PLANT AND FACILITY SAFETY

OHS-PR-09-09-F34
CONSTRUCTION SAFETY REPRESENTATIVE INSPECTION
Operating Area: COA CHECKLIST
Department: General Projects Portfolio– Projects sector
Project Name: INSTALLATION OF Security Sys. & Comm. FOR TRANSMISSION SUBSTATIONS (COA) – PHASE -3
Contractor Name: SBM Project Type: Contract No.: 4400015433

Instruction: Place next ✓ to each item that is satisfactory. Place X next to items with deficiencies. Mark
deficiencies in CORRECTIVE ACTION section. Once corrected, record Corrective Action and Date next to item. If item
is not applicable, place NA.
NOTE: This MONTHLY checklist is to identify minimum Health & Safety conditions on site and should not limit
awareness to other health and safety hazards at the jobsite.
DATE OF INSPECTION: August 22,2023 LOCATION: 9024 Substation
1. SITE (Porta Cabin) 2. FACILITY SECURITY AND PUBLIC SAFETY
Safety Officer/Safety Representative ✓ Site Perimeter Fence ✓
Project Management Organization ✓ Warning Signs (PPE, No Trespassing, etc.) ✓
First Aid Facilities/Boxes Accessible ✓ Assess Control / Employees & Vehicles/ID Cards ✓
Approved Project Safety Plan ✓ Travel/Access ways (unobstructed and maintained)
✓
Copy of Company Health & Safety Program/ Files & ✓ ✓
Adequate Lighting for Site and Public
MSDS’s
Safety Notice Board (Safety Posters / Regulatory
✓ Necessary Detours, Canopies, Sidewalks
Notices/Incident Stats etc.) ✓
Emergency Phone Numbers Posted ✓ Traffic Control Plan / Necessary Traffic Details N/A
Training Records including Tool Box Safety Meeting ✓ Excavations/Holes - protected by barriers/barricades/
✓
Records/RA’s/JSA’/SWMS Marked covers
Fire Extinguishers ✓ Guardrails > 6 feet high ✓
Evacuation Plan X Visitor Controls (Signs, Visitor PPE, etc.) ✓
3. PPE 4. HOUSEKEEPING
Hard Hats AT ALL TIMES ✓ Exits and Access ways: Maintained / Unobstructed ✓
Safety Glasses (goggles for liquids) ✓
Trash Receptacles: Adequate Number / Maintained
Double eye protection for grinding, welding etc. ✓
Hand Protection ✓ Materials Stacking and Storage/Lay Down Area ✓
Foot Protection ✓ Projecting Nails N/A
Hearing Protection ✓ Trash Piles N/A
Protective Coveralls/Aprons (Chemical or Flame N/A
✓ Enclosed Trash Chutes (> 20 feet high)
Resistant) Arc Flash CAT 2 & CAT 4
Visibility Vests N/A Toilet /Rest Facilities (adequate number) SEC
Approved Life Jackets (work over water) N/A Contractors' Responsibilities ✓
5. Fire Protection / Prevention 6. Contractor (Subs) Provisions
Fire Prevention Plan / Evacuation Plan ✓ Ensure All Contractors Have Site Specific Safety Plan Or ✓
(Communicated to All) EPCM's is Followed
Fire Extinguishers (Adequate Number, Type & ✓ All Contractors Have Designated Safety ✓
Maintained) Rep/Competent Person
Gas Cylinders (Storage/ Proper Separation /Ventilation All Contractors Have Submitted Haz Com Program and
N/A N/A
& Use) MSDS’s
Hot Work - Adequate Fire Watch (torches, anti- All Contractors Are Conducting Safety Orientation with ✓
N/A
flashback arrestors & welding), Permit to Work new Employees
All Contractors have Job Specific RA’s and JSP’s at ✓
Smoking Policies (designated areas) ✓ point of operation (maintaining records)
All Contractors Holding Risk Based Toolbox Safety ✓
Fire Hydrants (accessible to Fire Dept.) SEC
Meetings (maintaining records
Necessary Permits Obtained from Fire Department/Civil All Contractors are familiar with Emergency Action ✓
N/A
Defense Plan

OHS Forms Procedure Reference Revision Number Revision Date Approved By

Construction Safety Representative Inspection Checklist OHS-PR-09-09-F34 0 MAR 2022 OHSMS
 PLANT AND FACILITY SAFETY
OHS-PR-09-09-F34
CONSTRUCTION SAFETY REPRESENTATIVE INSPECTION
Operating Area: COA CHECKLIST
Department: General Projects Portfolio– Projects sector
Project Name: INSTALLATION OF Security Sys. & Comm. FOR TRANSMISSION SUBSTATIONS (COA) – PHASE -3
Contractor Name: SBM Project Type: Contract No.: 4400015433

7. Fall Protection 8. Scaffolding

Guardrails (42" Top/21" Mid/4" toe; 200# capacity; ✓ ✓
Competent Person Designated (Erect, Use, Dismantle)
3"rail deflection
Holes/Openings Covered or Barricaded (capacity 2x
N/A Anchored to Structure N/A
Intended load, secure, marked.
Catch Nets N/A Proper Access (NO CLIMBING CROSS BRACING) ✓
Positioning Devices N/A Cross Bracing AND Level / Plumb ✓
Personal Fall Arrest Systems (Full Body Harness, Shock ✓
Overhead Protection (access under deck barricaded,
Absorbing Lanyard, Double Locking Snap Hooks, 5000# N/A
extended toe boards, mesh
Capacity Anchorage Point
Leading Edge (200 # Warning Line, Safety Monitor, ✓ Erection & Dismantling (fall protection and proper ✓
Employee Training) procedures), Scaff-tags applied
Residential Roofing (Fall Protection Plan, Slide Guards, Guardrails (Top & Mid Rails, Toe Boards) ✓
N/A
Training) Independent Lifeline for Suspended Scaffolds
Falling Object Protection (Hard Hats, Canopies, Debris ✓ ✓
Employee Training
Nets)
Employee Training/Certification/Medical ✓ All Pins in Place (coupling pins) ✓
Contractor Fall Protection Plan (on file at site)
N/A Base Plates & Mud Sills N/A
100% Fall Protection Rule
9. Electrical 10. Hand & Power Tools
Power Tools Registered and Inspected (Good Condition, ✓ Tools Registered and Inspected monthly (at least ✓
Removed from Service if Defective) before each use) Color Code System
✓ Tools effectively grounded or Double Insulated were ✓
Cords & Plugs (3 Prong, Heavy Duty, Not Damaged)
appropriate
All Electrical Receptacles GFCI Protected ✓ Tools Used Properly ✓
Breakers Labeled, High Voltage and Arc Flash Signs ✓
N/A Damaged Tools Tagged & Removed from Service
Posted and Adequate Controlled Access
Temporary Lighting (Adequate Bulb Guards, Suited for Hoses Inspected Frequently for deterioration or
N/A N/A
Location, No Empty Sockets, Not Used as Power Drop) damage; Whiplash checks/Safety Pins in Place
Installations are Appropriate for Location (weather, N/A ✓
Proper PPE Worn
flammable, explosive)
Permit to Work, Lockout/Tagout System Used N/A Tools Equipped with Required Guards ✓
Extension Cords with Grounding Conductor ✓ Tools Properly Stored ✓
Flexible Cords and cables with No Splices/ Taps ✓ Cutoffs/Kill Switches/ Anti-Restart Functioning N/A
Location of power lines identified prior to digging,
N/A
drilling, etc.
Exposed Live Parts Covered/Closed/Guarded N/A
11. Cranes / Hoists / Elevators 12. Heavy Equipment
Licensed/Qualified Operator (On File At Site) N/A Licensed/Qualified Operator (On File at Site) N/A
Registers / Daily Inspections/Service
On Register and Annual Inspection N/A N/A
Records/Operators Manual (Filed at Site)
Daily Inspections (Reports on File & Up to Date) N/A Seat Belts (Function Properly, Being Worn) N/A
Defective Equipment Removed from Service and
Load Charts Available on Crane N/A N/A
Corrected
Horns/Back Up Alarms (Heard Above Surrounding
Crain lifting Capacity Clearly Posted N/A N/A
Noise)
Outriggers Fully Deployed with Mats or Pads N/A Roll Overprotective Structures (ROPS) N/A
Floats/Tracks on Mats or Pads N/A Falling Object Protective Structures (FOPS) N/A
Swing Radius Protection N/A Prohibition of Unauthorized Riding on Equipment N/A

OHS Forms Procedure Reference Revision Number Revision Date Approved By

Construction Safety Representative Inspection Checklist OHS-PR-09-09-F34 0 MAR 2022 OHSMS
 PLANT AND FACILITY SAFETY
OHS-PR-09-09-F34
CONSTRUCTION SAFETY REPRESENTATIVE INSPECTION
Operating Area: COA CHECKLIST
Department: General Projects Portfolio– Projects sector
Project Name: INSTALLATION OF Security Sys. & Comm. FOR TRANSMISSION SUBSTATIONS (COA) – PHASE -3
Contractor Name: SBM Project Type: Contract No.: 4400015433

Fly Wheel, Belts, Gears, Rollers, Other Pinch Points

Minimum 10' Clearance from Overhead Power Lines N/A N/A
Guarded
Hooks/Rigging (Qualified Rigger & Identifiable) N/A Swing Radius Protection N/A
Proper Clearance from Edges of Drop-offs / Unstable
Pick Plan reviewed for Major Lifts N/A N/A
Surfaces
Hoist Certified, Registered and Inspected/ Capacity Proper Clearance from Powered Utility Lines (> 10
N/A N/A
Clearly Posted feet)
Security (Protected from Vandalism, Keys Removed
Hoist Communication System N/A N/A
Nightly)
Employees Kept Clear of Suspended Loads/Barricading N/A
13. Trenching & Excavations 14.Ladders / Stairways
Registered and Inspected Daily (only heavy-duty N/A
Utilities Located and Marked N/A
ladders used)
Only Fiber Glass Insulated Ladders used near or on ✓
Adjacent Structures Stabilized N/A
energized electrical sources
Secured Ladders/Proper Egress (4' deep or more, every N/A
N/A No Makeshift Ladders to be used. (self-made)
25" of travel)
Protection from Vehicular Traffic N/A Damaged Ladders removed from service immediately ✓
Other Barricades and Warnings (Pedestrians, Stop Logs, N/A
N/A Anchored / Tied Off and Extend 3 feet above Landing
etc.)
Material /Spoil Stored at Least 2" from Edge ✓ 1:4 Pitch Utilized N/A
Competent Person (Assigned & Performing Inspections) N/A Training and Proper Use of Ladders ✓
Sloping/Benching (per OSHA Tables) N/A Stair Rails (4 or more risers, withstand 200 lb. load) ✓
Wood Shoring (per OSHA tables) N/A Proper Pitch (Between 30 & 50 Degrees from Parallel) N/A
Trench Shield (Manufacturer Placard & Data on File at N/A
N/A Risers - Uniform Height and Width
Site)
Vertical Ladders Caged and Controlled Access N/A
Landings (not less than 30" in travel direction every 12- N/A
vert. ft.)
15. Steel Erection 16. Concrete & Masonry
Fall Protection (including 100% above 6 feet) N/A Formwork Shoring and Bracing N/A
Access/Egress to Work Locations N/A Access to Pour Areas and Proper Access Up Shoring N/A
Curing/Form Stripping Procedures (In Place & N/A
Bolt-Up Procedures Being Followed N/A
Followed)
Welding/Hot Work (Permit to Work) N/A Rebar Protected/Covered (Mushroom Heads) N/A
Tools/Equipment Registered and Inspected Before Use N/A
Connecting From Ladders / Aerial Lifts Use Where
N/A (Concrete Bucket/Rigging, Floats, Vibrators, Electric
Possible
Cords, Whirly Birds, Masonry Saws, etc.
Rigging/Tag Lines N/A Proper PPE used N/A
Decking Operations N/A Scaffolding Requirements Applied N/A
Brick/Block Walls Properly Supported (Where
Overhead Protection N/A N/A
Applicable)
17. Welding & Cutting 18. Demolition & Blasting
Performed by Qualified Individuals N/A Demolition Plan in Place (On File at Site) & PTW N/A
Proper Work Area (All Fire Hazards Removed or
N/A Utilities Disconnected, Purged, etc. N/A
Properly & PTW Applied)
Trained Fire Watch Posted & Fire Extinguisher N/A HazMat Remediation Activities N/A
Proper PPE Used N/A Access/Egress Controlled N/A

OHS Forms Procedure Reference Revision Number Revision Date Approved By

Construction Safety Representative Inspection Checklist OHS-PR-09-09-F34 0 MAR 2022 OHSMS
 PLANT AND FACILITY SAFETY
OHS-PR-09-09-F34
CONSTRUCTION SAFETY REPRESENTATIVE INSPECTION
Operating Area: COA CHECKLIST
Department: General Projects Portfolio– Projects sector
Project Name: INSTALLATION OF Security Sys. & Comm. FOR TRANSMISSION SUBSTATIONS (COA) – PHASE -3
Contractor Name: SBM Project Type: Contract No.: 4400015433

Equipment Registered and Inspected Monthly and

N/A Chutes/Holes (Properly Constructed & Barricaded) N/A
Before Use
Hoses & Welding Leads in Good Repair N/A Hot Work (PTW)/Fire Protection N/A
Torch Regulators & Gauges in Good Repair N/A Blasting Plan in Place (On File at Site) N/A
Torches with Ant-Flash Arrestors on both sides of hoses N/A Licensed Blaster Present at All Times N/A
Fuel Gas Shut Off Key/Wrench Available N/A All State & Local Permits on File N/A
Cylinders Upright and Secured in trolley with 5 Kg Fully
N/A Storage Facilities/Usage Logs N/A
Charged Dry Powder Fire Extinguisher
Separation of stored Oxy & Fuel Gases/oils by 20' or 1/2 Use, Handling & Disposal of Blasting Materials /
N/A N/A
hr. fire-rated wall Packages
Fully Charged Fire Extinguishers Available N/A Blast Mats/ Post Blast Inspection Procedure/Misfires N/A
Warning System/ Warning Signage N/A
19. Hazardous Waste 20. Traffic Control
Approved Traffic Control Plan (On File at Site) &
Waste Management Plan in Place (On File at Site) N/A N/A
adhered to
Contractor Competent Person N/A Traffic Control Manager/Competent Person/Appointed N/A
Flaggers (Trained, Reflectorized Vests, Stop/Slow
Industrial Hygienist/Air & Dust Monitoring/Testing N/A N/A
Paddles/Flags, Proper PPE)
Employee Training/Certifications (Records Maintained Barricades/Delineators/Signage (Installed Per
N/A N/A
on Site) Approved Plan)
Containment Systems (Spillage) N/A Pedestrians and Vehicle Movement Separated ✓
Storage/Disposal Schedule N/A Dust Containment Plan N/A
21. Hazardous Substance /Flammable Liquid Storage 22. Confined Space
Compliant Store & Storage Facilities (Certifications/ Confined Spaces Identified and Registered (On File at
N/A N/A
Signage/ Content/ Capacity) Site)
Appointed Competent Person N/A Proper Signage N/A
Accesses Controlled (Locked) N/A PTW, RA’s, JSP, Toolbox Talk Available at Point of Entry N/A
MSDS’s Available at Storage N/A Access/Egress Register/Controlled N/A
Trained and Competent Entry Attendant /Safety
Containment Systems (Spillage) Bunding = 100%+ 10%) N/A N/A
Harness and Lifeline worn where required
Air Quality Regularly Monitored & Recorder / Forced
Fire Protection & Alarm Systems N/A N/A
Ventilation / SCBA Available
Containment Material Available N/A Communication System in Place N/A
Safe Lighting & Ventilation System N/A Rescue Plan & Equipment (Portable Frame) N/A
NO. CORRECTIVE ACTION ACTION BY CLOSEOUT DATE
1
2
3
6
8
9
SAFETY OFFICER/REP: PROJECT MANAGER:
NAME: Naim Aslam NAME: Ahmad Owaidah
DATE: 22 August 2023 DATE: 25 August 2023
SIGNATURE: SIGNATURE:

OHS Forms Procedure Reference Revision Number Revision Date Approved By

Construction Safety Representative Inspection Checklist OHS-PR-09-09-F34 0 MAR 2022 OHSMS
 PLANT AND FACILITY SAFETY
OHS-PR-09-09-F34
CONSTRUCTION SAFETY REPRESENTATIVE INSPECTION
Operating Area: COA CHECKLIST
Department: General Projects Portfolio– Projects sector
Project Name: INSTALLATION OF Security Sys. & Comm. FOR TRANSMISSION SUBSTATIONS (COA) – PHASE -3
Contractor Name: SBM Project Type: Contract No.: 4400015433

CORRECTION REPORT
Date August 22, 2023 Date 23 August 2023
Inspection Correction Corrected
Inspected by Muhammad Shahzad NIAM ASLAM
Report Report by
Signature Signature

BEFORE AFTER

Observation 1. Drinking water igloo observed without station Action Taken: Provide water igloo
cabinet.

Observation 2 Observed Scattered Material Action Taken:. Arrange properly

Observation 3 Garbage dump full. Action Taken

Dispose off

OHS Forms Procedure Reference Revision Number Revision Date Approved By

Construction Safety Representative Inspection Checklist OHS-PR-09-09-F34 0 MAR 2022 OHSMS
 PLANT AND FACILITY SAFETY
OHS-PR-09-09-F34
CONSTRUCTION SAFETY REPRESENTATIVE INSPECTION
Operating Area: COA CHECKLIST
Department: General Projects Portfolio– Projects sector
Project Name: INSTALLATION OF Security Sys. & Comm. FOR TRANSMISSION SUBSTATIONS (COA) – PHASE -3
Contractor Name: SBM Project Type: Contract No.: 4400015433

Observation 4. During consultation it was found out that there is No Action Taken first aider available at site
first aider available at the site during work execution.

Good Observation. Use Full body harness with an anchorage point

OHS Forms Procedure Reference Revision Number Revision Date Approved By

Construction Safety Representative Inspection Checklist OHS-PR-09-09-F34 0 MAR 2022 OHSMS