DAILY SITE SAFETY INSPECTION REPORT

Project : Location: Date of inspection : No.:

Attendants:
Is Safety Is Safety
Risk Risk
Safety Item Present?
Ye N N/
Safety Item Present?
Ye N N/
1 Personal Protective Equipment (PPE) s o A 8. Access / Egress and Housekeeping s o A
.
1. Failure to wear/use PPE 8.1 Placing supply wires and cables on the ground
1
1. Wearing Hard Hat without chin strap 8.2 Stacking materials/equipment in an improper manner and palce
2
1. Wearing damaged personal protective equipment 8.3 Stored materials/equipment obstructing access/egress
3
1. Improper usage of personal protective equipment 8.4 Littering
42 Working at Height 8.5 Lacking of housekeeping after work
.
2. Not wearing safety harness while working above 2m. 8.6 Materials/debris thrown from height and not through rubbish
1
2. Failure to anchor safety harness 8.7 chutes chemicals/materials in undesignated areas
Storing
2
2. Failure to provide life line / guardrail 9. Tools/Machinery/Equipment
3
2. Failure to provide handrail to prevent person from falling 9.1 Operator shall always
4
2. Providing improper handrail 9.2 Using rotating cutting machines without protective guards
53 Scaffolds 9.3 Using power tools that have not been inspected and labeled
.
3. Providing unsafe scaffolds for workers 9.4 Leaving live tools or appliances unattended
1
3. Scaffold not on level ground and proper supports 9.5 Throwing tools or materials to one another
2
3. Scaffold near excavation, drain covers, manholes. 9.6 Failure to switch off tools, machinery or equipment after work
3
3. Scaffold structure is not plumbed 9.7 Working with faulty or damaged tools
4
3. Lack of scaffold bracing and supports 9.8 Unauthorized use of tools, machinery or equipment
5
3. Scaffold tubes, boards, ladders not in good condition 9.9 No lock out on machine prior to preparing or maintaining
6
3. Working platform has gaps between boards 9.1 Operating equipment or machinery at unsafe speed
7
3. Guard/knee rails and kickboards not provided/secured 0
9.1 Tempering with electrical appliances
8
3. Existing access ways obstructed or not clear 1
9.1 Improper use of compressed air
9
3. Scaffold higher than 3 m without inspection or scaff-tag 2
9.1 Using faulty 3 pin plugs
10
3. Tubular scaffold not provided or damaged (eg. Poles) 3
9.1 Using 3 pin plugs without the earth wire connected
11
3. Standards without base plates 4
9.1 Using the electrical cables with unsafe connection
12
3. Loose planks on scaffolds 5
9.1 Connecting bare wires onto power sockets
13
3. Timber working platform planks less than 50mm thick 6
9.1 Connecting two or more power tools on one socket
14
3. Overloading on planks 7
9.1 Using substandard electrical panel ( refer RHV HSE Manual)
15
3. Standards without guardrail / life line 8
16
3. Working platform less than 600mm wide
17
3. Pushing mobile scaffold while worker(s) are riding it
184 Safety Net 10 Excavation
.
4. No safety net structure at every four floors around a building 10. Failure to provide shoring for trenches
1 1
4. No safety net during roof installation 10. Failure to barricade trenches
2
4. Net is not secured firmly and unable to prevent falling object 2
10. Proper access/egress into and out of the trench
3 Ladders 3 Fail to comply with Professional Engineers requirements
5 10.
. 4 for trenches more than 4m deep
5. Using unsound ladders 11 Permit to Work System
1 End of ladder not protruding 1m above edge or landing All required permits obtained for all the works (Hot
5. 11.
2 and properly secured 1 work Permit, confined space entry permit, permit to
5. Ladders lifted up for usage 11. Failure to place permit at work location
3
5. Foot of ladders not secured or prevented from slipping 2
11. Failure to comply with permits safety requirements
4
5. Using ladder in an unsafe manner 312 Site Security
5
5. Using bamboo ladders without approval of RHV HSE Officer 12. Failure to wear site pass when entering or working on site
66 Ladders 1
12. Refuse to show site pass as required
.
6. Failure to provide certificates for welders 2
12. Failure to use gate as proper access to site
1 3 Failure to show leave permit for any goods, materials,
6. No fire extinguisher or not in working condition during hot 12.
2 work 4 tools, machines or equipment leaving site.
6.
Using gas-welding equipment without installing 13 Radiation Safety
3 flashback arrestors and regulators
6. Placing combustible gas cylinders inside basements 13. No X-ray radiation permit in place
4
6. Using leaking or damaged hoses for gas welding 1
13. Radiological workers dont wear radiation-monitoring
5
6. Gas cylinders left unsecured/unattended or lying horizontally 214. devices Lifting
6
6. Gas cylinders installed with faulty regulators or gauges 14. Gambling, quarreling or horseplay on site
7 Not using proper PPE (face shield, gloves, insulated 1 Smoking at undesignated smoking areas
6. 14.
8 shoes, etc.) while arc welding 2
6. No protection guard above wire holder for income power 14. Lighting fire at site
9
6. Using metal facilities or equipments 3
14. Working at site without attending a safety induction
10
6. Welders working outdoors during rain or standing in water 4
14. Sleeping at site (undesignated area)
11 Doing hot work in confined space without testing 5 Failure to keep the site tidy
6. 14.
12 the composition of gases of the confined space 6
7 Lifting 14. Bringing in alcohol, beer, wine to site
.
7. Using lifting gear that has not been certified or registerd 7
14. Under influence of alcohol, beer or drugs (Red Card)
1
7. No Permit for Lifting 8
14. Urinating at places except the toilets
2 9 Working in unsafe manner and failure to observe and
7. Using faulty lifting gear 14.1
3 0 comply with safety signs
7. Lifting without a qualified lifting supervisor, rigger, signalman 14.1 Not providing enough lighting or ventilation at work
4
7. Failure to shoe operators certificates (original or copy) 1
14.1 Fighting on site (Red Card)
5
7. Standing on/under suspended loads 2
6
7. Unsafe operation for lifting
7
 CORRECTIVE ACTION PLAN
For all items marked as Yes in the table above, list the item, person responsible, and expected completion date.

ACTION ITEM PERSON DATE DUE DATE Verified by**

RESPONSIBL VERIFIE
E D*

* Date Observation/Corrective Action was verified as completed.

** Initials of the individual verifying the Observation/Corrective Action was verified as completed.

Name of Contractors HSE Inspector: Signature: Date: