Information
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Safety Audit No.
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Type of Site inspection NCC …… ; MMG ……. ; Project site …… ; Other …….
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Brief Detail of activity:
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Location
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Z M / A M / HoG:
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Audited By
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Site Representative
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Date and Time
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Prepared by
Safety Parameters
Availability, Condition and Usage of required PPE:
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Safety Helmet / Safety Helmet with visor (for MMG only)
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Electrical Safety Hand Gloves
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Full Body Harness
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Safety Shoes
Availability, Condition and Usage of required Tools:
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Insulated Pliers<br>
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Double Test Lamp <br>
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Crimping Machine<br>
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Hammer<br>
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PVC Tape Rolls
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Insulated screw driver<br>
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Four Shorting cum earthing chain (5.6 meter long based on requirement)<br>
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Cotton rope<br><br>
Working at height
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Availability & good condition of Ladder<br>
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Proper length of ladder according to LT & HT poles<br>
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Ladder must be properly held by helper and must be tighten by rope with pole on top<br>
Safety zone
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Creation of proper Safety Zone (as per Check List for creation of safety zone to work on 11KV feeder / Sub Station - Golden Rules)<br>
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Creation of SLD with proper marking of safe work area and earth points on PTW format. <br>
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Availability of four shorting cum earthings chains with LM (5.6 Mtr. Long)<br>
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Safety Tagging system used (at Sub Station + St. Light Switch)<br>
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Usage of RUKO & KARO Tag<br>
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Availability of PTW No. or TM No. (valid only for NCC) No.)<br>
Availability , Usage and Condition of Barricading at site
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Hard Barricadding (in case of major project activities)<br>
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Traffic cone & Caution tape (in case of NCC, MMG, B/D, streel light, projcet or similar activities)<br>
General Safety Requirements
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Availability of I Card with BA workman <br>
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Condition of vehicle used <br>
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Availability and condition of Fire extinguisher in the vehicle <br>
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Availability and completeness of First Aid Box. <br>
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Whether CNG / LPG as a fuel endorsed in the RC of the vehicle<br>
Meter Installation Work.
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Bus-bar box cover shall be closed & sealed<br>
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CT Box/Meter Box/Bus-bar box shall be fixed at 4 feet height (approx.)<br>
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Service Cable should be without Joint and properly dressed<br>
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Service Cable layed at height as per IE Rules (i.e. along the road 4.6 mtr. & 5.8 mtr. across the OR underground service line taken from SPs / FPs shall not be kept lying on ground. <br>
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Availability & Condition of Proper Earth Connection at feeding point & Meter Box<br>
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Availability & Condition of Glands at meter box for service cables<br>
Lifting equipment
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The certificate for loading capacity of crane used at site.<br>
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The certificate for lifting tools like chain, sling, etc. for lifting .<br>
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Availability of competent driver for crane operation.<br>
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Availability of helper with driver.<br>
Welding and Gas cutting works
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Use safety goggle while welding or gas cutting. <br>
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Availability of fire extinguishers at welding / cutting work site.<br>
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No exposed electrical joints / terminals at welding machine<br>
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Use of ELCB and Proper earthing of welding machine to avoid Electrocution.<br>
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IR value record of the Machine. Specially between HV and LV windings.<br>
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The use of GI sheet/Asbestos cloth just below the welding place so that spatters do not fall on the people working below the same.<br>
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No flammable material in vicinity of the spatter/welding.<br>
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The electrode ends are being collected at one place for further disposal.<br>
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The DA and LPG / Oxygen cylinder is in vertical position and is in being kept in secure anchorage with trolley.<br>
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The transportation of DA cylinders is being done on trolley not by rolling on the ground.<br>
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Use of flash back arrester on gas torch.<br>
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Match box should not be used for lighting of gas cutting torch.<br>
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Availability of adjustment key and pressure gauge on gas cylinder.<br>
Excavation, trenching
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Use of barricades for trenches and deep pits.<br>
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The supports are provided so that sides do not fall.<br>
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Permission of land owning agencies is available.<br>
Any other observation or Serious Safety NC observed or details of Work Stoppage / Safety Advisory / Safety Violation:
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Comment/Remarks
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Signature
