Daily Safety Inspection report

Inspection no 00 Date /2019 Location

Available member FRMN/SUPV. Location Remark/activity
Team-1 MD. AFTAB
Team-2 MD. MAHTAB
Team-3 MD. AKHTAR
Team-4
Team-5
Permit no Permit Title Valid till Daily validation Activity

JHA no JHA Title Valid till Remarks

Location Activity No of personal FRMN/SUPV.

In case of working location and personal shifted at other location

Location Activity No of personal FRMN/SUPV.

Details of scaffold used on site

Scaffold no Type Inspected STATUS REMARKS
on
/2019 ☐Red ☐Green
/2019 ☐Red ☐Green
/2019 ☐Red ☐Green
/2019 ☐Red ☐Green
/2019 ☐Red ☐Green
/2019 ☐Red ☐Green
/2019 ☐Red ☐Green
/2019 ☐Red ☐Green
/2019 ☐Red ☐Green
/2019 ☐Red ☐Green
/2019 ☐Red ☐Green
/2019 ☐Red ☐Green
/2019 ☐Red ☐Green
/2019 ☐Red ☐Green
 Daily Safety Inspection report
Details of equipment used on site
Equipment EQ Due date of inspection Operator Name Daily checklist
no filled and
signed
Scissor lift -SJ3226 320 22-04-2020 Meraz Alam Akhtar ☐Yes ☐No

Scissor lift -SJ3226 321 22-04-2020 Md. Rejwan Mahtab ☐Yes ☐No

Label and signage Signage of

Is there signage available on generator ☐Yes ☐No ☐Electrical hazard☐ Authorized personal
Is there signage available on Fuel Tank ☐Yes ☐No ☐Diesel oil or fire hazards ☐ Fire Extinguisher
Is there signage available on scaffold ☐Yes ☐No ☐ Fall hazard ☐ use safety harness ☐red or green tag
Is there signage available in toilets ☐Yes ☐No ☐ kumyang employee only ☐ other signage
Is there signage available for confined ☐Yes ☐No ☐ authorized person only ☐ do not enter
space
Fire extinguisher Total no of fire extinguisher available on site
Location QTY Location QTY Location QTY
Drinking water area 1 Scissor lift 1 Shelter 1
Generator area 1 Scissor lift 1

Details of tools used on site

Name of operator Tools used Type Condition REMARKS
/foreman DC AC Good
MD. MAHTAB Hand Grinder ☐Yes ☐No
Hammer drill ☐Yes ☐No
Hand drill ☐Yes ☐No
☐Yes ☐No

MD. AFTAB Hand Grinder ☐Yes ☐No

Hammer drill ☐Yes ☐No
Hand drill ☐Yes ☐No
Welding machine ☐Yes ☐No
☐Yes ☐No
MD. AKHTAR Hand Grinder ☐Yes ☐No
Hammer drill ☐Yes ☐No
Hand drill ☐Yes ☐No
Welding machine ☐Yes ☐No
☐Yes ☐No
General Pipe bending machine ☐Yes ☐No
Threading machine ☐Yes ☐No
Speed cutter ☐Yes ☐No
☐Yes ☐No
☐Yes ☐No
☐Yes ☐No
REMARKS or OTHER COMMENTS

Signature of site Safety In-charge