily Plant Check Sheet filled? (Carry out random Spot Check)
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:
Is there adequate lighting available and in use for night works?
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:
Is evidence of training available for the required activities, including signed RB Internal Induction and Main Contractor Induction? (Carry out Random Spot Check).
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:

SUMMARY

Remarks
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Work at Height

All Work at Height Activities (including works in close proximity to Excavations etc.) carried out in a safe fashion?
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:
Scaffold erected and maintained by competent personnel?
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:
Work at height areas maintained in a tidy Fashion?
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:
Barriers erected to prevent Personnel walking under work at height areas?
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:
Required Documentation available for Work at Height Activities - Statutory Inspections/Third Party Inspections etc.
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:

SUMMARY

Remarks:
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Tools and Equipment

Is all guarding in place on tools?
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:
Are all tools in good condition?
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:
Is Lifting equipment tagged with the appropriate colour code?
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:
Are spill mats in place under generators?
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:
Are Bunds in place under liquid containers?
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:
Are site boxes maintained clean and tidy?
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:

SUMMARY

Remarks:
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Personal Protective Equipment

Full PPE compliance witnessed as per task carried out - Hard Hat, Hi Viz Vest, Safety Boots, Eye Protection, Hearing Protection, Respiratory Protection etc.?
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:
Where stipulated by SDS/COSHH Assessments, the required PPE as identified within the assessment is in use and appropriate to the task?
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:

SUMMARY

Remarks:
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Containers, Housekeeping & Signage

Work area being maintained tidy?
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:
Storage Containers maintained tidy?
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:
Floor free of debris and trip hazards?
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:
No objects stored at a height?
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:
Lay down area is tidy?
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:
Barrier erected and maintained?
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:
Correct and sufficient signage in place?
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:

SUMMARY

Remarks
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Emergency Response

Emergency Response Plan and Requirements in place & adequate to the current task?
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:
First Aid Facilities provided and appropriate to the number of workers?
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:
Spill Kit provided and appropriate to the task carried out?
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:

SUMMARY

Remarks:
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Environment

Are all chemicals in adequately bunded areas?
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:
Is there evidence of any leaks on plant and machinery?
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:
Are SDS/COSHH Assessments available for each product in use?
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:
Are spill kits/drip trays available in the area?
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:
Are the spill kits fully stocked?
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:
Have you reviewed the works area for potential Environmental issues and you are satisfied none exist?
Action Required to correct issue:
Action by Whom:
Date for action to be completed by:

SUMMARY

Remarks:
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Sign-Off

Remarks
Supplementary Photos
Is there any item which was witnessed today that requires further action in order to ? If So, add to Weekly Audit actions.
Record of Daily HSE Inspection carried out by:
Date/Time