Schindler - NO GO Safety Inspection Report -

Using Subcontractor

1.1 TBT & Morning Briefing meeting held regularly (TBT dan Morning briefing dilakukan secara regular)

1.2 Workplace safe (huge debris , sharp , falling object)

1.3 Workplace sufficient lighting (inside / outside shaft) (Area kerja pencahayaan memadai

1.4 All workers must have and bring Safety and Technical Passport (Semua pekerja wajib memiliki dan membawa Safety/Teknikal Passport

All workers have and bring S&T Passport? (Semua pekerja memiliki dan membawa S&T Passport)

1.5 Chemicals (Diesel,lubricant,hydraulic oil,thinners etc) labelled & in upright position away from drainage (Bahan kimia diberi label dan berada pada posisi jauh dari drainase.

1.6 All Power tools is inspected and certified (Semua peralatan power tools diinspeksi dan tersertifikasi)

1.7 No hazards of Electrical during activity (Tidak terdapat paparan bahaya kelistrikan)

1.8 No Exposure of Rotating Parts (Tidak terdapat paparan bahaya benda bergerak)

1.9 PPE is in place and good usage (APD tersedia dan digunakan dengan baik)

2.1 Workers working at height , wearing safety harness attached to lifeline or tested anchor Point (Pekerja bekerja di ketinggian, menggunakan FBH dikaitkan pada lifeline atau TITIK angkur yang telah diuji)

All worker who expose falling hazard protected by fall protection system? (Apakah semua pekerja yang terpapr bahaya jatuh terlindungi system perlindungan jatuh?)

2.2 Full Body Harness is in Good Condition (and used) (FBH digunakan dan dalam kondisi baik)

All of FBH is in a good condition? (Semua FBH dalam kondisi baik?)

All workers using FBH properly? (Semua pekerja menggunakan FBH dengan baik?)

2.3 Anchor Point is Load Tested (TITIK angkur sudah dilakukan pengujian)

All anchor already tested? (Semua angkur sudah dites?)

2.4 Lifeline is installed safely (Lifeline dipasang dan digunakan dengan aman)

3.1 Emergency Stop in Pit is working well

3.2 Emergency Stop on the Car top is working well

3.3 Door Switch is working properly

3.3 Door Stopper is used properly

3.4 The Worker follow the SHA accordingly

3.5 Workers work safely at car top

3.6 Pit dry & no damp

3.7 Counterwight protection provided

3.8 Lift Buzzer is working well in the pit

4.1 Safety Barricade in good condition

4.2 Scaffolding safe & validated

4.3 Car top barriers in good condition

4.4 Top Work Platform installed accordingly

4.5 Safe access and clear of hazard on Landing

4.6 Materials kept away from floor edge or shaft opening

5.1 LOTO Kit is available on site for authorized person only

5.2 Tag Information is align with the personnel

5.3 JUMPER is available on site for authorized person only

5.4 LOTO/JUMPER process in place

6.1 Lifting Plan is established

6.2 Hoisting Hook is Load Tested

6.3 All Lifting Gears is Certified and Valid

6.4 False car correctly installed and checked regularly

7.1 Barricade provided at upper & lower entrances

7.2 Workers work safely

7.3 No sharp edges and live wire

Stop work

Stop Work No Go

Required Sanction

Name employee who required sanction