Ref No.

:
MADHURE INFRA ENGINEERING PVT.LTD MIEPL/SFT/DSM-
Revision No.: 00
Date:

Daily Safety Measures Inspection Report No:-

Project Name: Date of Inspection:

Location: Inspected by :
Checklist for Daily Safety Measures

Sr.
No Scope YES NO N/A Comments

1 Are all persons entering site wearing Safety helmets and Safety shoes?

Are persons working above 1.8 meters, wearing safety harness with life
2
line anchored to a rigid support?

All works over 1.8 meters must be carried out on good working platforms
3
which are built acceptable to safety standards.

4 Is special electrical equipment required for electrical works available?

5 Are safety guards for moving parts of machines in position?

6 Are openings/pits covered, barricaded and warning signs displayed?

Is house‐keeping in order, materials are stacked properly in marked

7
areas?
Is the work area polluted with dust, fumes, gases etc. for which safety
8
appliances are provided or not?
9 Are fire extinguishers available at site?
Are fire extinguishers hanged on wall with proper clamps or placed on
10
ground?

11 Is validity of refilling extinguishers displayed on the body of extinguisher?

12 Are fire buckets available at site?

13 Are fire buckets filled up with sand?
14 Is earthing provided to all equipment’s?

15 Does the earth conductor continued up to the distribution board?

16 Is ELCB provided to all electrical circuits?

17 Is the access and working platforms properly illuminated?

18 Is insertion of loose wires in sockets without plug sockets present?

19 Is improper joining of cables and wires prevailing at site?

20 Is proper cover for DB, PDB etc. provided with locking arrangement?

Are lifting equipment’s and tackles in good working condition and

21
recently load tested?
22 Is fire extinguisher available in the ambulance?

23 Is emergency medical kit & medical Oxygen with flow meter available in
the ambulance?
24 Is the Stretcher clean without dust and damages?

25 Is spine board for emergencies available in the ambulance?

26 Any other observation’s? ( please record them on the rear side of this
checklist
Inspection Team:-
Contractor Safety Engineer Contractor Site Engineer
Name & Sign:-_______________________ Name & Sign:-____________________
* Note:- For "NO" it is compulsary to put observation for improvement in remarks column