CONTRACTOR'S JOB SITE SAFETY EVALUATION

Name of Contractor/Subcontractor BI# Date No. of Employees

China Petroleum Pipeline Engineering Co. Ltd. BI-10-01443 2nd June, 2021 120+ No's
Work Area / Location
Juaymah Area
WEEK # 23
Contractor's Safety Representative Contractor's SA Phone # Contract Title / # 6600037860
Anwar Hossain +966 5525 47471 Reroute P/L in Ras Tanura Area
SA Proponent Department/Division Phone # SA Proponent Engineer SAPMT Safety Advisor
PPD/CCPPD Mr. Syed Hashmi Mr. Mario Caringal
#Needing #Needing
I. Site Safety Administration #Checked Correction II. Fire Prevention #Checked Correction
1. Accident Reports on File  1. No./Type of Extinguishers 
2. Safety Supervisor(s)  2. Extinguisher Location/Conditions 
3. Site Safety Logbook  3. Fire Extinguisher Training /Drills 
4. Loss Prevention Program  4. Water Bbls/Buckets/Blankets 
5. Work Permit(s) System  5. Fire Equipment Inspection Tags 
6. Saudi Aramco Safety Manual  6. Fire Hydrant/Hose/Nozzle/Wrench 
7. Contract/Engineering Specifications  7. Emergency info Posted/Preparedness 
8. Safety Inspection Reports  8. Fire Watchers (if required) 
9. Weekly Safety Meetings  9. Open Flame Operations 
10. HIP  10. Flammable/Combustible Storage 
11. Other (Emergency Response Plan)  11. Smoke Detectors and Tested N/A
12. Containers-Proper Type/Labeled 
13. Other 
#Needing #Needing
III. Cranes & Rigging Equipment #Checked Correction IV. Scaffolding/Mobile Tower #Checked Correction
1. SA Inspection Sticker  1. Base and Sole Plates/Screwjacks 
2. Operator - SAG License  2. Condition of Poles/Tubing 
3. Operator - Saudi Aramco Certified  3. Plumb and Level 
4. Manbasket Sticker/Work Permit  4. Couplers/System/Wedges 
5. Proper Use of Outriggers/Pads  5. Ties/Outriggers 
6. Use of Tag Lines  6. Scaffold Grade Planking 
7. Rigger - Saudi Aramco Certified  7. Toe Boards/Mid-Rails/Top Rails 
8. Lift Plan At Location  8. Wheels/Casters, Condition, Locks 
9. Sling Log(s)  9. Scaffolding Plan 
10. Documented Pre-Use Inspections  10. Scaffold Ladders/Stairways 
11. Weather Conditions  11. Platform Loading 
12. Operator View Obstruction  12. Barriers/Warning Signs/Lights 
13. Work Permit(s)  13. Scaffold Tags 
14. Powerline and Trench Distance  14. Number of Working Levels 
15. Load Radius Indictor  15. Scaffold Spervisor(s) 
16. Hooks-Safety Latches/Moused  16. Scaffold Inspector(s) N/A
17. Condition of Hoist Ropes  17. Special Scaffold Documentation N/A
18. Condition of Slings/Chains  18. Work Permit(s) 
19. Safe Load Chart (Arabic/English)  19. Fall Protection (Full Body Harness) 
20. Boom Condition  20. Ingress/Egress 
21. Anti-Two Block Device  21. Other 
22. Crane Level 
23. Misc. Rigging Equipment 
24. Crane - General Conditions 
25. Load Moment Indicator 

Contractor Job Safety Inspection Checklist

SaudiforAramco:
06.02.2021
Company
(For ANWAR)
General Use File E06.06
 #Needing #Needing
V. Trenching/Excavating & Shoring #Checked Correction VI. Heavy Equipment #Checked Correction
1. Shoring/Trench Box  1. Operator - SAG License 
2. Sloping/Benching  2. Operator - Saudi Aramco Certified 
3. Cross Over Ramps  3. Periodic Inspection Log 
4. Spoil Clearance  4. Work Permit(s) 
5. Barriers/Warning Signs/Lights  5. Spotters 
6. Ingress/Egress  6. Tires/Lights/Brakes/Mirrors 
7. Excavation Plan  7. Roll-Over Protection 
8. PPE  8. Back-Up Alarms Effective 
9. Work Permit/Gas Testing  9. Warning Signs 
10. Thrust Boring  10. All Round Vision 
11. Pile Driving  11. Other (Fire Extinguisher) 
#Needing #Needing
VII. Welding/Cutting/Brazing #Checked Correction VIII. Electrical #Checked Correction
1. Acetylene Not > Than 15 PSIG  1. Correct Voltage 
2. On/Off Wrench(s)  2. Ground Fault Circuit Interrupter(s) 
3. Condition Gauges/Hoses, Off/Bled  3. 3-Pronged (Grounding) Plugs 
4. Flashback Arrestors  4. Grounded Cords/Receptacles 
5. Cylinders Secured  5. Service Panelboard(s) 
6. Transportation Carts  6. Warning Signs/Barriers 
7. Welding Machine(s)/GFCI(s)  7. Hold Tags/Lock Out Devices N/A
8. Electrode Holder/Ground Clamp  8. Extension Cords - Condition 
9. Machine Grounded  9. Batteries/Charging Areas 
10. Cable Condition  10. Overhead Power Clearance 
11. Operator/Helper PPE  11. Portable Power Generators 
12. Spark Igniter  12. Work Permit(s) 
13. Ventilation  13. Other 
14. Fire Extinguisher 
15. Work Permit(s) 
16. Welder Certified 
17. Other 
#Needing #Needing
IX. Hand & Portable Power Tools #Checked Correction X. Health and Welfare #Checked Correction
1. Properly Guarded  1. Medical Facilities/Supplies 
2. Tool Rest Adjustment  2. Smoking/Break Areas 
3. Ring Test (Grinder Wheels)  3. Washing Facilities 
4. Tongue Guard Adjustment  4. Cold Drinking Water/Cups 
5. Hand Made Tools?  5. Toilet Facilities/Sanitation 
6. Correct Grinder Disc Speeds  6. Ventilation 
7. Cords/Holes Connections  7. Eating Facilities/Food Storage 
8. Operator PPE  8. Equipped Ambulance 
9. Damaged Hand Tools  9. Ambulance Driver 
10. Shut Off/Deadman Switch  10. Certified Nurse(s) 
11. Grounded/Double Insulated  11. First Aid Logbook 
12. Proper Voltage (125 Volts Max.)  12. Other 
13. Other 

Contractor Job Safety Inspection Checklist

SaudiforAramco:
06.02.2021
Company
(For ANWAR)
General Use File E06.06
 #Needing #Needing
XI. Compressed Gasses #Checked Correction XII. House Keeping #Checked Correction
1. Proper Storage  1. Site Access Roads 
2. Cylinders Secured  2. Security Fences/Gates 
3. Shade, Separation, Off Asphalt  3. Site Access Signs 
4. Protective Caps  4. Trash Containers/Lids 
5. Cylinder Condition  5. Daily Clean-Up/Removal of Trash 
6. Proper Handling/Transportation  6. Materials Stacking 
7. Proper Color Coding/Marking  7. Aisleways N/A
8. Fire Extinguisher(s)  8. Timber De-nailing Area 
9. Warning Sign(s)  9. Ladders and Stairs 
10. Condition of Hose Connectors  10. Hazardous material Disposal 
11. Other  11. Laydown Yard Layout Plan N/A
12. Dust Control 
13. Other 
#Needing #Needing
XIII. Cartridge Operated Tools #Checked Correction XIV. Chemical Handling #Checked Correction
1. Proper Cartridge Caliber  1. Chemical Storage/Segregation 
2. Safe Zone  2. Chemical Hazard Bulletines/MSDS 
3. Correct Velocity Tool  3. Warning Signs (Arabic/English) 
4. Control Log  4. Area Fenced/Locked/Diked 
5. Proper Maintenance of Tool  5. Containers-Proper Type/Labeled 
6. Certified Operator  6. Emergency Procedures 
7. Operator PPE  7. Proper PPE 
8. Storage of Cartridges  8. Ventilation if Required 
9. Work Permit(s)  9. Safe Transferring of Chemicals 
10. Misfire Procedure Training  10. Emergency Eyewash and Sewer 
11. Other  11. Other 
#Needing #Needing
XV. Abrasive Blasting/Spray Painting #Checked Correction XVI. Transportation #Checked Correction
1. Operator's Hood (Air Supplied)  1. Seat Belt use 
2. Air Filters (Hood)/Pressure Gauge  2. Licensed Drivers 
3. Air Intake Location (Compressor)  3. Fire/Lights/Brakes/Horn 
4. Dead Man Switch  4. Signals/Mirrors/Lens Cover(s) 
5. properly Grounded/Bonded  5. Fire Extinguisher 
6. Operator/Helper PPE  6. Windshield/Window Condition 
7. Operator Certification/Medical  7. Clean Interior 
8. Barricades/Warning Signs  8. Proper Towing Equipment 
9. Air Purity/Cooling  9. Load Secure 
10. Compressor Alarm (Temp.)  10. Written Route Instructions/Maps N/A
11. Ventilation  11. People Transported Properly 
12. Classed Electrical  12. Off Road Driving 
13. Work Permit(s)  13. Traffic Flow Control Plan 

Contractor Job Safety Inspection Checklist

SaudiforAramco:
06.02.2021
Company
(For ANWAR)
General Use File E06.06
 #Needing #Needing
XVII. Concrete Formwork #Checked Correction XVIII. Air Compressors #Checked Correction
1. Shoring Layout Plan on Site N/A 1. Pressure Relief Valve 
2. PPE  2. Air Pressure Gauge 
3. Work Platform/Guard Rails  3. Hose Type/Connections/Safety Wired 
4. Truck Spotter  4. Leak (Spill) 
5. Rebar Ties Bent Over/Capped  5. Guards/Tires 
6. Supports Plumb/Level/Tied Off/Firm  6. Pressure Vessel Drained Daily 
7. Timber Condition  7. Proper Air Pressure 
8. Side Slope Bracing N/A 8. Deadman Switch on Wands 
9. Pumper Truck Inspected  9. Proper Grounding 
10. Ingress/Egress  10. Other 
#Needing #Needing
XIX. Walking/Working Surface #Checked Correction XX. Ionizing Radiation #Checked Correction
1. Aisleways  1. Certifications/Calibration Sticker 
2. Ladders/Stepladders  2. Storage Area N/A
3. Opening Protection (Manways)  3. Barricading/Signs 
4. Warning Signs  4. Transportation 
5. Ingress/Egress  5. Source Lockbox 
6. Stairways  6. Personal Monitoring 
7. Elevated Platforms  7. Work Permit(s) 
8. Guardrail Systems  8. Survey Instruments (2) 
9. Floor and Wall Openings  9. Emergency Response 
10. Material Storage  10. Other 
11. Other 
#Needing #Needing
XXI. Confined Spaces #Checked Correction XXII. Miscellaneous #Checked Correction
1. Work Permit(s)  1. Aviation Operations N/A
2. Gas Test(s)  2. Off-shore PPE N/A
3. Ventilation/Cooling  3. Off-shore Rescue Equipment N/A
4. Lockout/Tag-out N/A 4. Hot Tapping N/A
5. Standby Man  5. Tetra-ethyl Lead Operations N/A
6. Supervision  6. Explosives/Blasting N/A
7. Special Equipment N/A 7. Off-shore Operations N/A
8. Emergency Response  8. Driving Operations N/A
9. PPE  9. Hydrojetting N/A
10. SCBA/Air Line  10. Demolition/Asbestos Removal N/A
11. Properly Isolated N/A 11. Emergency & Regular Lighting N/A
12. Barricades/Warning Signs  12. Communications N/A
13. Entry Log  13. Hot Tar Operations N/A
14. Lighting/GFCI  14. Other N/A

Contractor Job Safety Inspection Checklist

SaudiforAramco:
06.02.2021
Company
(For ANWAR)
General Use File E06.06
 PPD
Contractors Job Site Safety Inspection Action Items List
Note: All Current and previous week's job site inspection findings rated "Needing Correction" should be listed on the table until it is fully close
and confirm by the SAPMT division safety advisor.

PMT Closure
Date of Issues Closure
Description of Findings Recommended Action Confirmation
Inspection Classification Date (Yes/No)

Observed that, Toilets septic tank has Inform to Construction Supervisor and
been overflowed and there is no water, X. Health and advice him to provide water and soap
30-May-21 31-May-21 No
soap and proper schedule to clean it on Welfare and get preventive action on it to
regular basis. clean it regularly.

Construction supervisor and site

It has been observed that, Acetylene Gas XI. safety officer got verbal warning and
1-Jun-21 cylinder was kept together and not Compressed Instructed to provide cylinder 1-Jun-21 Yes
secured during cutting activities. Gasses stand/trolley and separate the cylinder
during usages.

It has been observed that, During the Temporarily Stopped by the area
painting activity painters are using normal XIV. Chemical safety officer and instructed to their
2-Jun-21 3-Jun-21 Yes
N-95 mask instead of using cartridge Handling supervisor to provide cartridge mask
mask . ASAP and they provided after while.

The site portable toilet doesn't have For cleaning and sanitation purposes
X. Health and
2-Jun-21 sufficient water supply for cleaning and sufficient water supply must be 3-Jun-21 No
Welfare
sanitation purpose. provided for the site's portable toilets.

Confirmed by: Confirmed by:

Mario Caringal 2nd June 2021 Ossama A. Al-Shuwaikhat 2nd June 2021
SAPMT Safety Advisor Name, Signature & Date Contractor Safety Manager Name, Signature & Date

Contractor Job Safety Inspection Checklist

SaudiforAramco:
06.02.2021
Company
(For ANWAR)
General Use File E06.06