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    Daily Safety Checklist

    Uploaded by

    dibyo0603

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Daily Safety Checklist

    Uploaded by

    dibyo0603
    7 views2 pages

    Original Title

    T.B.T

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    Copyright:

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    7 views2 pages

    Daily Safety Checklist

    Uploaded by

    dibyo0603

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    DAILY SAFETY

    CHECKLIST
    DOCUMENTNO:HSE/FMAT/B&R/CKL:02
    REV:00 PROJECT NAME: COMPOSITE WORKS FOR SMT AUGMENTATION PROJECT, NRL

    Project : Numaligarh Refinery Limited. Sr. No. :


    Name of the work : Composite work for SMT Augmentation Location:
    Date :
    Name of Contractor: M/S BRIDGE AND ROOF CO. (INDIA) LTD Job No: 71144

    Description of Job decided to perform: Civil, Mechanical, Electrical, Etc.

     Use of PPE / Safety Gadgets


    Sl No Compliance Sl No Compliance
    PPE’s PPE’s
    (Yes / No) (Yes / No)
    1 Safety Helmets 6 Face shield
    2 Safety Shoe 7 Full body harness
    3 Hand Gloves 8 Fall arrester system
    4 Dust Mask 9 Safety net
    Horizontal life-line made of Steel wire. (Dia not
    5 Safety Goggles 10
    less than 8.0 mm)
    (Serial No. 1 & 2 are compulsory for everyone. Specify & ensure use of other safety gadgets are required for the job)

     Identify following important unsafe condition: -


    Sl. No Conditions Yes / No
    1 Access to work site / emergency escape clear
    2 Soil / Loos earth kept away from excavated pit / slop / ladder provided
    3 Electrical wire / welding lead laying entangled on ground / welding m/c. booth accessible
    4 Elevated work platform / open end is protected
    5 Ground areacordoned off before lifting work or erection at height / ground area checked & cordoned-off
    before start of height works
    6 Structural members / erected pipes / wooden boards/ pieces etc. are safety anchored at height and are
    not likely to fall down to people when working beneath
    7 Ladders tie-up on tall steel structural, long before are removed to get rid of their use
    8 Any other

     Indicate action taken, if status of any of the above items is found “No”
    …………………………………………………………………………………………………………………………………………………………………………
     Specific safety guideline / precautions, if any (Communicated thro’ TBT)
    ………………………………………………………………………………………………………………………………………………………………………..
    …………………………………………………………………………………………………………………………………………………………………………

     Above conditions and PPE compliance are checked by undersigned and correct status are indicated after
    verification

    Prepared By Verification By
    Contractor site Supervisor/
    Engineer Contractor Safety Officer
    Procudure No.:………
    BRIDGE AND ROOF CO. (I) LTD
    Composite works for SMT Augmentation Project, Siliguri,W.B
    SAFETY TOOL BOX TALK
    Job No.: 71144
    Name of Contractor: M/s. BRIDGE AND ROOF CO. (I) LTD
    Name of Work: Civil , Mechanical,Structural, Electrical Work
    Date & Time:
    Work Location:
    Subject (Nature 0f Work):
    Presenter SUP/Name:
    Hazard involved:

    Precuation to be taken:

    SL.No WORKER'S NAME DESIGNATION SIGNATURE


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    CONDUCTED BY REVIEWED
    Agency Safety Person BY REVIEWED BY
    AGENCY SITE SUPERVISOR/ENGINEER Agency safety Person Owner/PMC

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