SITE SAFETY INSPECTION REPORT - SSIR

SSIR Number Date:

Program Title Program for Studying, Designing & Supervision Projects of The Ministry of Housing in The Kingdom of Saudi Arabia
Project Title Riyadh Airport Housing Project – Infrastructure Works
Client Ministry of Housing in the Kingdom of Saudi Arabia
Engineer Saudi Arabian Parsons Ltd. - SAPL
Contractor:
CONTRACT No. LOCATION MAIN CONTRACTOR INSPECTION BY (Print Name) POSITION

ITEM DESCRIPTION CHECK ITEM DESCRIPTION CHECK ITEM DESCRIPTION CHECK

1 Accident reporting system / forms 11 Personal protective equipment 21 Openings
2 First aid equipment / first aider 12 Barriers 22 Overhead and underground services
3 Fire procedures / extinguishers 13 Scaffold / working platforms 23 Electricity - general
4 Safe method of work procedure docs. 14 Ladders 24 Electrical equipment / hand tools
5 Hazards to the public 15 Bridges 25 Air driven equipment / hand tools
6 Safety sign board 16 Cranes / hoists 26 Welding equipment
7 Site fencing / security 17 Lifting equipment 27 Gas / air cylinders - storage / use
8 Welfare facilities 18 Excavation access 28 Substances hazardous to health
9 Site tidiness 19 Dewatering / excavation support 29 Supervision / safety officer
10 Stores / storage 20 Conf. spaces method of work / equipment 30 Other hazards

KEY : - ACCEPTABLE û- FOR ACTION N/A - NOT APPLICABLE

ITEM û COMMENTS / RECOMMENDATIONS ITEM û COMMENTS / RECOMMENDATIONS

For Saudi Arabian Parsons Ltd. : ……………………………. Date :

For Contractor : …………………………….. Date :

Form Ref:.....................
Form Rev: (...........) Page 1 of 1
Form Issue Date:...........