HSE Supervisor Name: Area: Date:

Remarks:
INBESCO
Sub Con.
Total How many Cold: Hot: CSE: Excavation: Remarks:
System is proper: Y / N
Counter sign by safety: Y / N
Remarks:
Ground level -
Differennt elevation (on height/excavation)
Remarks:
Available when the shift starting: Y / N
Drinking water shelter:
Remarks:
Good / Bad / Poor
Service / Maintenance: Good / Bad
Remarks:
Ground level -
Excavation-
At height-
Crane Loader Excavator Back hoe Dump truck Truck Boom Truck Man lift Fork lift Bobcat Remarks
Check list available ?
Operator Qualified ?
Hadeed Sticker valid
?
Lifting plan
Sling check list
Total Numbers
Tool Box talk Conducted: Y / N Conducted By: Approx. attendees #: Remarks:
Job 1 Location: To be monitored
Job 2 Location: To be monitored
Job 3 Location: To be monitored
Job 4 Location: To be monitored
Job 5 Location: To be monitored
Signature
Heavy equipments:
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H
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:

HSE Supervisor's Daily checklist and job handover
Supervision on job
location:
Work permit:
Access:
Drinking Water:
Toilets condition:
Housekeeping &
Barricade: