MANAGEMENT SAFETY REPRESENTATIVES OHS MOD R 10

WEEKLY REPORT REV.0

Project : Date :
MANAGEMENT SAFETY REPRESENTATIVE :
COMPLIANCE
ITEM REQUIRED IMPROVEMENT COMMENTS COMPANY
(S/G/E/Imp)

1. PROJECT H&S PROCEDURES AND

REQUIREMENTS

▪ Safety Plan, Risk Assessment, SWMS

and Inductions.
2. EDGE PROTECTION
▪ Working Platforms, Slab Edges,
Staircase, Formwork Platforms.
3. TEMPORARY ELECTRIC
▪ Distribution board, Cable Routing
▪ Cable Joints, Caution Signs
4. CRANE / LIFTING OPERATIONS

▪ Cranes, operatives and Lifting Gears are

certified and operatives are competent.

▪ Maintenance of crane and lifting tackles.

5. SCAFFOLDING
▪ Erection, Safety Standard
▪ Scafftag System, Inspection
6. ACCESS / EGRESS
▪ General Access, Work Place Access
▪ Emergency Access / Egress

7. HAZARDOUS SUBSTANCES,
GASOLINE AND GAS CYLINDERS
▪ Storage, Handling and use.
8. FIRE PREVENTION
▪ Fire Extinguishers adequate and placed
correctly.

9. POWER TOOLS
▪ Condition, Safety Guards
▪ Cable Connection, Use of PPE
10. CONSTRUCTION
EQUIPMENT / PLANT
▪ Licence Operators / Drivers
▪ Competency certificate operators
11. HOT WORK
▪ Permit System, Precautions
▪ Monitoring, Closing of P.T.W
12. CONFINED SPACE
▪ Permit and monitoring System
13. HOUSEKEEPING
▪ Materials correctly stored
▪ Rubbish cleaned and removed daily
▪ Slips and trips hazard
MANAGEMENT SAFETY REPRESENTATIVE WEEKLY REPORT
MANAGEMENT SAFETY REPRESENTATIVE
WEEKLY REPORT COMPLIANCE
REQUIRED IMPROVEMENT COMMENTS COMPANY
(S/G/E/Imp)
14. EXCAVATION
▪ Shoring, Caution Sign and Inspection
15. GARBAGE CHUTE
▪ Protection, Inspections and use.
16. HOIST
▪ Certification of Hoist and Operators and u
17. LADDERS
▪ Condition, Use, Storage and Inspection
18. ACCIDENT / INCIDENT / NEAR
MISSES
▪ Reporting, Investigation and preventive
action.
19. FIRST AID
▪ Equipment, Medicine, Male Nurse
▪ First Aiders, Records Maintained
20. EMERGENCY PROCEDURES
▪ Emergency Plan, Emergency Trial
▪ Emergency Contact Numbers
21. CORE WALL JUMPFORMS (ACS)
▪ Access, Platforms and Edge protection.
22. PERSONAL PROTECTIVE
EQUIPMENT
▪ Use by all personnel as per requirement
▪ Storage, Inspection
PERFORMANCE MONITORING
a. Are hazard inspections, carried out
daily?
b. Are check lists completed as
scheduled?
c. Is safety weekly site walk conducted
and issues rectified?
d. Are contractor supervisors submitted
weekly Site check list ?

e. Are HSE records & Subcontractors

maintained as per Procedures?

f. Is Safety meeting conducted weekly?

g. Are SWMS/RA/Check List revised
where required and addressed to all
concerned?
h. Are Fire Extinguishers adequate and in
good conditions?

OTHER ISSUES / COMMENTS

LEGEND: S-Satisfactory E - Excellent. G - Good. Imp. - Improvement.

Distribution : Project Manager, Construction Manager HSE Manager Project HSE File

Name: Signature: