Soma Enterprise Limited
DFCC- Western Freight Corridor Project
Site SHE Inspection Report
(By site Safety Supervisor, Sub-contractor and Execution Supervisor)
Name of Construction Site / Bridge No.: ________________________ Date: _________________
Inspected By (Name): _______________________________________ Designation: _______________________________
REMARKS CLOSING DATE &
Sr. SIGN
SUBJECT OBSERVATIONS/COMMENTS (Corrective Action Taken/to be
No.
Taken)
01 Electrical Installation
Provision of ELCB / RCCB - functional
Proper earthing of equipment & Panel Boards
Cable Connection & Laying
Shed / Cover for Panel /switch boards
Barricading transformer, panel/switch boards
02 Piling Rigs (Tripod)
Third party certification of winch, pulleys, chain pulley
blocks & other lifting tackles
Winch machines –provision of guards
Tripod Shoe/ integrity of piling rig
Condition of wire rope
03 Hydraulic Rigs
Third party certification of rig
Condition of the rig & hydraulic pump
Regular maintenance records
Page No. 1 of 5
04 Gas Cutting & Welding Set :
Condition of Pressure gauges, cylinder valve key
Condition of Hoses, cutting torch and attachment with
nozzles with worm clips
Provision of Flash back arresters
Use of gas cylinder trolleys
Use of Face PPE –Face shield/ spectacle/leather hand
gloves/apron.
05 Crain/Hydra/JCB used at site
Working conditions of machines
Provision of reverse horn
Provision of flagman
Third party certification for lifting equipments
06 Site Housekeeping Status at site
Walkways, Passages kept clear of material
Scrap bins / dust bins available on site
Stacking of construction material in safe manner
Condition of access road, work place
07 Fire Fighting Equipments
Adequate provision of Fire extinguishers, Sand buckets,
Fire Stands
Site personnel trained in using fire extinguishers
Periodic Inspection of Fire extinguishers
Empty/used fire extinguishers at site
08 Batching Plant
General condition of equipment
Electrical equipment
Provision of hand rail on work platform and ladder
Use of PPE –safety footwear, helmet, dust mask, hand gloves
Washing of millers, batching plant and its disposal
Access
Page No. 2 of 5
09 Site fencing and Barricading
Fencing of the construction site
Provision of barricades on access , cross over etc
Provision of separate access for villagers (where
required).
Open bores, excavations, any other area
Barricading transformer, DG sets, Panel board
10 Scaffolding and work platforms
Scaffolds standard
Planks/Jalis provided on work platform
Provision of base plates
Provision of handrails, mid rails and toe boards.
Provision of safe access to and from platform
Use of safety harness by the workers
11 First Aid Box
Availability of all the first aid items as per list
Cleanliness and hygienic conditions of box
Record of injuries maintained as per format
12 Chain Pulleys, Slings, Shackles etc. Observations
Condition of lifting tackles
Third party certification
13 Spent bentonite collection/ disposal
Provision for collecting spent bentonite (Pits/pan)
Provision of barricades and display board
Overflow of bentonite solution into river stream
14 Waste concrete washing
Provision for collecting washing of millers, batching plant
and waste concrete
Area barricaded and board displayed
Page No. 3 of 5
15 Dust control
Water sprinkling arrangements
Workers with Nose masks, Goggle
Proper material handling
16 Welfare related Observation
Labor Camp status
Provision of Toilets
Provision of Drinking Water
Provision of Rest Shed at site
17 PPEs Observation
PPE- issued to all the workers. Any short fall?
Use of PPE by the workers and staff?
Non-compliance, if any.
18 Issuance of I D Cards to all workers
All workers have been covered (Status)
Workers attendance register/muster roll maintained
Safety induction- All workers are covered?
Status of medical check-up of the workers.
19 Gas cylinder storage / handling
Cylinder storage area with shed, if required
Fire Extinguisher
Display board
20 Fuel storage / handling
Fuel storage area with shed, if required
Fire Extinguisher
Display board
No smoking sign
Page No. 4 of 5
21 Lighting and Illumination for night Work:
Provision of adequate lighting in work area, access ways,
stores, offices, rest sheds, parking areas etc.
Adequacy of illumination
22 Safety Signage
Safety Boards
Environmental Protection Boards
Health & Hygiene Boards
Electrical safety & Fire prevention Boards
23 SHE manual and other documents
SHE Manual available at site
SHE Procedure Manual
Records of SHE activities
Accident/injury record.
24 Display of SHE Policy & Drug & Alcohol Policy
25 Emergency Response Plan
Availability on Site
Emergency Contact nos. displayed?
26 List of Tie Up hospital with emergency Call Nos. etc.
displayed?
*NOTE- Write OK if there is no deficiencies / defects / deviation from safe practices. *Remarks: Corrective action taken
(Name & Sign):
_____________________ ________________________ _______________________ _________________
(1) Site Safety supervisor (2) Sub-contractor supervisor (3) Site Supervisor/ Engineer (4) Jr. SHE Manager
Page No. 5 of 5