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    Form and Checklist

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    idzwan
    This document is a safety briefing form and checklist for a construction project. It contains sections to mark topics that were briefed, including the use of personal protective equipment, safety around vehicles and machinery, working in confined spaces, fire prevention measures, housekeeping practices, and health and safety facilities. The form also includes spaces to record information about the project, date, and signatures of the workers and witnesses who attended the safety briefing.

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    Form and Checklist

    Uploaded by

    idzwan
    23 views2 pages
    This document is a safety briefing form and checklist for a construction project. It contains sections to mark topics that were briefed, including the use of personal protective equipment, safety around vehicles and machinery, working in confined spaces, fire prevention measures, housekeeping practices, and health and safety facilities. The form also includes spaces to record information about the project, date, and signatures of the workers and witnesses who attended the safety briefing.

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    FORM AND CHECKLIST

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    This document is a safety briefing form and checklist for a construction project. It contains sections to mark topics that were briefed, including the use of personal protective equipment, safety around vehicles and machinery, working in confined spaces, fire prevention measures, housekeeping practices, and health and safety facilities. The form also includes spaces to record information about the project, date, and signatures of the workers and witnesses who attended the safety briefing.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    23 views2 pages

    Form and Checklist

    Uploaded by

    idzwan
    This document is a safety briefing form and checklist for a construction project. It contains sections to mark topics that were briefed, including the use of personal protective equipment, safety around vehicles and machinery, working in confined spaces, fire prevention measures, housekeeping practices, and health and safety facilities. The form also includes spaces to record information about the project, date, and signatures of the workers and witnesses who attended the safety briefing.

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    of 2

    HEALTH SAFETY ENVIRONMENTAL (HSE) DOC - HSE-006

    FORM AND CHECKLIST REV:00

    SAFETY BRIEFING No: __________

    Project Date: Day:


    Topic

    Conducted By
    Name of Worker Signature Name of Worker Signature

    1. 15.

    2. 16.

    3. 17.

    4. 18.

    5 19.

    6. 20.

    7. 21.

    8. 22.

    9. 23.

    10. 24.

    11. 25.

    12. 26.

    13. 27.

    14. 28.

    Conducted By, Witnesses By,

    ……………….. ……………………
    Name: Name:
    Position: Position:
    HEALTH SAFETY ENVIRONMENTAL (HSE) DOC - HSE-006

    FORM AND CHECKLIST REV:00

    Project : Location :
    Date : Sub-Contractor :
    Mark (x) on the topic briefed
    A. Personal Protective Equipments Riding on Construction Machinery
    Safety Helmet Operating Competency/Authority
    Safety Shoes/Boots Maintenance & Inspection
    Safety Belt/Harness Speed Limits/Parking
    Gloves Restricted Areas
    Safety Glasses/goggles/shield Machine Guard
    Respiratory Protection Signalman
    Safety Vest/Clothing/Apron Certificate of Fitness(PMA,PMT,PMD)
    Ear plugs/Muffs H. Equipment and Tools
    B. Personal Safety and Health Power/Electrical Tools
    Safety and Health Awareness Pneumatic Tools
    Health/Hygiene/Cleanliness Inspection & Service
    Neat Clothing/Hair Competency/Authority
    Accomodation Hygiene Guards & Cover
    Toilet Facilities I. Scaffold & Platform
    C. Security Ladder & Stepladder
    Workers registration/Security Pass Placement & Securing/Stability
    Accomodation Registration & Pass Guards and Railing
    D. First Aid Access
    Location & Procedure J. Confined Space
    Responsible Person Excavation/Trenches/Shoring
    Available Facilities Access & Egress
    Reporting & Records Emergency escape
    E. Fire Prevention Lifelines
    Fire Prevention Measures Standby Watchman
    Explosives & Flammable Toxic Gaseous
    Smoking Oxygen Defiency
    Fire Hazards Barricades and Signage
    F. Housekeeping K. Safety facilities/Attitude
    Rubbish Bin Openings & Covers
    Workplace Tidiness Barricade & Fall Protection
    Littering Overhead Protection
    Proper Storage & Access Safety Signage
    Protruding Safe Work Procedure
    G. Vehicles/Plant/Machinery
    Rules & Regulation
    Transportation of workers

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