STC J UPPP Project

WISON HSE LABOR CAMP INSPECTION CHECKLIST Month

Department Health, Safety and Environment Rev 04

SUB-CONTRACTOR : DATE:

LOCATION : JUBAIL MARK

LABOR CAMP INSPECTION

CONDITION
DESCRIPTION GOOD POOR
N/A REMARK
√ X

1 GENERAL UTILITIES
1.1 Dining Room / Mess Hall

1.2 Housekeeping.

1.3 Illumination

1.4 Tables and Chairs

1.5 Pest/Insect Control

1.6 Hand Wash Facility

1.7 Waste Management

1.8 Trash Bins Available

1.9 Ventilation A/C

1.10 Portable Water Supply

1.11 Room Identification

2 PUBLIC TOILET
2.1 Housekeeping

2.2 Illumination

2.3 Water Supply

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 STC J UPPP Project
WISON HSE LABOR CAMP INSPECTION CHECKLIST Month
Department Health, Safety and Environment Rev 04

2.4 Hand Wash Facility

2.5 Waste Management

2.6 Trash Bin Available

2.7 Ventilation A/C

2.8 Toilet Papers

2.9 Soap

2.10 Daily Checklist Log

2.11 Ventilation Exhaust

3 KITCHEN
3.1 Housekeeping

3.2 Illumination

3.3 Pest / Insects Control

3.4 Hand Wash Facility

3.5 Waste Management

3.6 Trash Bins Available

3.7 Ventilation Exhaust

3.8 Smoke Detectors

3.9 Fire Extinguisher, Sprinklers

3.10 Gas Appliances

3.11 Electrical Appliances

3.12 Warning Signs

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 STC J UPPP Project
WISON HSE LABOR CAMP INSPECTION CHECKLIST Month
Department Health, Safety and Environment Rev 04

4 POWER SUPPLY GENERATOR

4.1 Signages

4.2 Cable Wires (Protected)

4.3 Co2 Fire extinguisher not

Fire Extinguisher (Fire Point)
available

5 FIRE ALARM
5.1 Fire Alarm Available

6 LPG TANKS
6.1 LPG Tanks or Hose (Check for Leakage)

6.2 LPG Cylinder Storage Area

7 SMOKE SHELTER
7.1 Signages

7.2 Fire Extinguisher

7.3 Trash Bins

7.4 Ash Trays

8 DOCUMENTATION
8.1 Camp & Building Management Plan

8.2 Emergency Response Plan

8.3 Emergency Evacuation Rout Layout

8.4 Cleaning Schedule

8.5 Periodic Cleaning Check List

(Daily, Weekly And Monthly)

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 STC J UPPP Project
WISON HSE LABOR CAMP INSPECTION CHECKLIST Month
Department Health, Safety and Environment Rev 04

8.6 Mock Drill Schedule

8.7 Bacteriological Analysis Result For Drinking

Water

8.8 Pest Control Report

8.9 MSDS Of Chemical

(Eg: Dettol, Fairy, Clorox, Lysol And Etc.)

8.10 Quarterly Training Record (Mess Employees)

Monthly Inspection Check List

8.11 (Emergency Light, Fire Extinguisher And Smoke
Detector)

8.12 Quarterly Inspection Report Of Fire Alarm

System

8.13 Chemical Handlers Certificate

8.14 Drinking Water Handlers Certificate

8.15 Food Handlers Certificate

POSITIVE

OBSERVATIONS LOCATION COMMENTS/STATUS

NEGATIVE
LOCATIO
OBSERVATIONS COMMENTS/STATUS DEADLINE
N

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 STC J UPPP Project
WISON HSE LABOR CAMP INSPECTION CHECKLIST Month
Department Health, Safety and Environment Rev 04

INSPECTED BY:

Name: Position: signature:

Name: Position: signature:

Name: Position: signature:

AGREEMENT

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 STC J UPPP Project
WISON HSE LABOR CAMP INSPECTION CHECKLIST Month
Department Health, Safety and Environment Rev 04

PMT HSE Representative

Name: __________________________ Signature: ________________

EPC HSE Representative

Name: ___________________________ Signature: ________________

Subcontractor HSE Representative

Name: ____________________________ Signature: ________________

Subcontractor Camp Boss

Name: ____________________________ Signature: ________________

Excellent Good Fair Poor

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