Attachment Checklists

EPC-SEGC Inspection Checklist Template
700MW CSP+250MW PV Hybrid IPP - DEWA Phase IV
Unite: Area/Facility: TEMPLATE Type: Survey Date/Month:
During the survey of the designated area, complete the checklist below. Check N/A if the item does not Main Subcontractor: Area for relevant subcontractor logo
apply. Subcontractor: (if it is used by the subcontractor, if not leave it)
SN Item YES NO N/A 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Cmments

1
2
3
4
5
6
7
8
9
10
11
12
Result Allowed to use Yes/No: Yes No
Inspected by: Reveiwed by:
This field is not mandatory but it is to encourage management and others to
care about safety by reviewing and helpinng
Position:
Signature:
Inspection No Name:
Company:
Date: Position:
Shanghai Electric LTD.Co. Dubai Branch, NE Project Inspection System for Maintaining NE1-00-HS-SEC-PRO-OOO(G)-00013 - Rev02
EPC-SEGC Onsite Inspection Checklist
Unite: Area/Facility: Main inspection Type:
Main Subcontractor: Area for relevant subcontractor logo

During the survey of the designated area, complete the checklist below. Check N/A if the item does not apply.
Subcontractor: (if it is used by the subcontractor, if not leave it)
Evidence Y?N if yes please insert in

SN Item YES NO N/A Report the next sheet with sign #Pic ref
No
A. Health, welfare, work environment and work violance
1 Is welfare facility adequately provided ?
Are facilities been provided with SEGC
2
required inspection checklists ?
Have workers access to drinking points, rest
3 and dining areas, suitable and convinience
sanitary and WCs ?
Has lighting adequately provided and the
4 necessary control measures been put in
place to avoid lighting risks related ?
Are welfare facilities been cleaned up and
5
record maintained ?
Are people assigned for cleaning activites
6
been provided with the required PPE ?
Have the necessary control measures been
identified and solely implemented whenever
7 work in extrem temperature takes place
e.g. sheds, rest areas, work rotation and
regular breaks ?
Is there any violence incidents and/or signs

8
of violence present at the work area ?
Are proper information and instructions

been communicated to workers with regard
9
to use of facilities and avoidence of
violence and its causes on site ?
Are adequate supervision, inspection and
maintenance been adequately arranged to
10 keep the facilities in good work order
including testing arrangements e.g. fire
detectors, electrical devices (ELCB/RCD) ?
Are random checks for alcohol test been
11
arranged and done within the work area ?
Is the Periodic control by approved 3rd
12 party for fire extinguishers done and record
kept?
B. Fire prevention provisions
Fire extinguishers adequately selected,
1 proprly mounted/placed, free of damage
and accessible to all amployees ?
Periodically control by approved 3rd party
2
done, and extinguishers being tagged ?
Daily inspection done, checklist in

3 place/recorded, proprly filled and up to
date and color code tag ticked and posted ?
C. Emergency and first aid provisions

Is the work area layout been developed
including placement of extinguishers, first
1
aid boxes and waste bins and posted in
adequate areas ?
Is the emergency contact list been posted
2
on site in different accessible areas ?
Are first aid boxes available, mounted or
3 proprly placed, inspection checklist +
inventory in place and proprly filled?
Are the first aid boxes placed within the
4
required vicinity (Radius of 300m max) ?
Are certified First Aiders been arranged at
5
every work area ?
Are other emergency provisions that
6 deemed needed e.g. eye wash, emergency
showers been arranged where necessary ?
Are rescue plans, equiepemnt and personnel
7
been arranged where reqired ?
8 Other if any ?
D. Electrical equipement (DB panels, portable/desck electrical powered equipment, cables, sockets and plugs..etc.)
Are equipment been used are proprly
1 selected and fit to the activity being
performed ?
2 Are all equipment been inspected ?
Are all equipment been provided with up to

3 date color tag or color tape ? (Color tape to be
used where color tag cannot be used)
Is the inspection checklist/record been used
4
and posted where applicable ?
Is the inspection been done by authorized
5
competent person ?
Are fixed/desck powered equipment's
access been restricted to only authorized
6
personnel e.g. circular saw table and sign
been proprly placed ?
E. Machinery and diesel powered mobile/fixed equipement
Are the equipement been provided with the
1 initial inspection and SEGC certificate and
or checklist ?
Is the operator the same person indicated
2
on SEGC certificate ?
Are the general conditions of the

3
equiepment been kept in good work order ?
Is the daily inspection checklist available

4 and been used by the operator before each
use every shift ?
Are mobile equiepement been segregated
5
from pedestrian walk ways ?
Are fixed equiepement's access been
6 restricted to only authorized personel and
safety signes been proprly placed ?
Are maintenance activities been performed
7 with the necessary precautions to prevent
spills ?
Are operators been trained on emergency
8
spills and incident reporting ?
9 Other if any ?
F. Excavations and trenches
Are all required documents (RAMS, PTW,
1 inspecton checklists NOC) been obtained
available ?
Are excavations been provided with adequat
fall protection system, signalization and
2
lighting (Includes beacons) when deeper
than 1.2m?
Are the guards installed at 1.5m at least
3
away from the edge ?
Is spoil and other working material put out
4 of the guarded area to prevent falling of
objects ?
Are excavations and trenches provided with
stop blocks where mobile equipement are
5
moving nearby or where are located nearby
traffic roads ?
Is battering (slopes) and/or shoring system
6 been considered when soil collaps/cave-in
hazards are likely to occur ?
For excavations/trenches deeper than 1.2m

Is the O2 level been monitored to decide if
the excavation/trench is a confined space
7 entry permit required or not by the
presence of CO2 (Whenever CO2 emission is
present from generators or excavators)
presence of buttan gas or H2S ?
Are excavations/trenches been inspected by

the supervisors whenever work inside might
8
take place prior to start or after an adverse
weather conditions ?
Are excavations/trenches been provided by

9
adequate access/egresses and cross points ?
If cross points are provided, have been
10
made safe, planked and guarded ?
Are under ground utilities been identified
11 and highlighted using old plans/drawings
and detectors if applicable ?
Are objects that might fall been secured ?
12 And further measures (exclusion zone
below) been considered ?
Is rescue from height plan been developed
13
and attached to the PTW ?
Is rescue plan required ? If yes, is it been
14
provided and attached to the PTW ?
15 Other if any ?
G. Working at height
Are all required documents (RAMS, PTW,
1 inspection checklists & NOCs) been obtained
available ?
Is a sufficient and effective fall protection
2 system has been provided and safely
maintaned ?
Are all WAH devices (Harnesses, lanyards,
fall arrests, lifelines & nets..etc.) been
3
inspected and tagged, 3rd party
certification provided where required ?
Are sufficient No of accesses/egresses been
4
provided and safely maintained ?
Are platforms free of abstacls and all trip
5
hazards are cleared and well maintained ?
Are platforms free of objects that might fall

6
and hand/powered tools been secured ?
Is the WAH been interefered with overhead

7 powered lines ? If yes, is this been
considered in the SSW ?
Is the area below been considered as a
8
falling object zone and proprly restricted ?
9 Other if any ?
H. Scaffolding
Is the type of scaffold been determined,
1 material certificate provided and material
been inspected on site prior to use ?
Is erection/dismantling plan and drawing
2
been provided ?
Are plans considering the vicinity of the
scaffolds' location e.g. overhead lines,
3 excavations, traffic, lifting area and other
that might impact on the stability of it or
the safety of users ?
Are scaffolders certified and competent

(With at least 2 years of experience or
junior scaffolders are supervised by
4
competent persons whenever experience
cannot be proven) as per SEGC HSEMP 7.1
table 2 ?
Are scaffolding inspectors certified and

5 prove of 2 years of experience at least been
provided as per SEGC HSEMP 7.1 table 2 ?
Is conventional tagging system been

6
provided and used ?
Is a scaffolding register/mapping system
7 been developed by the party undertaking
the scaffolding scope ?
Is the scaffolding been initially inspected
prior to start use, and kept inspected every
7 days at least using SEGC checklist (as per
8
scaffold management plan) and inspected
after adverse weather conditions or other
high impact on it ?
Have people using scaffolds been trained for
9 safe use and training sticker availble on the
helmet ?
Are specific scaffolds (Suspended,
cantilivered) and tower supported scaffolds
10 that exeeds 38m height been provided with
approved 3rd party erection plan and
drawing ?
Are specific scaffolds (Suspended,

cantilivered) and tower supported scaffolds
11
that exeeds 38m height been approved 3rd
party inspected prior to use ?
12 Other if any ?
I. Lifting (includes loading/unloading) and forklift operations
Are lifting operations (in particulat heavy
1 equipement liftings) been permitted,
planned and documented prior to start ?
Are the lifting and rigging equipement

(cranes, forklifts, slings, chaines, shakels)
2
been inspected and provided with the color
tag ?
Are personnel involved in the lifting

(Supervisors, Riggers, benksmen') certified
3
and competent as required in the HSEMP 7.1
table 2 ?
Have the plans and documentation for
4 lifting considered soil type and test,
overhead lines and the vicinity ?
Has the area of lifitng been excluded and

5 restricted to only autorized personnel, and
provided with appropriate safety signes ?
Have all lifiting equipement been visually

inspected by a competent person (Lifting
6
cable, hooks, leaks, pads, rigging
equipement) prior to start ?
For specific non-routine lifiting including
(Manbaskets, gas cylinders, fragil & heavy
equipement), have it been planned,
7
documented and permitted considering all
facors that might impact on the stability of
the crane or the load ?
Is there any constraint to work under a

suspended load ? If yes, is a proper RA and
8 JSA been developed with regard to this
matter and appropriate control measures
have been decided and implemented ?
9 Other if any ?
J. Hazardous substances
Has the chemicals' register been developed
1
and implemented ?
Is the register table covers all required
2
items i.e. name, formula…etc ?
Has the inventory process to identify new,
3 expired and used products to update the
register in regular basis been put in place ?
Does the register indicate the possible
4 chemical reactions between different
products ?
Have all products been provided with the
5
proper relevant MSDSs ?
Are all relevant MSDSs been made available
6 on the working area/storage area, posted
and accessible ?
Is COSHH assessment has been carried out
7
accordingly ?
8 Is COSHH availble on site and accessible ?
Is COSHH been reviewed and updated
9
when/where required ?
Are chemicals stored in the manufacturer
10
containers ?
Are continers proprly labled and lables
11
maintained ?
Are products stored in a suitable (ventilated
12
and locked area) ?
IS storage been made according MSDSs
13 (Separated from being reacted (If any) and
isolated from sources of ignition) ?
Are spills emergency provisions and
14
arrangements allocated ?
Are fire emergency provisions and
15
Are exposed workers been proprly trained
16
and record been kept ?
Are regularly exposed people to hazardous
17 substances been included into the health
screening program ?
Are people handling chemicals been
18
provided with proper PPE ?
Are people handling chemicals been
provided with in-house training and proper
19
instructions on the use and on-site
transporting of chemicals ?
J. Confined space
Is th working place been identified and
1 considered as a confined space entry permit
required ?
Is the Entry permit been issued and

2 available at the work place with proper RA,
JSA and any other required document ?
Is the access been restricted only to

3
authorized personnel ?
Has the watchman been appointed and

4
monitoring the entry and exit of personnel ?
has the gas monitor been provided,

certified and people reponsible been
5
provided with the necessary instrcutions for
use ?
6 Have emergencies been identified ?
Have the rescue plan, equipement/kit and
7 personnel been developed, provided and
appointed to deal with emergencies ?
Is the breathing apparatus required ? If yes
8 have relevant personnel been provided with
fit test training ?
Are all fire provisions been arranged in the
9 case a hot works take place into the
confined space ?
Have all involved equipement, tools and
10 other in the task being performed been
inspected and proprly tagged ?
11 Other if any ?
K. Hot works (Welding, grinding and cutting)
Have the fire provisions (PTW, JSA, RA, Fire

1 prevention, Fire fighters, fire blankets…etc.
been assessed and arranged ?
Is personnel involved in the Hot Work

2 Activities qualified and competent e.g.
welder ?

3 Activities been provided with in-house
safety training ?

4 Activities been provided with appropriate
PPE for the task ?
5 Has the fire watch been appointed ?
6 Has the area been isolated ?
Have all combustibles and flamable material
7
been cleared ?
Have the fire fighting team (brigade/truck)
8 and FAT been provided with up to date site
layout ?
9 Other if any ?
L. Other areas to be inspected where (other physical, biological, traffic hazards are likely to arise) If any please state below

Inspected by:
Reveiwed by:
This field is not mandatory but it is to encourage management and others to care about
Position: safety by reviewing and helpinng
Signature:
Inspection No.
Name:
Date: Company:
Position:
EPC-SEGC Main Facilities Inspection Checklist
Unite: Area/Facility: MAIN FACILITIES Type:

SN Item YES NO N/A Report Month

A. General
Has this checklist been delivred to the
relevant subcontractor and is been fully
1
implemented as per SEGC Inspection
Program ?
Parking area is available, marked and
2
signage in place?
Reverse parking signage in place and
3
vehicles are respecting?
Smoking shades available and provided with
4 ashtry, fire extunguisher and being cleaned
in daily basis?
Propoer identification by sign boards for all
5 offices and rooms is in place and well
maintained?
Is Fence around the office in good
6 conditions, being inspected in regulary
basis by the security staff?
Are electrical panels adequately protected,
7
locked and tagged out?
Are doors' handles and latches in good
8 conditions and doesn't present any hazard
of being stuck inside.
Are outer doors in ggod conditions and well

9
maintained, and no obstacles are there?
Are the general conditions, housekeeping,

10
roads good and well maintained?
Are notice boards been installed and made

11
accessible for all employees ?
Is the SOR system been established and
11
well maintained ?
Has Covid-19 control measures put in place
12
and proprly implemented ?
B. Fire Detection System
All detecors installed as per drawing and
1
proprly working?
Detectors clean, in good conditions and not
2
being covered?
Control panel working and being monitored
3
by the security guard?
4 Alarm working ans alarm's sound adequate?

5
done and record kept?
Daily inspection done, checklist in place
6
posted, proprly filled and up to date?
B. Fire prevention
Fire extinguishers adequately selected,
1 proprly mounted, free of damage and
accessible to all amployees?
2
done, and extinguishers being tagged?
Daily inspection done, checklist in

3 place/recorded, proprly filled and up to
date and color code tag ticked and posted?
C. Emergency
Emergency doors and push button free of
1 damage and obstructions from inside and
outside?
Emergency exit signs in good conditions,
2
free of damage, illuninated and visible?
Corridors leading to the emergency exits
3 free of hazards, obstructions and kept
clean?
Emergency alarm proprly working and
4 adequately sounding, all office staff can
hear it?
Emergency evacuation plan and contact list
5 developped and posted in visible and
accessible areas (Walls)?
Master point installed in a proper area
(Nearby the main access to outside) proper
6
height (Visible from all office corners)
routes to it marked or indicated?
D. First Aid Provisions
First aid room inspection checklist in place
1
and inspection proprly done?
2 General hygenic conditions satisfactory?
Are the general conditions of medications
3
and medical tools and stuff satisfactory?
List of paramedics and their qualifications
4
available and posted?
Up to date general site layout available and
5
posted?
All medical activities being performed have
6 been recorded and record up to date and
available?
Is signage related to health printed out and
7
posted?
Is the ambulance inspection checklist in
8
place and inspection proprly done?
Are the general hygenic conditions of the
9
ambulance satisfactory?
Are first aid boxes available, mounted or
10 proprly placed, inspection checklist in
place and proprly filled?
E. Sanitation
1 Housekeeping is in good order?
Hand towels/tissue are provided at
2
washbasins?
Hygiene advisory is posted for washing
3
hands after toilet?
Plumbing system of gray water and toilets
4
is adequate and adapted. No leak?
5 Showers are in good condition?
All flushes are in good working condition.
6
Toilets are clean?
7 Hand bassins are clean.
A non-skid flooring is provided. Mats are
8
provided in the showers.
A sharps container for shaver blades is
9
available.
Ventilation exhaust is working well and
10
efficient?
All lights in the bathroom and toilet areas
11
are in good working condition?
12 A cleaning record is available and posted?
Are MSDSs of the different detergents used
13 for cleaning available, posted with COSHH
assessment form?
Are toilets for desabled people designated
14
and signage in place ?
F. Dinning Room
1 Tables and chairs are clean and orderly?
2 Floor is vacuumed, swept and cleaned?
"No smoking" signs are displayed in eating
3
areas?
The staff uses "Wet Floor" sign each time it
4
mops the floor?
5 Floor and walls are clean?
6 The sneeze guard is clean?
7 Fly killer is installed and functional?
8 Air conditioning system is properly working?
9 Dedicated waste bins are availble?

Pest control is done and frequency evry 3
10
monts?
11 Is cooking allowed ?
12 If cooking is allowed, are they licensed ?
Are conserved/canned products provided
13 with fabrication and expiry date from the
manifacturer ?
Are open products e.g. fruites being well
14 covered and date of opening marked and
no more than 23h of storing ?
G. Electrical
Are all electrical installations, wiring,
extention cordes, plugs and other if any
1
been proprly maintained and no damage to
any?
Are ELCBs considered tested and proprly
2
working?
Is the SEGC's inspection checklist been
3
used, posted and uptodate
4 Are panels locked and tagged ?
5 Is the electrician contact details posted ?
H. Hazardous substances
Has the chemicals' register been developed
1
and implemented ?
Is the register table covers all required
2
items i.e. name, formula…etc ?
Has the inventory process to identify new,

3 expired and used products to update the
register in regular basis been put in place ?
Does the register indicate the possible

4 chemical reactions between different
products ?
Have all products been provided with the
5
proper relevant MSDSs ?
Are all relevant MSDSs been made available
6 on the working area/storage area, posted
and accessible ?
7
accordingly ?
Is COSHH been reviewed and updated
9
when/where required ?
Are chemicals stored in the manufacturer
10
containers ?
Are continers proprly labled and lables
11
maintained ?
Are products stored in a suitable
12
(ventilated and locked area) ?
IS storage been made according MSDSs
13 (Separated from being reacted (If any) and
isolated from sources of ignition) ?
Are spills emergency provisions and
14
Are fire emergency provisions and
15
Are exposed workers been proprly trained
16
and record been kept ?
Is pest control done and periodiocally
17
monitored ?

Inspected by:
Reveiwed by:
Signature:
Inspection No.
Name:
Date: Company:
Position:
EPC-SEGC Onsite Welfare Inspection Checklist
Unite: Area/Facility: WELFARE FACILITY Type:

SN Item YES NO N/A Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Report
A. General
For the dispersed workers e.g. SF areas, does the
Sub-Contractor provide sufficient and conveniently
1
accessible welfare facility/areas for all workers on
site?
For the dispersed workers e.g. SF areas, does the
Sub-Contractor provide sufficient and conveniently
2
accessible welfare facility/areas for all workers on
site?
Are they provided with an adequate and sufficient
3
supervision ?
Are they provided with the necessary and adequate
4
first aid provisions?
Are they provided with a specific emergency plan
5 included in the PTW pack or in the JSA including the
emergency contact list?
Is those remote areas were well identified and
6
communicated to the site emergency team ?
Are the area layout' for facilities and working areas
been developed and posted in the main areas for
7
emergency purposes including master points and
escape routes ?
Is safety board (s) installed and provided with the
8 required signage for notes, changes in the
organization or other system purposes ?
Has Covid-19 control measures put in place and
12
proprly implemented ?
9 Other if any ?
A. Dining Hall
Has this checklist been delivred to the relevant
1 subcontractor and is been fully implemented as per
SEGC Inspection Program ?
Enough number of tables, seats, plastic garbage bags
2 and metal garbage containers for plastic garbage
bags, are Available?
The waste containers are properly Covered & Waste
3
is transporting from the site regularly?
4 Floors are properly cleaned?
5 AC are available and working properly?
Refrigerator & Oven are available for food
6
Preservation?
7 Safety Signages are available properly?
B. Drinking Water
A supply of potable water shall be provided in
1
accordance with the quality standards
Approved for drinking purposes by the local
2
authority having jurisdiction is available?
3 Cold potable Water is available in Hot Weather?
Disposable cups & waste receptacle for disposing of
4
the used cups is available?
Potable water tanks are fabricated of anti-corrosion

materials, which shall not affect the physical or
chemical properties of potable water. Also, these
5 materials shall not cause any alteration of the
color, taste or odor of the potable water, and shall
not be affected by heat or humidity, opaque (not
transparent) and has no any bad health effect?
Potable water tanks are clearly marked as

6
containing «Safe drinking water».?
Any container used to distribute drinking water is
7 clearly marked as to the nature of its contents and
not used for any other Purpose?
Uncovered containers shall not be used, and potable
8 water shall not be stored in any other containers not
designed for storing potable water?
Are filters provided of ceramic candles and filter
9
changing record posted and up to date ?
Is the regular maintenance inspection been done and
10
posted ?
Is the area shaded, clean and free of stagned water

11
and leaks, as well no exposed electrical cables ?
C. Sanitation
Adequate sanitation facilities, sanitary sewage and
water source shall be provided in the workplace in
accordance with the following for 20 or less 1 toilet
1
seat + urinal + lavatory
From 21 to 200 (1 toilet seat + urinal + lavatory) per
Are toilets separated with partitions and lockable
2 40 employees’ sequence.
doors for privacy purposes.
3 Are toiltes for females been designated ?
Sanitation facilities shall be maintained and kept
permanently clean. The sanitation and washing
4
facilities shall be daily cleaned up by water and soap
and sterilized twice a week at least?
Sanitation facilities shall be provided with adequate
5
lighting and ventilation
6 The Sewage Is Transported Regularly From the site?
7 Are sepctic tanks installed according standards ?
Are chemical toilets (If any) provided with tissue,
8 soap, water, daily maintenance checklist and
accessible to all workers?
Are all sanitation facilities free of leakage of water
9
or sewage ?
D. House Keeping
All the Walkways and Passages are Cleared from the
1
material or any other obstruction?
All the Hazardous Material stored in the proper
2 Storage area and provided with the inspection
checklist regulary ?
All the waste is managed in the proper skips and
3
designated area?
All the Emergency Exits are cleared from any
4
Blockage?
E. Ventilation
Appropriate ventilation in confined or enclosed
spaces such as vaults, basements and water tanks to
1
discharge dusts, fumes, mists, vapors, or gases
produced during the work is Available?
F. Smoking
Flammable Combustible material is not kept near to
1
the Facility?
2 Fire Extinguisher is Available?
3 Ash tray for separate bud is Available?
The designated area is available & Cover from the 3
4
sides & Top?
5 Cleaning is maintained all the time?
G. Prayer Room Only for prayer?
Designated
1
No material is allowed to store inside the Prayer
2 Room?
Non-Muslim are not allowed to enter in designated

3
area ?
Maintain Cleaning all the time ?
4
Smoking is not Allowed inside of Premises.
5
No one is allowed to enter in the site with shoes for

6
Inspection (Only Muslims).
H. Waste Removal
Employee who carry out waste collection shall be
1
provided with necessary and
2 appropriate personal protective equipment.
Plastic bags shall be provided for waste collection
3 and dust-tight metal containers shall be provided for
keeping the plastic bags until disposed off.
Construction material wastes shall be disposed of
4 regularly and frequently to prevent accumulation in
roads and passageways.
Construction wastes such as wood, aluminum, etc.
5 shall be accumulated in piles or packages to
facilitate removal from workplace.
Containers of solid or liquid rotten wastes shall be
6
tightly sealed to prevent leakage.
A. Chemicals
Has the chemicals' register been developed and
1
implemented ?
Is the register table covers all required items i.e.

2
name, formula…etc ?
Has the inventory process to identify new, expired

3 and used products to update the register in regular
basis been put in place ?
Does the register indicate the possible chemical
4
reactions between different products ?
Have all products been provided with the proper
5
relevant MSDSs ?
Are all relevant MSDSs been made available on the
6
working area/storage area, posted and accessible ?
7
accordingly ?
Is COSHH been reviewed and updated when/where
9
required ?
Are chemicals stored in the manufacturer containers
10
?
11 Are continers proprly labled and lables maintained ?
Are products stored in a suitable (ventilated and

12
locked area) ?
IS storage been made according MSDSs (Separated
13 from being reacted (If any) and isolated from
sources of ignition) ?
Are spills emergency provisions and arrangements
14
allocated ?
Are fire emergency provisions and arrangements
15
allocated ?
Are exposed workers been proprly trained and
16
record been kept ?
Inspected by:
Reveiwed by:
Signature:
Inspection No.
Name:
Date: Company:
Position:
EPC-SEGC Water Dispenser Inspection Checklist
Unite: Area/Facility: Type: Survey Date/Month:


Is the refridgerant system working
1
proprly ?
2 Inner body free of damage ?
3 Outer body free of damage ?
4 Drainage tray free of damage ?
5 Water taps free of damage ?
Outlet & inlet adapters in good
6
conditions ?
7 Condenser proprly working ?
8 Cooler leg free of damage ?
9 Electrical plug in good conditions ?
Water tank supply meets the
10 hygenic conditions and 6 months
3rd inspection tag posted ?
Piping and pumping system in good

11
conditions and proprly working ?
Filter changing record sheet

12
available ?

Inspected by:
Reveiwed by:
This field is not mandatory but it is to encourage management and others to
care about safety by reviewing and helpinng
Position:
Signature:
Inspection No Name:
Company:
Date: Position:
EPC-SEGC Onsite First Aid Inspection Checklist Template
Unite: Area/Facility: FA Provisions Type: Survey Date/Month:


FA provisions
Is the the FA room provided for every

1 5000 additional employee with enough
space for the ratio 20 square meter ?
Is the room been inspected regularly

using the SEGC checklist and record
2
been kept with regard to the content of
the room and validity ?
Are the hygenic conditions satisfactory

3 and cleaning schedule checklist posted
and up to date ?
Is a helideck provisions for flight

ambulance evacuation purpose been
4 arranged for:
- More than 1000 employee. And;
- Far from hospital ?
Is the record of all cases, treatments,

and evacuations been kept for at least
5
(5 years) and made available/accessible
?
Is the number of professional First

Aiders complying with the local
6 requirements (DM-COP-CH3-3.1) and
other contractual requirements and
applicable standards if any ?
Are subcontractors training or ensuring

7
other people to be first aiders ?
Inventory which ensures the required

8 medecines and equipement are
provided is in place and up to date ?
Ambulance been arranged and
9
available?
Ambulance is provided with inventory
which ensures required material and
10
equipement thus tools are provided is in
place and up to date ?
Is the ambulance vehicle been provided

11 with inspection checklist, up to date
and well maintained ?
Are fire extinguishers been inspected,

12 mounted or proprly placed and
inspoection tag posted ?
Are FA boxes provided as per ratio 1

13
boxe x 150 additional employees ?
Are FA boxes provided every 300m for

14
the horizontal extend ?
Are FA boxes provided every 10 floors
15 for the vertical extend (App only for CT
Tower) ?
Is the FA boxe inventory being

16
developed and maintained ?
Is the inspection done checklist

17
recorded and color tag placed ?
18 Other if any ?

Inspected by: Reveiwed by:
This field is not mandatory but it is to encourage management and others to care
about safety by reviewing and helpinng
Position:
Signature :
Inspection No. Name:
Company:
Date: Position:
EPC-SEGC Fire Extinguisher Inspection Checklist
Unite: Area/Facility: FIRE EXTINGUISHER Type: Unit No.
During the survey of the designated area, complete the checklist below. Check N/A if the item does Main Subcontractor: Area for relevant subcontractor logo
not apply. Subcontractor: (if it is used by the subcontractor, if not leave it)
SN Item YES NO N/A Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Comments if any
Is the extinguisher located in its
designated location, signage over
1
it and numbering system is
available ?
Is it clear of obstructions to
2
access or visibility?
Are operating instructions on the
3 name plate legible and facing
outward?
4 Is the extinguisher full?
Pressure gauge (or indicator) in
5 the operable range?
Are safety pins and seals in place

6
and functional?
Is the extinguisher in good
physical condition? (No obvious
7
damage, corrosion,
leakage, or clogged nozzle)
Has the extinguisher inspection
8 tag been initialed for the current
month?
For wheeled units: have tires,
9 wheel carriage, hose, and nozzle
been checked?
For wheeled units: have tires,
10 wheel carriage, hose, and nozzle
been checked?
Are the habged extinguishers
11 safely hanged and no risk to fall
down ?

Inspected by:
Reveiwed by:
Signature
Inspection No.
Name:
Date: Company:
Position:
EPC-SEGC Spill Kits Inspection Checklist
Unite: Area/Facility: SPILL KIT Type:
A. Clean-up Items
1 Paper towels
2 Spill pads
3 Spill socks
Disposal bags with tape or twist
4
ties
Proprly placed, accessible and
5
free of damage ?
6 Container for waste ?
B. PPE
1 Goggels
2 Rated chemical gloves
Are portable shovel with bruch
3
available ?
C. Administrative
1 Spill kit signage ?
2 Emergency contact numbers ?

Inspected by:
Reveiwed by:
Inspection No.
Signature:
Inspection No.
Name:
Date: Company:
Position:
EPC-SEGC E&S Inspection CHecklist
Area/Facility: Date:
SN Item YES NO N/A Comments if any
A. SITE CONDITIONS
1 Site is free of litter and debris?
2 Any general site complaints?
3 All works are within the permitted site limits?
4 Materials are stored in a visually acceptable manner?

5 Site layout considers locations of sensitive receptors?
6 Site is fenced to prevent visual intrusion?
B. NOISE & VIBRATION CONTROL
Machines, vehicles and equipment are switched off when
1
not in use?
Vehicles and equipment regularly maintained, serviced and
2
oiled to reduce noise from friction?
Vibrating machinery is placed on platforms or resilient
3
mounts to prevent the spread of vibration?
Vibrating machinery is placed as far as possible from site
4
boundary?
Drop heights are reduced to the minimum when
5
transferring and handling materials?
Sensitive receptors are informed of occasionally higher
6
noise levels prior to start of activities?
Access roads are well compacted to reduce friction with
7
tires?
9 Fencing around site acts as an acoustic barrier?
10 Acoustic covers on machinery are kept closed?

C. WASTE MANAGEMENT
All employees are trained on principles of waste
1
management?
2 Incompatible wastes are not mixed together?
3 Paper and other materials being reused?

4 Materials are ordered in bulk to reduce the packaging?
Valid copies of the waste provider permits are available
5
onsite?
Waste Transfer Forms are dully filled for all waste trips
6
leaving site?
Waste receptacles are properly labelled using site main
7
languages?
8 Wastes are separated into hazardous and non-hazardous?
Wastes are being separated by type and stored in a

9
designated waste collection area?
An adequate number of waste receptacles are available
10
around site?
Reusable materials are stored separately from wastes and
11
properly labelled?
Wastes receptacles are not allowed to overflow and are
12
collected in a timely manner?
Food wastes are kept in covered skips are collected
13
regularly to prevent pest infestation?
Waste collection area is protected against environmental
14
elements, including wind and rain?
Signs to discourage mixing of wastes and theft of high

15
value items are posted at the waste collection area?
All waste service providers hired to collect and dispose
16
wastes are permitted by competent authority?
Facilities at which wastes are disposed, recycled or treated

17
have valid permits to operate by competent authority?
D. HAZARDOUS WASTES
Hazardous wastes are collected in clearly labelled and leak
18
proof receptacles of 110% the volume of the contents?
A full inventory of the types and quantities of hazardous

19
wastes is maintained onsite and updated?
Hazardous wastes are collected in a timely manner to
20
reduce the risks of spills or fires?
Hazardous waste collectors hold permits to transfer such
21
wastes to approved locations?
Hazardous wastes and other flammable wastes are stored
22
away from sources of ignition?
Fire and spill control devices are available at the
23
hazardous waste area?
Hazardous wastes are stored in an upright position to
24
prevent spills?
Labelling of hazardous waste receptacles displays hazard
25
signs and precautions?
26 Hazardous waste receptacle is covered at all times?
E. AIR QUALITY - DUST & EMISSIONS
1 Are dust levels high on site?
2 No burning of wastes is allowed onsite?

Contact between vehicle tires and loose soil is reduced by
4
gravel or gatch materials?
5 Access roads are suitably compacted?
Speed limits onsite are restricted to 20Km/H. Signage in
6
place?
Movement of vehicles is restricted to designated access
7
roads?
F. EXCAVATED MATERIALS
Stockpiles are stored within the fenced site boundary and
8
away from sensitive receptors?
Truck covers are impervious sheets that extend over the
9
edges of the truck bucket?
Non-potable water is used for dust suppression on access
10
roads and excavated materials?
Backfilling material is watered prior to being handled, if
11
any?
Excavated materials are transported out of site using
12
covered trucks?
Drop distance of excavated materials is reduced to
13
minimum?
14 Excavated areas are stabilized as soon as possible?
15 Stockpiles are covered or dampened daily?
16 Dusty materials are properly covered (Cement Bags, etc.)?
G. PLANT & EQUIPMENT

17 Maintenance records are kept onsite?
Plant and Equipment are located away from sensitive
18
receptors?
Vehicles, equipment, and plant are checked upon arrival to
19
site for excessive smoke?
If Yes, has the source of the excessive smoke been
20
removed from site?
Exhaust from machinery is directed away from rest areas
21
and sensitive receptors?
All vehicles and equipment on site have a valid registration

22
from the competent authority?
23 Any sources of excessive smoke onsite?
24 Low sulphur fuels shall be used whenever possible?
25 Machinery is fitted with exhaust stacks of suitable height?

26 Regular maintenance of plant and equipment is done?
Materials with Ozone Depleting Potential shall be strictly
27
prohibited onsite?
28 No Idling Policy is implemented onsite at parking areas?
Materials with HydroChloroFlouroCarbons (HCFC) shall be
29 replaced with less harmful materials or reduced to a
minimum?
H. SOIL & GROUNDWATER POLLUTION CONTROL
Water from wheel washing facility, if applicable, is
1
collected and directed through settlement tanks?
Chemical containers are stored in upright position and on
2
drip trays to prevent spills on the soil?
Spill kits and fire control devices shall be present at
3
chemical storage areas?
Chemical inventory is available at the chemical storage
4
areas and are up to date?
Spill Kit contents are inspected to ensure they are in good
5
condition and contain sufficient materials?
Chemicals are stored within the storage areas and onsite as
6
per their MSDS?
7 No spills or leaks have been observed onsite?
8 No evidence of ground water contamination is observed?
9 Chemicals are stored away from ignition sources?
I. VEHICLE & EQUIPMENT REFUELLING
Diesel tanks onsite have been installed on an impervious
10
base?
Diesel bund has an extraction valve to extract
11
contaminated liquids from the bund?
The tank has been properly labelled with hazard signs and
12
precautions?
13 Tank is equipped with an automatic pump head and meter?
All refuelling pipes and valves are contained within the

14
bund/drip trays and checked for integrity?
All refuelling pipes and valves are connected correctly to
15
the tank?
Refuelling containers shall be properly labelled with site
16
main languages and hazard signs?
Refuelling shall be supervised by a competent / trained
17
person?
Any fuels, liquids or contaminated rainwater accumulating

18
in drip trays and inside the bund shall be cleared?
Flammable materials and liquids are stored away from

19
sources of ignition?
Spill control devices and tools shall be readily available at
20
the refuelling area including spill kits?
Signs to discourage using spill kit containers as waste bins
21
are posted?
Fuels and associated chemicals are handled, stored,
22
transported and disposed as per MSDS?
J. CHEMICAL STORAGE AREAS & CHEMICAL HANDLING
Copies of all MSDS shall be kept at the chemical storage
23
areas and at the locations where the chemicals are used?
Chemical containers are properly labelled using caution

24
signs .e.g. toxic, corrosive, harmful gases, etc.)?
Chemical storage areas are environmentally controlled
25
with a functional A/C?
An exhaust fan / vent shall be provided to release
26
accumulated gases?
K. MECHANICAL WORKSHOPS & MAINTENANCE AREAS

Only minor maintenance is carried out in the designated
27
workshop area. Major services are undertaken offsite?
Contaminated rags and used oils are collected as hazardous

28
wastes by a permitted waste service provider?
Service and maintenance records for all vehicles and
29 equipment shall be maintained at all times at the
workshop?
Mechanical workshop is built on an impermeable concrete
30
base, with an oil extraction system?
Chemicals within the mechanical workshop are stored as
31
per MSDS in acceptable conditions?
Drip trays are placed underneath vehicles being serviced to
32
collect oils?
Flammable materials and liquids are stored away from
33
sources of ignition?
34 Maintenance works are not carried out on bare soil?
L. DEWATERING
35 The discharged water colour and clarity are acceptable?
Tankers hired to remove dewatered water shall be
36
permitted by the competent authority?
All pumps, discharge pipes and valves are placed within
37
drip trays of sufficient size?
Dewatered water will be pumped into settlement tank(s)
38
prior to disposal?
Discharged dewatered water is being tested on a regular
39 basis to ensure the acceptable standards for water content
are not exceeded?
40 No sediment build up is observed in the settlement tank?
M. CONCRETE OPERATIONS
Concrete operations are carried out within the site
41
boundaries?
Concrete mixer operators are supervised during wash out
42
of the concrete chute?
Ensure concrete mixer wheels are not tracking wet
43
concrete on the soil after wash out?
Drip trays or plastic is placed under the conjunction
44
between the concrete pump and the concrete mixer?
Spillage of wet concrete or contaminated water on soil or
45
close to water bodies is prohibited?
Concrete wash out area is inspected to ensure it is in good
46
condition and free of spills?
All personnel involved in concrete operations are trained
47
on contamination prevention and control?
Concrete testing is conducted in the designated testing
48
area where spill control devices are available?
A simple concrete bund is installed underneath diesel
49
operated cement mixers to contain spills?
N. ENVIRONMENTAL INCIDENTS & EMERGENCIES
Emergency contact numbers are posted in strategic
1
locations around site?
All employees are trained on environmental incident and
2
emergency control procedures?
All precautions and control devices are made available to
3
prevent incidents from occurring?
Environmental incidents onsite are reported immediately

4
to the project HSE and closed out in a timely manner?
O. TERRESTRIAL ENVIRONMENTS PROTECTION

1 Littering is prohibited onsite?
2 Waste bins are covered at all times?

Worker rest areas are located as far from sensitive habitats
3
as possible?
Food waste skips are emptied regularly and not allowed to
4
overflow?
5 Wastes are not allowed to spread in the environment?
Mature trees, if any, are watered on a daily basis (A/C

6
condensate used if applicable)?
No construction activities are carried outside of permitted
7
site limits?
Mature trees (and roots), if any, are protected with hard
8
barricades and signage?
Lights during night shift is directed downwards and focused
9
on the activity?
Employees are prohibited from touching, hunting,
10 capturing and disturbing nests / burrows of birds and
animals?
If trees are to be relocated offsite, permits have been
11
obtained from the regulatory authority?
Noise and vibration levels are kept to the minimum to
13
comply with legal limits for day and night shifts?
Designated smoking areas have suitable bins and signage
14
for collection of cigarette ends?
P. ARCHAEOLOGY AND CULTURAL HERITAGE
Has an achaeological assessment previously been carried
1
out that include all of the areas impacted by this project?
Will any activity related to the project results in land

2
ground disturbance?
Is there known achaeological sites on or within 300 meter
3
of the project area?
Does the project area contain or is it a part of cultural
4
heritage lansscape?
Is the project area adjacent to a known burial site and/or
5
cemetry?
Q. EMERGENCY RESPONSE PLAN
List of emergency contacs/Cordinator displayed and
1
communicated?
All site staff has received basic HSE induction training
2 which include an overview of emergency response
procedure?
List of hazardous material and chemical with MSDS in the
3 site office and in all areas where potential of risk is
available
R. TRAFFIC MANAGEMENT PLAN
1 Access routs identified,dampened with proper signages?
2 Speed limits has been specified and adherence monitored?
Noise from reversing alarms is being managed as far as

3
reasonably practiceable?
All local traffic requirements in relation to traffic,parking

4
and access to the site has been adhered with plan?
S. BIODIVERSITY ACTION PLAN

1 Is on site traffic kept to designated marked routs?
All resonably practical measures to minimise injury and
2
disturbance to wildlife?
No removel of indegnius trees from project site without
3 obtaining written consent from authorties and all
requirements have been followed?
Awareness training has been provided to staff to prohibit
4 them engaging them in any activities detrimental to local
habitat/wildlife
Inspected by: Other Observations,If any
Signature
Ref: NE1-00-HS-SEC-PLN-OOO(G)-00003
EPC-SEGC Inspection CHecklist Template
Unit: Area/Facility: SECURITY PATROLING Type:
During the survey of the designated area, complete the checklist below. Check N/A if the item Main Subcontractor: Area for relevant subcontractor logo
does not apply. Subcontractor: (if it is used by the subcontractor, if not leave it)
Any property damage or loss

1
noted？
Fire hazards observed Fire

2 Detection monitor not working or
alarming？
3 Violations of rules？
4 Any suspicious individuals？
5 Any trespassers？
All materials taken out with a

6
material pass？
7 Any Security Lights off ？
8 Any damage to the fence?
Any damage to the access

9 components e.g. elevator barrier,
turnstile, camera…Etc.?
10 Traffic violations?
11 Animals observed?
12 Lonely workers observed?
13 Breath Alcohol Tests
14 Others? If any, specify？
Inspected by:
Reveiwed by:
Signature
Inspection No.
Name:
Date: Company:
Position:
EPC-SEGC Water Wells Inspection Checklist
Unite: Area/Facility: WATER WELLS Type:
Has this checklist been delivred to

the relevant subcontractor and is
1
been fully implemented as per
SEGC Inspection Program ?
Is the water well been provided

2 with cosumption device and record
been kept ?
Are DG and DT been restricted and
3
indicating sign posted ?
Are relevant safety signs been
4
posted and maintained ?
Is the spill kit been provided with
5
PPE and inspection checklist ?
Are suitable and inspected fire
6
extinguishers been placed ?
Are the necessary instrcution for

users e.g. refuelling, maintenance,
7 water tankers' drivers teams been
made readable in the required
languages, posted and accessible ?
Are all combustibles been
8
removed/eleminated ?
Are inpection checklists for DG and

9 spill kit thus color tag where
required available and up to date ?

Inspected by:
Reveiwed by:
Signature :
Inspection No.
Name:
Date: Company:
Position:
EPC-SEGC Labour Camp Inspection CHecklist
Noor Energy 1 -DEWA CSP Phase IV
Area/Facility: Date
Area for relevant subcontractor logo

(if it is used by the subcontractor, if not leave it)

A General regulatory framework
Have the international/national/local regulatory frameworks been
1
reviewed?
2 Are mandatory provisions on workers’ accommodation identified?
B Assessing the need for workers’ accommodation
Availability of the workforce
Has there been an assessment of workers’ availability
3
in the neighbouring communities?
Has there been an assessment of the skills and competencies of the

4 local workforce and how do those skills and competencies fit the
project’s need?
Has there been an assessment of the possibility of training a local

5
workforce in order to fulfil the project’s needs?
Availability of housing
Has there been a comprehensive assessment of the different
6 type of housing available in the surrounding communities
prior to building any workers’ accommodation?
For a larger project: is that assessment included in the
7
Environmental and Social Impact Assessment?
Has there been an assessment of the impact on the
8
communities of using existing housing opportunities?
Have measures to mitigate adverse impacts on the local housing
9 market been identified and included in the Environmental and Social
Action Plan (ESAP) or other relevant action plan?
C Assessing impacts of workers’ accommodation on communities

Has a community impact assessment been carried out as part of the
Environmental and Social Assessment of the overall project with a
10
view to mitigate the negative impacts of the workers’ accommodation
on the surrounding communities and to enhance the positive ones?
Have the potential health and safety impacts and consequences of

land acquisition and involuntary resettlement occurring during the
11
construction phase of the workers’ accommodation been included in
the assessment?
Have the impacts of workers’ accommodation on community
12 infrastructures, services and facilities been included in the
assessment?
Have the impacts on local community’s businesses and local
13
employment been included in the assessment?
Have general impacts of workers’ accommodation on communities’
health, (notably the increased risk of road accidents and of
14
communicable diseases), and community social cohesion been
included in the assessment?
Does the assessment include appropriate mitigation measures to
15
address any adverse impacts identified?
D Types of workers’ accommodation

16 Has consideration been given to provision of family accommodation?
Are individual accommodations comprising bedrooms, sanitary and
17
cooking facilities provided as part of the family accommodation?
18 Are adequate nursery/school facilities provided?
19 Is special attention paid to providing adequate safety for children?
E Standards for workers’ accommodation

E1 National/local standards
E1.1 Dubai Municipality and Dubai Civil Defence Compliance(DM)
Does the camp have a Licensed Premises Inspection Record (Yellow
20
Card) ?
21 When was the last DM inspection ?
Is the DM required information sign board in place at the camp
22
entrance ?
Area/Facility: Date


23 Is there proper access for emergency vehicles at all times ?
24 Are there suitable personal lockers for all staff ?

Are living areas separated from storage areas for fuels / chemicals,
25
equipment etc ?
Is bedroom space per occupant meeting requirements (3.7 sq. mtrs /
26
person) ?
Have the relevant national/local regulations been identified and
27
implemented?
Area/Facility: Date


E2 General living facilities
E2.2 Design and Construction(DM)
28 Is there a Camp HSE Management Plan available?
29 Are the buildings well maintained internally and externally ?
30 Is there adequate illumination on buildings and walkways ?
31 Are external evacuation routes and assembly points identified ?
32 Are buildings adequately ventilated / heated ?

Is the location of the facilities designed to avoid flooding or other
33
natural hazards?
Are the living facilities located within a reasonable distance from the
34
worksite?
35 Is transport provided to worksite safe and free?
Are the living facilities built using adequate materials, kept in good
36
repair and kept clean and free from rubbish and other refuse?
E3 Emergency Plans & Procedures(DM)

37 Is there an emergency plan / procedure in place ?
38 Are fire wardens appointed and trained ?
39 Are fire evacuation drills conducted ? How often ?

Are there adequate fire extinguishers for offices, accommodation,
40
common areas ?
Are the extinguishers in good condition? Are they inspected ? Are
41
there valid Third Party Certificates ?
42 Is there a camp committee? how often held ? are Minutes displyed?
E4 Smoking Areas(DM)
Is the smoking area away and free from flammable / combustible
43
materials ?
44 Is there ash tray or other suitable means for extinguishing cigarettes ?
E5 Drainage
45 Is the site adequately drained?
E6 Heating, air conditioning, ventilation and light
Depending on climate are living facilities provided with adequate

46 heating, ventilation, air conditioning and light systems including
emergency lighting?
E7 Water
Do workers have easy access to a supply of clean/
47
potable water in adequate quantities?
Does the quality of the water comply with national/local requirements
48
or WHO standards?
Is the smoking area away and free from flammable / combustible
49
materials ?
Are tanks used for the storage of drinking water constructed and
50 covered to prevent water stored therein from becoming polluted or
contaminated?
51 Is the quality of the drinking water regularly monitored?
E8 Wastewater and solid waste
Are wastewater, sewage, food and any other waste materials

adequately discharged in compliance with local or World Bank
52
standards and without causing any significant impacts on camp
residents, the environment or surrounding communities?
Are specific containers for rubbish collection provided and emptied on
53
a regular basis?
Are pest extermination, vector control and disinfection undertaken
54
throughout the living facilities?
Area/Facility: Date


E9 Waste Management(DM)
Are there proper waste segregation, collection and disposal
55
arrangements ?
56 Are there proper arrangements for the disposal of municipal waste ?
57 Are they sufficient ? Areas marked with signs?
58 Are there suitable arrangements for hazardous waste ?
E10 Rooms/dormitories facilities
59 Are the rooms/dormitories kept in good condition?
60 Are the rooms/dormitories aired and cleaned at regular intervals?
61 Are the rooms/dormitories built with easily cleanable flooring material?

Are the rooms/dormitories and sanitary facilities located in the same
62
buildings?
63 Are residents provided with enough space?
64 Is the ceiling height high enough?

Is the number of workers sharing the same room/dormitory
65
minimised?
Are the doors and windows lockable and provided with mosquito
66
screens when necessary?
67 Are mobile partitions or curtains provided?

Is suitable furniture such as table, chair, mirror, bedside light provided
68
for every worker?
69 Are separate sleeping areas provided for men and women?
E11 Bed arrangements and storage facilities

70 Is there a separate bed provided for every worker?
71 Is the practice of “hot-bedding” prohibited?
72 Is there a minimum space of 1 metre between beds?

73 Is the use of double deck bunks minimised?
When double deck bunks are in use, is there enough clear space
74
between the lower and upper bunk of the bed?
75 Are triple deck bunks prohibited?
Are workers provided with comfortable mattresses, pillows and clean
76
bed linens?
Are the bed linen washed frequently and applied with adequate
77
repellents and disinfectants (where conditions warrant)?
Are adequate facilities for the storage of personal belongings
78
provided?
Are there separate storages for work clothes and PPE and
79
depending on condition, drying/airing areas?
E12 Sanitary and toilet facilities
Are sanitary and toilet facilities constructed from materials that are
80
easily cleanable?
Are sanitary and toilet facilities cleaned frequently and kept in working
81
condition?
Are toilets, showers/bathrooms and other sanitary facilities designed
82 to provide workers with adequate privacy including ceiling to floor
partitions and lockable doors?
Are separate sanitary and toilet facilities provided for men and
83
women?
E13 Toilet facilities
84 Is there an adequate number of toilets and urinals?
85 Are toilet facilities conveniently located and easily accessible?
E14 Ablution Blocks and Toilets(DM)
86 Are the toilet facilities adequate (1 toilet per 10 men) ?

Are there adequate washing facility for all occupants (1 shower per 10
87
men) ?
Area/Facility: Date

88 Are there adequate basins for hand washing (1 basin per 5 men) ?
89 Are the floor / walls tiled and well maintained ?
90 Are the fittings appropriate and functioning properly ?
91 Are there proper doors, locks and clothes hanging facilities ?

Are the toilets regularly cleaned and maintained ? How often ?
92
Cleaning Register ?
E15 Showers/bathrooms and other sanitary facilities
93 Is the shower flooring made of anti-slip hard washable materials?
Is there an adequate number of hand wash basins and

94
showers/bathrooms facilities provided?
95 Are the sanitary facilities conveniently located?
Are shower facilities provided with an adequate supply of cold and hot
96
running water?
E16 Canteen, cooking and laundry facilities
E16.1 Gas / Power / Fuel Installations(DM)
97 Were the installations provided by an approved installer ?

Are canteen, cooking and laundry facilities built with adequate and
98
easy to clean materials?
Are the canteen, cooking and laundry facilities kept in clean and
99
sanitary condition?
If workers cook their own meals, is kitchen space
100
provided separately from the sleeping areas?
E17 Laundry facilities
101 Are adequate facilities for washing and drying clothes provided?
E18 Welfare Facilities / Drinking Water / Washing and Drying(DM)
102 Is potable water available for all persons ?
103 Are laundry facilities provided ? Free or charged ?
E19 Canteen and cooking facilities
104 Are workers provided with enough space in the canteen?
105 Are canteens adequately furnished?

Are kitchens provided with the facilities to maintain adequate personal
106
hygiene?
107 Are places for food preparation adequately ventilated and equipped?
Are kitchen floor, ceiling and wall surfaces adjacent to or above food
108 preparation and cooking areas built in non-absorbent, durable, non-
toxic, easily cleanable materials?
Are wall surfaces adjacent to cooking areas made of fire-resistant

109 materials and food preparation tables equipped with a smooth,
durable, non-corrosive, non-toxic, washable surface?
Are adequate facilities for cleaning, disinfecting and storage

110
of cooking utensils and equipment provided?
Are there adequate sealable containers to deposit food waste and

111 other refuse? Is refuse frequently removed from the kitchen to avoid
accumulation?
E20 Kitchen and Dining(DM)
112 Are the fire exits / escape routes clearly identified ?
113 Hygiene / Food Handlers (work attire & health certification)

114 Is there sufficient Pest Control - (Neon Fly Catchers) ?
Are there separate food preparation and cooking facilities for different
115
foods ?
Is there a proper food storage area ? Of adequate size / temperature
116
controlled ? Is there any means to monitor temperature ?
117 Is the area clean and tidy?
118 Is there safe, separate, correctly identified area for chemical storage ?
119 Are there proper drainage, screening and cleaning arrangements?
Area/Facility: Date


Are there proper hand wash facilities with soaps and tissues ?
120
Signage ?
121 Is there a proper dish washing, sterilizing facility ?
122 Are there proper waste handling systems, bins etc ?
Is there a clearly identified gas "Shut-off" valve / Emergency "Shut-off"
123
?
124 Is the floor free from grease and trip hazards?
sufficient tables, chairs, air conditioning, lighting, hands wash bins,

125
liquid soap &hands drying failities according to the number of labours?
Provision if dining hall will wire mesh self closing doors to prevent
126
entry of flying insects?
E21 Standards for nutrition and food safety
Is there a special sanitary process such as the WHO “5 keys
127
to safer food” implemented in relation to food safety?
128 Does the food provided contain appropriate nutritional value?
E22 Pest Control(DM)
129 Is there a contract with a Pest Control company?
130 When was the last Pest Control done?
Does the food provided take into account workers’ religious/cultural

131
backgrounds?
E23 Medical facilities
132 Are first aid kits provided in adequate numbers?
133 Are first-aid kits adequately stocked?
Is there an adequate number of staff/workers trained to provide first
134
aid?
Are there any other medical facilities/services provided on site? If not,
135
why?
E24 Leisure, social and telecommunications facilities
Are basic social collective spaces and adequate recreational areas

136
provided to workers?
137 Are workers provided with dedicated places for religious observance?
138 Can workers access a telephone at an affordable/public price?
139 Are workers provided with access to internet facilities?
E25 Recreation Rooms(DM)

140 Are recreation facilities available including sport and fitness facilities ?
F Managing workers’ accommodation

F1 Management and staff
Are there carefully designed worker camp management plans and
policies especially in the field of health and safety (including
141
emergency responses), security, workers’ rights and relationships with
the communities?
Where contractors are used, have they clear contractual
142
management responsibilities and duty to report?
Does the person appointed to manage the accommodation have the
required background, competency and experience to conduct his
143
mission and is he/ she provided with the adequate responsibility and
authority to do so?
Is there enough staff to ensure the adequate implementation of

144
housing standards (cleaning, cooking and security inparticular)?
145 Are staff members recruited from surrounding communities?
146 Have the staff received basic health and safety training?
Area/Facility: Date


Are the persons in charge of the kitchen particularly trained in
147
nutrition and food handling and adequately supervised?
F2 Charging fees for accommodation and services

148 Are the renting arrangements fair and transparent?
Are workers provided with adequate information about payment
149
made?
Where appropriate, are renting arrangements and regulations
150
clearly included in workers’ employment contracts?
Are food and other services provided for free or reasonably
151
priced, that is, not above the local market price?
152 Is the payment in kind for accommodation and services prohibited?
F3 Health and safety on site

Have health and safety management plans including electrical,
153 mechanical,structural and food safety been designed and
implemented?
Has the accommodation manager a duty to report to the health
154
authority specific diseases, food poisoning or casualties?
Is there an adequate number of staff/workers trained in providing first
155
aid?
Has a specific and adequate fire safety management plan been
156
designed and implemented?
Is guidance on alcohol, drug and HIV/AIDS and other health
157
risk-related activities provided to workers?
Are contraception measures (condoms in particular) and mosquito
158
nets (where relevant) provided to workers?
Do workers have an easy access to medical facilities and medical
159
staff, including female doctors/nurses where appropriate?
160 Have emergency plans on health and fire safety been prepared?
Depending on circumstances, have specific emergency plans

161
(earthquakes, floods, tornadoes) been prepared?
F4 Health Care(DM)
162 Are there proper clinic / first aid facilities ?
163 Is the clinic / first aid room fully equipped ?
F5 Security on workers’ accommodation
Has a security plan including clear measures to protect workers

164
against theft and attack been designed and implemented?
Has a security plan including clear provisions on the use of force been
165
designed and implemented?
Have the backgrounds of security staff been checked for previous
166
crimes or abuses?
Has the recruitment of security staff from both genders been
167
considered?
Have security staff received clear instruction about their duty and
168
responsibility?
Have security staff been adequately trained in dealing with domestic

169
violence and the use of force?
Are body searches only performed in exceptional circumstances

170
by specifically trained security staff of both genders?
Do security staff have a good understanding about the importance of

171 respecting workers’ rights and the rights of the surrounding
communities and adopt appropriate conduct?
Do workers and communities have specific means to raise
172
concerns about security arrangements and staff?
Workers’ rights, rules and regulations on workers’
F6
accommodation
173 Are limitations on workers’ freedom of movement limited and justified?
Is an adequate transport system to the surrounding communities
174
provided?
175 Is the practice of withholding workers’ ID papers prohibited?
176 Is freedom of association expressly respected?
177 Are workers’ religious, cultural and social backgrounds respected?
Area/Facility: Date


Are workers made aware of their rights and obligations and provided
with a copy of the accommodations’ internal rules, procedures and
178
sanction mechanisms in
a language or through a media they understand?
179 Are house regulations non discriminatory, fair and reasonable?
Are regulations on alcohol, tobacco and third parties’ access to the
180
camp clear and communicated to workers?
Is a fair and non-discriminatory procedure to implement disciplinary
181 procedures, including the right for workers to defend themselves, set
up?
F7 Consultation and grievance mechanisms
Have mechanisms for workers’ consultation been designed and
182
implemented?
Are workers provided with processes and mechanisms to articulate
183
theirgrievances in accordance with PS2/PR2?
Have workers subjected to disciplinary proceedings arising from
conduct in the accommodation had access to a fair and transparent
184
hearing with the possibility
to appeal the decision?
185 Are there fair conflict resolution mechanisms in place?
In cases where serious offences occur, are there mechanisms to
186
ensure full cooperation with police authorities?
F8 Management of community relations
Have community relation management plans addressing issues

around community development, community needs, community health
187
and safety and community social and cultural cohesion been designed
and implemented?
Do community relation management plans include the setting up of

188 liaison mechanisms to allow a constant exchange of information and
consultation of the surrounding communities?
Is there a senior manager in charge of implementing
189
the community relation management plan?
Is there a senior manager in charge of liaising with the surrounding
190
communities?
Are the impacts generated by workers’ accommodation
191
periodically reviewed, mitigated or enhanced?
Are community representatives provided with easy means to voice
192
their opinions and lodge complaints?
Is there a transparent and efficient process for dealing with

193
community grievances, in accordance with PS1/PR10?
Result Allowed to use Yes/No:
Inspected by: Other Observations,If any
Position:
Signature
Date:
Shanghai Electric LTD.Co. Dubai Branch, NE Project Inspection System for Maintaining record. NE1-00-HS-SEC-PRO-OOO(G)-00013 - Rev02
EPC-SEGC Lifting Accessories Inspection Checklist
Unite: Area/Facility: Type: Ref No:
This includes all lifting accessories, please tick N/A where the item doesn't apply.
Is a valid 3rd party certificate
1
available ?
2 Is the SWL clearly marked ?
Is the general conditions for the

item satisfactory and free of
3 damage (Cracks, cut, corrosion,
significant bent, deformation,
elongation, spread, twist) ?
Safety pin/screw and thread

4
conditions are satisfactory ?
In case of chains, are
master/down links, hooks with
5
safety latches, chain links in
satisfactory conditions ?
Is CPB (Chain pulley block)
6
properly lubricated?
Is CPB operated freely and chain
7
should not come out of pulleys?
Is Chain Pulley Block anchored
8
properly?
Is Condition of Hand Wheel Chain
& Load Chain proper? (Any Knot,
9 Physical Damage – Worn, Crack,
Stretch, corroded, Twisted, bent
etc.)
Is there any abnormal sound
10
while lifting the load?
Are lifting gears proprly stored in
a dedicated area where will be
11
impacted by ENV conditions or
other ?
12 Other if any ?

Inspected by:
Reveiwed by:
Signature :
Inspection No.
Name:
Date: Company:
Position:
EPC-SEGC DG Inspection Checklist
During the survey of the designated area, complete the checklist below. Check N/A if the item Main Subcontractor: Area for relevant subcontractor logo
does not apply. Subcontractor: (if it is used by the subcontractor, if not leave it)
A. DOCUMENTATION
1 User manual ?
2 Maintenance register ?
B. ENGINE
1 Is exhaust in good conditions ?
Engine cover / guard in

2
place ?
Battery & Hold downs in good
3
conditions ?
Hydraulic hoses free of
4
damage or leaking ?
5 Other if any ?
C. ELECTRICAL SAFETY
1 DG proprly grounded ?
2 ELCB available and tested ?
Are Cables and Connections in
3
good conditions ?
4 Is DG locked and tagged ?
D. CONTROL
1 Ignition key
2 Emergency Stopping Button
3 Signage / Pictograms
4 Frequencymeter
5 Voltmeter
6 Amperemeter
7 Oil pressure alarm
8 Water temperature alarm
9 Overspeed alarm
10 Mini/Maxi alternator alarm
Is the fencing system been
11
maintained free of damage ?
Is the DG and its DT provided
12
with 110% retention ?
G. WARNING DEVICES & MISCELLANIOUS
Is suitable Fire extinguisher in
1
place and inspected ?
Is Spill absorbent kit in place
2
and inspected ?
3 Other if any ?
H. STABILITY
1 Lifting lug in good conditions ?
Out riggers safe and in ggod

2
conditions ?
Light post stable and proprly
3
functionning ?
4 Pulling lug in good condtions ?
Safety pin with its chain in
5
good conditions ?
I. DIESEL TANK
Is the diesel tank self
1 containement or provided with
110% retention ?
2 Is the Diesel tank grounded ?
3 Is the diesel tank labled ?
4 Other if any ?
Inspected by:
Reveiwed by:
Inspection No.
Reveiwed by:
safety by reviewing and helpinng
Signature:
Inspection No.
Name:
Date: Company:
Position:
EPC-SEGC Inspection CHecklist Template
During the survey of the designated area, complete the checklist below. Check N/A if the Main Subcontractor: Area for relevant subcontractor logo
item does not apply. Subcontractor: (if it is used by the subcontractor, if not leave it)
A. DOCUMENTATION
1 User manual ?
2 Maintenance register ?
B. ENGINE
Exhaust in good
1
conditions ?
Engine cover / guard in
2
place ?
Battery & Hold downs in
3
good conditions ?
Hydraulic hoses in good
4
conditions ?
Engine coolant, oil and
5 hydraulic oil level in good
conditions ?
6 No hydraulic oil leakage ?

C. PNEUMATIC SYSTEM
1 Compressed air vannes
2 Compressed air hoses
Wipe-check in place and
3
proprly placed ?
D. MOTION MEANS
Wheels in good
1
conditions ?
Lug nuts in good
3
conditions ?
Parking brakes proprly
4
functionning ?
E. CONTROL
1 Ignition key
Emergency Stopping
2
Button
3 Signage / Pictograms
F. PNEUMATIC SYSTEM
1 Compressed air vannes
2 Compressed air hoses
3 Safety whipe check
G. WARNING DEVICES & MISCELLANIOUS
Lights, turn signals, stop
1 lamps, reversing lamps in
good conditions ?
Fire extinguisher in place
2
and inspected ?
Spill absorbent kit in
3
place and inspected ?
Trade mark plate in
4
place ?
H. STABILITY
Outriggers in good
1
conditions ?
2 Other if any ?
Inspected by:
Reveiwed by:
Signature
Name:
Date: Company:
Position:
EPC-SEGC Welding Machine Inspection Checklist
During the survey of the designated area, complete the Main Subcontractor: Area for relevant subcontractor logo
Utilizing:
checklist below. Check N/A if the item does not apply. Subcontractor: (if it is used by the subcontractor, if not leave it)
Power line (AC single phase) in
0
good conditions ?
Power input cables in good
1
conditions ?
2 Grounding ?
Welding cables in good conditions
3
?
1 Cables' joints in good conditions ?
Earth cramp (massa) in good

2
conditions ?
Electrode holder in good
3
conditions ?
Current control button in good
4
conditions and proprly working ?
Swich buttons in good conditions
5
and proprly working ?
6 Other if any ?
Inspected by:
Reveiwed by:
Signature:
Inspection No.
Inspection No.
Name:
Date: Company:
Position:
EPC-SEGC Gas Cylinders Inspection Checklist
During the survey of the designated area/item, complete the checklist below. Check N/A if the item does Main Subcontractor: Area for relevant subcontractor logo
A. Cylinder
-1 Suitable cap available and used ?
Cylinder' color code and size according
0
local technical guidelines ?
1 Cylinder free of all kind of damages ?
Printed code over the cylinder clear
2
and readable ?
Tagging system from the
vender/manifacturer is vailable over
the cylinder ?
Did the relevant subcontractor get the
3 facts of the bottle testing and expiry
date ?
A. Regulator
1 Guage glass sealed and intact ?
Pressure indication needles clear and
2
secure ?
3 Guage markings clear and legible ?
4 Guages firmly attached to regulator ?
5 Guage free from damge ?
Pressure adjusting screw complete
6
and undamaged ?
7 Gland nut undamaged
Cylinder pressure sealing surface
8
undamaged
9 Anti-flashback connection attached
10 Anti-Flashback connection undamaged
11 Correct colour code marking attached

12 Correct regulator for gas in use
B. Hoses
1 Free from damage
2 Free from temporary type repairs
All connections of crimped type (no
3
warm screw damps)
4 Hose free from cuts
Hose/regular connection free from
5
damage
Hose/hand piece connection free of
6
damage
7 Hose free of burn damage
Correct type hose in use for
8
gas/pressure
Flashback arrestors in place and
9
functional ?
Oxygen check valves in good
10
conditions ?
C. Hand Piece
All valves turn freely and 'seal when
1
off'
2 All connections tight and free of leaks
3 Check-valve fitted and undamaged

D. Trolley
provides subtantial security from
1
overturning ?
2 Chains used to secure cylinders ?
3 Chains effectively secure cylinders ?
4 Wheels undamaged ?
5 Cylinder key secured to trolley ?
E. Cutting/Welding (Torche)
2 Torche head undamaged ?
3 Tip undamaged ?
Needle valves in good conditions and
4
proprly functionning ?
Torche's pipe in good conditions and
5
free of damage ?
5 Other if any ?
Inspected by:
Reveiwed by:
Signature
Inspection No.
Name:
Date: Company:
Position:
EPC-SEGC DB Panels Inspection Checklist

1 General view of the Panel acceptable ?
2 LOTO applied ?
Emergency contact number (electrician)
3
posted ?
4 Is the Panel IP 65 rated ?
Incoming and all outgoing cables are connected
5
through the right size cable gland ?
Outlet Sockets are in good condition and leads
6
are properly secured (no protruding wires) ?
7 Is the panel proplry earthed ?
Is the panel proprly fixed, isolated from
8 conductors and proprly protected from being
collided ?
9 The panel is protected from inclement weather
Are wiring, terminations and plugging correct

10
and safe ?
11 Are plugs IP 65 rated ? And free from damage ?
Is ELCB available and being tested in periodical
12
basis ?
Does the relevant company keep record with
12
reference to the tested ELCBs' panels ?
Is a suitable fire extinguisher available within a
13
radius of minimum 5m ?
12 Other if any ?
Inspected by:
Reveiwed by:
Inspection No.
Reveiwed by:
Signature :
Inspection No.
Name:
Date: Company:
Position:
EPC-SEGC Power Tools Inspection Checklist
A. Equipment/Tools
1 Appearance
2 Motor
3 Safe Guards
4 Earth for Movable Equipment
5 Frame (body) Earth
6 Installation/Fixing
7 Abrasive Disk/Blade
8 Hand Switch / Dead Man’s swich
9 Pilot Lamp
B. Cable/Connector
1 Cable/Insulation
2 Cable Connectors
3 Cable Terminals/Clamp
4 Laying (Not to be damaged)
C. Miscellaneous
Earth (Grounding Continuity Test
1
for metal cased tools)
C. Desk power tools

Inspected by:
Reveiwed by:
Inspection No.
Reveiwed by:
Signature:
Inspection No.
Name:
Date: Company:
Position:
EPC-SEGC FBH Inspection Checklist
Is the shelf life given by
1
manifacturer and been respected ?
If No 01 QUEST doesn't apply, has

the date of first use of the FBH been
2
record-kept to do not exceed 05
years use ?
Is the Manifacturer's or the approved

3 3rd party's certificate available at
least for an interval of yearly basis ?
Is the webbing system in good and

4
safe conditions ?
Is the D-ring safely attached and in
5
safe conditions ?
6 Are the Buckels in safe conditions ?
7 Are Chest Sraps in safe conditions ?
8 Are Snaps in safe conditions ?
9 Are Thimbles in safe conditions ?
Lanyard
Chock absorber in safe conditions
10
and certified ?
11 Data ticket available on it ?
12 Hooks and ties in safe conditions ?
Webbing system and straps in good
13
safe conditions ?
Are they been stored in a safe
14
conditions ?
Inspected by:
Reveiwed by:
Signature
Inspection No.
Name:
Date: Company:
Position:
EPC-SEGC Restractable Sys Inspection Checklist
Is the manifacturer or approved 3rd
1
party certificate availble ?
Is the identification plate and serial

2 number printed on the body of the
system ?
Is the galvanized steel cable in safe
3
conditions ?
4 Is the snap hook in safe conditions ?
Fall indicator there ? And in safe

5
conditions ?
Is the metallic caisng in good
6
conditions ?
Is the carrying handle in good
7
conditions ?
Is the disengaging system available in
8
free of damage ?
Is the rescue winsh system available
9 on this system, in good conditions
and free of damage ?
Is the identification plate printed on
10
the body of the system ?
11 Other if any ?
Inspected by:
Reveiwed by:
Signature :
Inspection No.
Name:
Date: Company:
Position:
EPC-SEGC Life Line Inspection Checklist

A. Wire rope (Diameter up to 12mm)
1 Diameter up to 13mm
B. Turnbuckies
1 Provide at end of structure
2 SWL up to 2.0 tons
C. Load test
Drop tested using 150kg minimium
1
weight
D. Wire connection to turnbuckle
1 Looped round eye of Turnbuckle.
2 Held by minimium of 2 bulldog clips.
Clips space approximately 6 x rope
3
diameter
E. Anchorage points
Not more than 30 feet apart Of suitable
1
strength
F. Cables sag
1 Not more than 3-inches
Inspected by:
Reveiwed by:
Signature
Inspection No.
Name:
Date: Company:
Position:
EPC-SEGC Ladders Inspection Checklist
Unite: Area/Facility: LADDER Type:
SN Items YES NO N/A Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Comments if any
Is ladder free of missing or loose
1
steps or rungs ?
Is the ladder free of damage or worn
2
non-sleep feet ?
Is the ladder free of loose nails,
3
screws, bolts or nuts ?
Is the ladder free of loose or faulty
4 spreaders, locks, and other metal
parts in poor repair ?
Is the ladder free of cracked, split,
5 worn or broken rails, braces, steps or
rungs ?
Is the ladder free of sharp edges on
6
rails and rungs ?
Is the ladder free of rough or
7
splintered surfaces ?
Is the ladder free of corrosion, rust,
8 oxidization and excessive wear,
especially on treads ?
Is the ladder free of twisted or
9
distorted rails ?
10 Is the identification label in place ?
11 Other if any ?
Inspected by:
Reveiwed by:
Inspection No.
Reveiwed by:
Signature :
Inspection No.
Name:
Date: Company:
Position:
After a Safety Fire Risk Assessmnet is developed
t is developed
EPC-SEGC Elevator Inspection Checklist
Unite: Area/Facility: ELEVATOR/ HOIST Type:

SN Items YES NO N/A 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Comments if any

Cables correctly positioned on
1
sheaves
Operation of cage flaps, gates &
2
interlocks
Operation of landing flaps, gates &
3
interlocks
4 Roof trapdoor & interlock
5 Base enclosure gates & interlocks
6 Hoistway clear of obstructions
Mast ties are secure (no undue
7
movement)
8 Check operating controls
9 Emergency controls
Mains isolator switch operation &
10
condition
Operation of upper & lower limit
11
switches
Operation of trailing cable storage
12
system
13 Check cable guide springs are intact
14 Check brake operates normally
No unusual noises from motor,
15
gearbox etc.
Notices - instruction, operating &
16
warning
No leakage from any mechanical
17
system
Operation of audible or visual
18
warning alarms
Communication system cage to
19
ground level
Debris in base enclosure & on cage
20
roof
21 Other if any ?
Daily Inspector Sign
Daily Inspector Name

Inspected by:
Reviewed by:
Position: This field is not mandatory but it is to encourage management and others to care about safety by reviewing and helpinng
Signature :
Inspection No.
Name:
Date: Company:
Position:
EPC-SEGC Man-Basket Inspection Checklist
Unite: Area/Facility: MAN-BASKET Type:

SN Items YES NO N/A 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Comments if any

Valid 3rd party certificate available /
1
posted in man-basket?
Manbasket ID/ Serial No. clearly
2
marked?
3 Manbasket SWL clearly marked?
Manbasket free from visible damage?
4
Do access doors open inwards and

5
have positive locking?
6 Are suitable guard rails in place?
Are suitable harness anchor points
7
available?
Is a suitable manbasket holding area
8
available?
Have all occupants and ground crew
9
been fully briefed?
Has all rigging been checked by
10
competent person?
Has a trial lift been conducted?
11
(empty)
Has a trial lift been conducted? (with
12
occupants)
Has a trial lift been conducted? (with
13
occupants)
23 Other if any ?
Daily Inspector Sign
Daily Inspector Name

Inspected by:
Reviewed by:
Position: This field is not mandatory but it is to encourage management and others to care about safety by reviewing and helpinng
Signature :
Inspection No.
Name:
Date: Company:
Position:

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EPC-SEGC Inspection Checklist Template

700MW CSP+250MW PV Hybrid IPP - DEWA Phase IV

Unite: Area/Facility: TEMPLATE Type: Survey Date/Month:

SN Item YES NO N/A 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Cmments

Main Subcontractor: Area for relevant subcontractor logo

Evidence Y?N if yes please insert in

Is there any violence incidents and/or signs

Are proper information and instructions

Daily inspection done, checklist in

C. Emergency and first aid provisions

2 Are all equipment been inspected ?

Are all equipment been provided with up to

Are the general conditions of the

Is the daily inspection checklist available

For excavations/trenches deeper than 1.2m

Are excavations/trenches been inspected by

Are excavations/trenches been provided by

Are platforms free of objects that might fall

Is the WAH been interefered with overhead

Are scaffolders certified and competent

Are scaffolding inspectors certified and

Is conventional tagging system been

Are specific scaffolds (Suspended,

Are the lifting and rigging equipement

Are personnel involved in the lifting

Has the area of lifitng been excluded and

Have all lifiting equipement been visually

Is there any constraint to work under a

Is the Entry permit been issued and

Is the access been restricted only to

Has the watchman been appointed and

has the gas monitor been provided,

Have the fire provisions (PTW, JSA, RA, Fire

Is personnel involved in the Hot Work

Is personnel involved in the Hot Work

Is personnel involved in the Hot Work

Result Allowed to use Yes/No: Yes No

Main Subcontractor: Area for relevant subcontractor logo

SN Item YES NO N/A Report Month

Are outer doors in ggod conditions and well

Are the general conditions, housekeeping,

Are notice boards been installed and made

4 Alarm working ans alarm's sound adequate?

Periodically control by approved 3rd party

Daily inspection done, checklist in

8 Air conditioning system is properly working?

9 Dedicated waste bins are availble?

Has the inventory process to identify new,

Does the register indicate the possible

Result Allowed to use Yes/No: Yes No

Main Subcontractor: Area for relevant subcontractor logo

Potable water tanks are fabricated of anti-corrosion

Potable water tanks are clearly marked as

Is the area shaded, clean and free of stagned water

Non-Muslim are not allowed to enter in designated

No one is allowed to enter in the site with shoes for

Is the register table covers all required items i.e.

Has the inventory process to identify new, expired

11 Are continers proprly labled and lables maintained ?

Are products stored in a suitable (ventilated and

Unite: Area/Facility: Type: Survey Date/Month:

Main Subcontractor: Area for relevant subcontractor logo

SN Item YES NO N/A 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Cmments