TRANSMITTAL

Project / Contract Title : Al Dhaid STP Phase 3 Contractor's Contract # 301-997

Contractor : Eagle Electromechanical Co. LLC Consultant: Jacobs Client: DPW

TRANSMITTAL No. AE278WTS-TRN-009 DATE: 18-Aug

To: Attention: <Name> Mousa Al Tawil Issued for

As requested
Address Al Dhaid STP Phase 3 site office
For Information / Record

For Review / Comments

Email ID maltawil@alhijazgroup.net For Approval

Phone # For necessary action

Fax #

Shipment Method: By email Confidentiality: No

Previous / Contractor's
Document Type: HSE Inspection Report
Submittal Ref:

Subject : HSE Inspection Report No. 010

SR. Document No. Description Rev. Copies Remarks

1 AE278WTS-HSE-IR-010 HSE Inspection Report No. 10 0 Digital

For Jacobs

Anil Kumar Sivasankaran Resident Engineer

Name: Designation: Signature:

Copy Name Organisation

 HSE Inspection Report
Inspection Inspection
Project #: AE278WTS 10-Aug-22 010
Report Date: Report #:

Project Name: Al Dhaid STP Phase -3 Contractor Name: Eagle Electromechanical

Site Location: Site & Laydown

The assigned scores reflect the findings at the time of the walk through.
It remains the responsibility of the Contractor to ensure that all aspects of Health, Safety & Environment are assessed and suitably managed.

3 Best Practice Compliance with Jacobs best practice and visual standards across the site

2 Legal Compliance Compliance with relevant standards / legislation across the site with no significant issues

1 Minor issues Minor non-compliance issues

0 Significant Issues Consistent evidence of non-compliance with relevant standards / legislation and / or significant risk

NA N/A Item was not applicable or this item was not reviewed during this particular inspection

No. Topic Score No. Topic Score

1 Access and Egress 3 3 17 Marine Risks (diving, boating, working over water, etc.) N/A

2 Chemical Storage and Use N/A 0 18 Plant and Machinery (cranes, excavators, MEWPS, etc.) 2

3 Competence / Training 2 2 19 PPE Compliance 3

4 Confined Space Entry management N/A 0 20 Risk Management and Planning (RA, MS, PTSB, permits, etc.) 1

5 Driving / Vehicles 3 3 21 Security and Control of Access to site 2

6 Electrical Safety 1 1 22 Services and Utilities 2

7 Emergency Planning (fire, rescue, first aid) 2 2 23 Signage and Notices 1

8 Environmental Conditions - lighting, weather, etc. 3 3 24 Site Welfare Facilities 1

9 Environmental Management / Pollution Prevention 3 3 25 Slip / Trip Issues 1

10 Excavations 3 3 26 Storage 1

11 Fire Safety (prevention and protection) 2 2 27 Supervision / Management 2

12 Health - noise / vibration / dust 3 3 28 Tools & Equipment (including hand tools, safety devices etc.) 3

13 Hot Works N/A 0 29 Traffic Management / Man Machine Interface / Roads 3

14 Housekeeping and Waste Management 3 3 30 Unsafe Behaviours 3

15 Lifting Operations (lifting gear, accessories, plans, etc.) N/A 0 31 Work at Height - Equipment (scaffold, ladder, harness, etc.) N/A

16 Manual Handling 2 2 32 Others 2

15 15

ERROR: ENTER ONLY ONE SCORE PER TOPIC OR AN AREA HAS NOT BEEN SCORED
Project HSE Inspection Score Breakdown Project HSE Inspection Score

Best Practice 42% Total Score Achieved Percentage (%)

Legal Compliance 35% 57

Minor Issues 23% Total Score Available 73 %
Significant Issues 0% 78

Project Manager, Eagle Issued

Prepared by: Anjali (HSE Eng), Ahmed Qusay (Site Eng) Issued to: 18-Aug-22
Electromechanical Date:

MR-S01-HSE-FT-11.07 Rev.04 Page 1 of 1 December 2019

 HSE Inspection Report

Hazard Ratings: Low Medium High

Hazard/ Target Close

No. Actions requiring close out by contractor HSE Topic No. Assigned to
Risk Rating Out Date

Welfare arrangements to meet the project manpower: Refer PHOTO-01,

showing workers having their food inside the storeroom, which is not
Eagle
acceptable practice. 24 - Site Welfare
1 High 19-Aug-22 Electromechanical-
Facilities
Project Manager
Contractor to have adequate arrangements for rest/eating area with
proper seating arrangements.
Dedicated space for carpentry works: Refer PHOTO-02, showing
carpentry work tools/items laid in open areas along accessways. Poor
housekeeping and cable management. Potential trip/fall hazard.
Eagle
2 a) There should be dedicated shaded area provided for carpentry works 26 - Storage Low 19-Aug-22 Electromechanical-
demarcated from other areas, with proper arrangements to clear/dispose Project Manager
the timber wastes daily.
b) The general housekeeping and cable management standards to be
improved.
Electrical safety: Operatives handling power tools must be instructed on
safe electrics/work practices. Refer PHOTO-03 showing use of sockets Eagle
3 with multiple cables terminating from the socket ends, which must be 6 - Electrical Safety Medium 19-Aug-22 Electromechanical-
strictly prohibited. Project Manager

Marking of identified services - Signs : All identified services must be Eagle

4 marked, signs must be installed clearly identifying the type of services as 10 - Excavations High 19-Aug-22 Electromechanical-
precaution for others working in the vicinity. Project Manager
Hazardous gas monitoring log: Refer PHOTO-04 20 - Risk
The gas monitoring records must be maintained while interface works are Management and Area for
5 High 19-Aug-22
undertaken. Planning (RA, MS, Improvement
PTSB, permits, etc.)
Excavation side wall support system: Refer PHOTO-05
a) Suitable means of barricades maintained around excavation. Good Practices-For
6 b) Side walls properly supported (bench). 10 - Excavations
information only
c) Dedicated accessways maintained to excavations.

MR-S01-HSE-FT-11.07 Rev.04 Page 1 of 1 December 2019

 HSE Inspection Report

Figure 1 Figure 2:

Figure 3: Figure 4:

Figure 5: Figure 6:
MR-S01-HSE-FT-11.07 Rev.4 Page 1 of 1 December 2019