工地安全巡查报告 Site safety inspection report

• 项目名称 Project name ：

• 报告编号 Report number ：

• 制作人 Author ：

• 审计日期 Audit date ：

  Date
• 位置 Position ：
  Address

项目信息 Project information

• 项目/工地名称 Project / site name

• 使用本评估表来判断项目的安全性，风险性或不适应性，不安全项需附注相应的简述及照片
  Use this assessment form to determine the safety, risk or incapacity of the project. Unsafe items need to be accompanied by a brief description and photo

资料检查 Data check

• 是否在本次审查范围内 Is it within the scope of this review?<br>

  是 Yes

  否 No

  不适应 NA

风险评估及控制 Risk assessment and control

• 对现场各类危险源是否进行评估，重大危险源制定相应的控制措施 <br>Whether to assess various hazard sources on site, and to establish corresponding control measures for major hazards.

  Yes

  No

  N/A

• 对现场环境因素是否评估，对影响环境的因素是否制定相应的控制措施 <br>Whether to evaluate the environmental factors on site, Whether to formulate the corresponding control measures to the factors affecting the environment

  Yes

  No

  N/A

应急预案 Emergency plan

• 是否编制各类事故应急救援预案,并组织一年不少于一次的演练. <br>Whether to prepare emergency rescue plans for all kinds of accidents And organize a lesson less than once a year.

  Yes

  No

  N/A

人员资质 Personnel qualification

• 项目经理及各安全管理人员持有效资格证上岗 Project managers and safety management personnel holding valid qualification certificates

  Yes

  No

  N/A

• 特殊工种作业人员是否持有效操作证上岗 Whether the operators of special jobs hold effective operation certificates

  Yes

  No

  N/A

安全方案/计划 Security program/ plan

• 安全生产保证计划/各类安全专项方案是否编制并审批 <br>Whether the safety production guarantee plan / various safety special programs are prepared and approved.

  Yes

  No

  N/A

• 方案是否根据现场实际情况更新 Is the plan updated according to the actual situation on site

  Yes

  No

  N/A

• 是否建立项目环境目标及指标 <br>Whether to establish project environmental goals and indicators.

  Yes

  No

  N/A

• 是否建立项目环境计划 <br>Whether to establish a project environmental plan.

  Yes

  No

  N/A

• 是否建立职建安目标 <br>Whether to establish a job security goal.

  Yes

  No

  N/A

• 是否建立项目环境管理方案<br> Whether to establish a project environmental management plan.

  Yes

  No

  N/A

• 是否建立项目环境管理方案<br> Whether to establish a project environmental management plan.

  Yes

  No

  N/A

安全教育 Safe education

• 是否对工人进行安全教育/培训/考核并发放上岗卡及帽贴<br>Whether to carry out safety education/training/assessment for workers and issue post cards and hat stickers.

  是

  否

• 施工班组每天是否开展班前教育并有记录 <br>Whether the construction team conducts pre-school education and records every day.

  是

  否

• 项目部（项目经理组织）是否每周对所有员工进行周教育Whether the project department (project manager organization) conducts weekly education for all employees every week

  Yes

  No

  N/A

• 是否进行各类安全教育（季节性/经常性/节前后等）Whether various safety education is conducted (seasonal / regular / pre-and post-Festival)

  Yes

  No

  N/A

安全技术交底 Safety technology

• 有无各工种安全技术操作规程 Safety technical operation rules for all types of work

  Yes

  No

  N/A

• 有无针对性的安全技术交底（分部/分项）Whether or not targeted security technology at the end (branch / sub-item)

  Yes

  No

  N/A

安全检查 Security check

• 项目经理每周是否组织至少一次的带班安全检查并有记录<br> Does the project manager organize at least once a week the safety belt check

  Yes

  No

  N/A

• 安全员是否每日进行安全巡查并留有记录 Whether the security officer conducts daily safety inspections and keeps records

  Yes

  No

  N/A

分包商管理 Subcontractor management

• 分包商是否按法规要求配备持有C证的专职安全员 Whether the subcontractor is required to have a full-time security officer holding a C certificate

  Yes

  No

  N/A

• 有无与分包商签署安全协议 Whether or not to sign a security agreement with the subcontractor

  Yes

  No

  N/A

• 分包商工人是否购买意外伤亡保险 Whether the subcontractor workers buy accident casualties

  Yes

  No

  N/A

施工现场 Construction Site

• 是否在本次审查范围内？Is it within the scope of this review?

  Yes

  No

  N/A

政策宣传 Policy advocacy

• 是否在本次审查范围内？Is it within the scope of this review?

  Yes

  No

  N/A

•  “安全、环境、质量”政策声明是否对工人培训 <br>“Safety, Environment, Quality” policy statement on worker training

  Yes

  No

  N/A

• “零容忍安全承诺”是否签署 "Zero tolerance of security commitment" is signed

  Yes

  No

  N/A

PPE的配备 PPE equipped

• 是否在本次审查范围内？Is it within the scope of this review?

  Yes

  No

  N/A

• 现场是否储备了足够的访客PPE Whether the site has enough visitors to reserve PPE

  Yes

  No

  N/A

• 安全帽/安全鞋/安全带的配备是否符合集团要求 Whether the helmet/safety shoes/seat belts meet the requirements of the group

  Safe

  At Risk

  N/A

• 是否配备反光衣 Whether it is equipped with reflective clothing

  Safe

  At Risk

  N/A

• 是否按需配备安全眼镜/手套/口罩/护膝/耳塞等 Whether to wear safety glasses on demand / gloves / masks / knee / earplugs and so on

  Safe

  At Risk

  N/A

高空临边作业 High - altitude temporary operations

• 是否在本次审查范围内？Is it within the scope of this review?

  是 Yes

  否 No

  不适应 NA

• 是否禁止单人高空作业 Whether to prohibit single high-altitude operations

  Safe

  At Risk

  N/A

• 是否设置稳固的安全带挂点（临时水平生命线、速差自控器） Whether to set a stable seat belt hanging point (temporary horizontal lifeline, speed difference automatic controller)

  Safe

  At Risk

  N/A

• 安全带是否正确使用（高挂低用）Whether the seat belt is used correctly (with low)

  Safe

  At Risk

  N/A

• 工具是否设置防坠落措施 Whether the tool is set to prevent fall protection

  Safe

  At Risk

  N/A

• 作业区下方是否设置安全围挡/安全警示牌及监护人 Do you have a security fence / security warning sign and guardian underneath the work area?

  Safe

  At Risk

  N/A

施工用电 Construction electricity

• 是否在本次审查范围内？Is it within the scope of this review?

  是 Yes

  否 No

  不适应 NA

• 电源线敷设是否符合法规要求 Whether the power cord laying compliance with regulatory requirements

  Safe

  At Risk

  N/A

• 各级电箱设置配备是否符合法规要求 Whether the power box at all levels is equipped with compliance requirements

  Safe

  At Risk

  N/A

• 每月月检机制是否实施（合格贴标）Monthly monthly inspection mechanism is implemented (qualified labeling)

  是

  否

• 电工是否每日进行巡视维修并留有记录 Whether the electrician conducts daily inspections and records

  是

  否

施工机具 Construction equipment

• 是否在本次审查范围内？Is it within the scope of this review?

  是 Yes

  否 No

  不适应 NA

• 使用过程是否符合要求 Whether the use of the process to meet the requirements

  Safe

  At Risk

  N/A

• 手持电动工具每月月检机制是否实施（合格贴标）Handheld power tools Monthly monthly inspection mechanism is implemented (qualified labeling)

  是

  否

• 各部位防护罩/柄是否齐全有效 All parts of the protective cover / handle is complete and effective

  Safe

  At Risk

  N/A

• 手持电动工具电源线是否破损或随意更换（加长）Handheld Power Tools Power Cord Is Damaged or Replaceable (Lengthened)

  Safe

  At Risk

  N/A

单元板安装 Unit board installation

• 是否在本次审查范围内？Is it within the scope of this review?

  是 Yes

  否 No

  不适应 NA

• 临边作业区垃圾作业前是否清理 Whether to clean up before the garbage operation in the working area

  是

  否

• 吊装作业时是否设置有效的二次防坠落保护装置 Whether to set an effective secondary fall protection device during lifting operation

  Safe

  At Risk

  N/A

• 是否设置安全工作区 Whether to set up a safe workspace

  Safe

  At Risk

  N/A

• 运载单元件的小跑车是否设置防坠落保护系绳及轮刹 Whether the small sports car carrying the unit is equipped with a fall protection rope and a wheel brake

  Safe

  At Risk

  N/A

• 龙门吊各类吊具是否符合安全要求 Gantry crane all kinds of spreaders are in line with safety requirements

  Safe

  At Risk

  N/A

• 小炮车/轨道/电动葫芦使用前是否检查验收 Whether the small gun/track/electric hoist is inspected before use

  是

  否

• 信号工是否是独立脱产的 Whether the signal workers are independent of the production

  是

  否

吊篮作业 Hammers

• 是否在本次审查范围内？Is it within the scope of this review?

  是 Yes

  否 No

  不适应 NA

• 吊篮是否编制方案并经过审批 Whether the basket is prepared and approved

  Yes

  No

  N/A

• 吊篮架设完成后是否经过四方验收（总包/监理/项目部/租赁方）After the completion of the erection of the basket, whether it has passed the acceptance of the Quartet (General Package / Supervision / Project Department / Leasing Party)

  Yes

  No

  N/A

• 吊篮架设完成后是否经过第三方检测并取得合格证书 Whether the basket is set up after the completion of third-party testing and obtain a certificate of competency

  Yes

  No

  N/A

• 吊篮上是否设置安全操作规程及各类警示标牌 Is there a safe operating procedure and various warning signs on the basket?

  Yes

  No

  N/A

• 电源专用箱、电源线设置是否符合要求 Whether the power supply box and power cord settings meet the requirements

  Safe

  At Risk

  N/A

• 是否设置独立生命绳及有效的保护措施 Whether to set up independent life ropes and effective protection measures

  Safe

  At Risk

  N/A

• 是否禁止单人作业 Whether to prohibit single work

  Safe

  At Risk

  N/A

• 吊篮操作工是否持有效证件上岗 Whether the basket operator has a valid certificate

  Yes

  No

  N/A

• 吊篮日检工作是否进行（日检记录）Whether the daily work of the basket is carried out (date check)

  Yes

  No

  N/A

• 吊篮停靠是否符合法规要求 Whether the basket is in compliance with regulatory requirements

  Safe

  At Risk

  N/A

脚手架作业 Scaffolding operations

• 是否在本次审查范围内？Is it within the scope of this review?

  是 Yes

  否 No

  不适应 NA

• 脚手架是否编制方案并经过审批 Whether the scaffolding is prepared and approved

  Yes

  No

  N/A

• 脚手架是否经过验收（总包/监理/项目部/搭设方）并挂牌（红/绿）后使用Whether the scaffolding has been accepted (total package/supervisor/project department/set up party) and used after listing (red/green)

  Safe

  At Risk

  N/A

• 搭设人员是否持证上岗 Is the erection of the staff

  Safe

  At Risk

  N/A

• 是否设置了供工人上下的斜道或爬梯 Whether it is set up for workers up and down the ramp or ladder Whether the operating scaffold / footrest is compliant

  Safe

  At Risk

  N/A

• 作业面脚手板/挡脚板/防护中栏/连墙件/剪刀撑/斜撑及绿网的设置是否合规 Work surface scaffolding / footing board / protective middle column / wall piece / scissors support / diagonal support and green network settings are compliant

  Safe

  At Risk

  N/A

• 日常检查表是否填写 Whether the daily checklist is filled in

  Yes

  No

  N/A

悬挑钢平台作业 Cantilevered steel platform operation

• 是否在本次审查范围内？Is it within the scope of this review?

  是 Yes

  否 No

  不适应 NA

• 是否编制方案并得到审批 Is the plan prepared and approved?

  Yes

  No

  N/A

• 是否经过验收（总包/监理/项目部）并落实责任人 Whether it has passed the acceptance (total package / supervision / project department) and implement the responsible person

  Yes

  No

  N/A

• 是否设置各类安全警示标牌 Whether to set various types of safety warning signs

  Safe

  At Risk

  N/A

• 非工作状态下是否是封闭状态Non-working state is closed

  Safe

  At Risk

  N/A

汽车吊装 Car hoisting

• 是否在本次审查范围内？Is it within the scope of this review?

  是 Yes

  否 No

  不适应 NA

• 起重机械是否有出厂合格证/检测合格证 Whether the crane has a factory certificate / testing certificate

  Yes

  No

  N/A

• 起重机械操作员/信号员是否持有效操作证 Whether the operator / operator of the lifting machine has a valid operating permit

  Yes

  No

  N/A

• 起重机械索具是否符合安全要求 Whether the lifting rigs meet the safety requirements

  Safe

  At Risk

  N/A

• 起重机械旋转半径内是否设置安全工作区/委派监护人 Whether the safety work area / appointed guardian is set within the radius of rotation of the crane

  Safe

  At Risk

  N/A

热作业 Hot work

• 是否在本次审查范围内？Is it within the scope of this review?

  是 Yes

  否 No

  不适应 NA

• 动火作业是否得到审批 Whether the hot work is approved

  是

  否

• 电焊工是否持有效证件上岗 Does the welder hold a valid certificate?

  是

  否

• 电焊机是否经过验收并定期检查 Whether the welding machine has been checked and checked regularly

  是

  否

• 动火作业时是否设置有效的防火措施（接火斗/防火布）Whether to set up effective fire prevention measures when operating the fire (then fire / fire cloth)

  Safe

  At Risk

  N/A

• 动火作业时是否配备有效灭火器及监护人 Whether it is equipped with a valid fire extinguisher and guardian

  Safe

  At Risk

  N/A

• 氧气/乙炔瓶使用过程中是否符合安全要求 Oxygen / acetylene bottle in the process of compliance with safety requirements

  Safe

  At Risk

  N/A

• 氧气/乙炔瓶上各压力表/回火装置是否齐全有效 Oxygen / acetylene bottle on the pressure gauge / tempering device is complete and effective

  Safe

  At Risk

  N/A

• 切割机是否设置挡火装置 Whether the cutting machine is equipped with a fire protection device

  Safe

  At Risk

  N/A

• 切割作业人员是否佩戴护目镜

  Safe

  At Risk

  N/A

升降平台作业 Lifting platform operation

• 是否在本次审查范围内？Is it within the scope of this review?

  是 Yes

  否 No

  不适应 NA

• 升降机械是否有出厂合格证/检测合格证 Whether the lifting of the factory certificate / test certificate

  是

  否

• 升降机械操作人员是否经过培训 Whether the lift operator is trained

  是

  否

• 升降机械作业时是否设置可靠的安全带挂点 Whether to set up a reliable seat belt when lifting the machine

  Safe

  At Risk

  N/A

• 升降机械作业时是否设置安全工作区 Whether to set up a safe working area when lifting a mechanical work

  Safe

  At Risk

  N/A

危险品 Dangerous Goods

• 是否在本次审查范围内？Is it within the scope of this review?

  是 Yes

  否 No

  不适应 NA

• 危险品是否单独分类存放 Whether the dangerous goods are classified separately

  Safe

  At Risk

  N/A

• 危险化学品是否有MSDS数据表 Do you have a MSDS data sheet for hazardous chemicals?

  Yes

  No

  N/A

• 液体化学品是否设置防泄漏措施 Is there a set of anti-leakage measures for liquid chemicals?

  Safe

  At Risk

  N/A

• 废固硅胶壳/电焊条等是否回收并有回收记录 Waste solid silicone shell / welding rods and other recycling and recovery records

  Yes

  No

  N/A

仓库/材料管理 Warehouse / Material Management

• 是否在本次审查范围内？Is it within the scope of this review?

  是 Yes

  否 No

  不适应 NA

• 仓库材料是否分类堆放并做好材料标识 Whether the warehouse material is sorted and materialized

  Yes

  No

  N/A

• 现场材料是否符合材料堆放要求 Whether the material meets the material stacking requirements

  Safe

  At Risk

  N/A

• 仓库是否按消防要求配备足够的灭火器材 Whether the warehouse is equipped with adequate fire fighting equipment according to fire requirements

  Safe

  At Risk

  N/A

• 灭火器每月是否检查 Whether the fire extinguisher is checked every month

  Yes

  No

  N/A

其他 Other

照片Photo

• 描述 description

• Add media

  Media

总结意见 Summarize opinions

照片 photo

• 描述 description

• Add media

  Media

• 对此次巡查的进一步意见或建议 Further comments or suggestions on this inspection

签名

• 审查人（签名）Auditor (Signature)

  Sign

• 项目经理（签名）Project Manager (Signature)

  Sign

• 项目安全员（签名）Project Safety Officer (Signature)

  Sign