PLANT AND FACILITY SAFETY
OHS-PR-09-09-F34
CONSTRUCTION SAFETY REPRESENTATIVE INSPECTION
CHECKLIST
Operating Area: EOA Department: General Projects Portfolio – Projects Sector
Reinforcement of 230kV Dammam & Khobar BSP for Retrofitting of GIS, MV Bays & Replacement of
Project Name:
Transformers
Contractor Name: TDP Project Type: Asset Replacement (C&E) Contract No.: 4400016886
Instruction: Place next ✓ to each item that is satisfactory. Place X next to items with deficiencies. Mark
deficiencies in CORRECTIVE ACTION section. Once corrected, record Corrective Action and Date next to item. If item
is not applicable, place NA.
NOTE: This MONTHLY checklist is to identify minimum Health & Safety conditions on site and should not limit
awareness to other health and safety hazards at the jobsite.
DATE OF INSPECTION: 17/FEB/2025 LOCATION: Dammam BSP
1. SITE (Porta Cabin) 2. FACILITY SECURITY AND PUBLIC SAFETY
Safety Officer/Safety Representative ✓ Site Perimeter Fence ✓
Project Management Organogram ✓ Warning Signs (PPE, No Trespassing, etc.)
First Aid Facilities/Boxes Accessible ✓ Assess Control / Employees & Vehicles/ID Cards ✓
Approved Project Safety Plan ✓ Travel/Access ways (unobstructed and maintained) ✓
Copy of Company Health & Safety Program/ Files & ✓
Adequate Lighting for Site and Public
MSDS’s
Safety Notice Board (Safety Posters / Regulatory ✓
Necessary Detours, Canopies, Sidewalks NA
Notices/Incident Stats etc.)
Emergency Phone Numbers Posted ✓ Traffic Control Plan / Necessary Traffic Details NA
Training Records including Tool Box Safety Meeting ✓ Excavations/Holes - protected by barriers/barricades/
NA
Records/RA’s/JSA’/SWMS Marked covers
Fire Extinguishers ✓ Guardrails > 6 feet high NA
✓
Evacuation Plan Visitor Controls (Signs, Visitor PPE, etc.) ✓
3. PPE 4. HOUSEKEEPING
Hard Hats AT ALL TIMES ✓ Exits and Access ways: Maintained / Unobstructed ✓
Safety Glasses (goggles for liquids) ✓ X
Trash Receptacles: Adequate Number / Maintained
Double eye protection for grinding, welding etc.
Hand Protection ✓ Materials Stacking and Storage/Lay Down Area ✓
Foot Protection ✓ Projecting Nails ✓
Hearing Protection ✓ Trash Piles ✓
Protective Coveralls/Aprons (Chemical or Flame ✓ ✓
Enclosed Trash Chutes (> 20 feet high)
Resistant) Arc Flash CAT 2 & CAT 4
Visibility Vests ✓ Toilet /Rest Facilities (adequate number) ✓
Approved Life Jackets (work over water) ✓ Contractors' Responsibilities ✓
5. Fire Protection / Prevention 6. Contractor (Subs) Provisions
Fire Prevention Plan / Evacuation Plan ✓ Ensure All Contractors Have Site Specific Safety Plan Or
(Communicated to All) EPCM's is Followed
Fire Extinguishers (Adequate Number, Type & ✓ All Contractors Have Designated Safety
Maintained) Rep/Competent Person
Gas Cylinders (Storage/ Proper Separation /Ventilation ✓ All Contractors Have Submitted Haz Com Program and
& Use) MSDS’s
Hot Work - Adequate Fire Watch (torches, anti- ✓ All Contractors Are Conducting Safety Orientation with
flashback arrestors & welding), Permit to Work new Employees
X All Contractors have Job Specific RA’s and JSP’s at
Smoking Policies (designated areas)
point of operation (maintaining records)
✓ All Contractors Holding Risk Based Toolbox Safety
Fire Hydrants (accessible to Fire Dept.)
Meetings (maintaining records
OHS Forms Procedure Reference Revision Number Revision Date Approved By
Construction Safety Representative Inspection Checklist OHS-PR-09-09-F34 0 MAR 2022 OHSMS
PLANT AND FACILITY SAFETY
OHS-PR-09-09-F34
CONSTRUCTION SAFETY REPRESENTATIVE INSPECTION
CHECKLIST
Operating Area: EOA Department: General Projects Portfolio – Projects Sector
Reinforcement of 230kV Dammam & Khobar BSP for Retrofitting of GIS, MV Bays & Replacement of
Project Name:
Transformers
Contractor Name: TDP Project Type: Asset Replacement (C&E) Contract No.: 4400016886
Necessary Permits Obtained from Fire Department/Civil All Contractors are familiar with Emergency Action
NA
Defense Plan
7. Fall Protection 8. Scaffolding
Guardrails (42" Top/21" Mid/4" toe; 200# capacity;
NA Competent Person Designated (Erect, Use, Dismantle) NA
3"rail deflection
Holes/Openings Covered or Barricaded (capacity 2x
NA Anchored to Structure NA
Intended load, secure, marked.
Catch Nets NA Proper Access (NO CLIMBING CROSS BRACING) NA
Positioning Devices NA Cross Bracing AND Level / Plumb NA
Personal Fall Arrest Systems (Full Body Harness, Shock
Overhead Protection (access under deck barricaded,
Absorbing Lanyard, Double Locking Snap Hooks, 5000# NA NA
extended toe boards, mesh
Capacity Anchorage Point
Leading Edge (200 # Warning Line, Safety Monitor, Erection & Dismantling (fall protection and proper
NA NA
Employee Training) procedures), Scaff-tags applied
Residential Roofing (Fall Protection Plan, Slide Guards, Guardrails (Top & Mid Rails, Toe Boards)
NA NA
Training) Independent Lifeline for Suspended Scaffolds
Falling Object Protection (Hard Hats, Canopies, Debris
NA Employee Training NA
Nets)
Employee Training/Certification/Medical NA All Pins in Place (coupling pins) NA
Contractor Fall Protection Plan (on file at site)
NA Base Plates & Mud Sills NA
100% Fall Protection Rule
9. Electrical 10. Hand & Power Tools
Power Tools Registered and Inspected (Good Condition, Tools Registered and Inspected monthly (at least X
Removed from Service if Defective) before each use) Color Code System
Tools effectively grounded or Double Insulated were ✓
Cords & Plugs (3 Prong, Heavy Duty, Not Damaged)
appropriate
All Electrical Receptacles GFCI Protected Tools Used Properly ✓
Breakers Labeled, High Voltage and Arc Flash Signs ✓
Damaged Tools Tagged & Removed from Service
Posted and Adequate Controlled Access
Temporary Lighting (Adequate Bulb Guards, Suited for Hoses Inspected Frequently for deterioration or ✓
Location, No Empty Sockets, Not Used as Power Drop) damage; Whiplash checks/Safety Pins in Place
Installations are Appropriate for Location (weather, ✓
Proper PPE Worn
flammable, explosive)
Permit to Work, Lockout/Tagout System Used Tools Equipped with Required Guards ✓
Extension Cords with Grounding Conductor Tools Properly Stored ✓
Flexible Cords and cables with No Splices/ Taps Cutoffs/Kill Switches/ Anti-Restart Functioning ✓
Location of power lines identified prior to digging,
drilling, etc.
Exposed Live Parts Covered/Closed/Guarded
11. Cranes / Hoists / Elevators 12. Heavy Equipment
Licensed/Qualified Operator (On File At Site) NA Licensed/Qualified Operator (On File at Site) NA
Registers / Daily Inspections/Service
On Register and Annual Inspection NA NA
Records/Operators Manual (Filed at Site)
Daily Inspections (Reports on File & Up to Date) NA Seat Belts (Function Properly, Being Worn) NA
Defective Equipment Removed from Service and
Load Charts Available on Crane NA NA
Corrected
Horns/Back Up Alarms (Heard Above Surrounding
Crain lifting Capacity Clearly Posted NA NA
Noise)
OHS Forms Procedure Reference Revision Number Revision Date Approved By
Construction Safety Representative Inspection Checklist OHS-PR-09-09-F34 0 MAR 2022 OHSMS
PLANT AND FACILITY SAFETY
OHS-PR-09-09-F34
CONSTRUCTION SAFETY REPRESENTATIVE INSPECTION
CHECKLIST
Operating Area: EOA Department: General Projects Portfolio – Projects Sector
Reinforcement of 230kV Dammam & Khobar BSP for Retrofitting of GIS, MV Bays & Replacement of
Project Name:
Transformers
Contractor Name: TDP Project Type: Asset Replacement (C&E) Contract No.: 4400016886
Outriggers Fully Deployed with Mats or Pads NA Roll Overprotective Structures (ROPS) NA
Floats/Tracks on Mats or Pads NA Falling Object Protective Structures (FOPS) NA
Swing Radius Protection NA Prohibition of Unauthorized Riding on Equipment NA
Fly Wheel, Belts, Gears, Rollers, Other Pinch Points
Minimum 10' Clearance from Overhead Power Lines NA NA
Guarded
Hooks/Rigging (Qualified Rigger & Identifiable) NA Swing Radius Protection NA
Proper Clearance from Edges of Drop-offs / Unstable
Pick Plan reviewed for Major Lifts NA NA
Surfaces
Hoist Certified, Registered and Inspected/ Capacity Proper Clearance from Powered Utility Lines (> 10
NA NA
Clearly Posted feet)
Security (Protected from Vandalism, Keys Removed
Hoist Communication System NA NA
Nightly)
Employees Kept Clear of Suspended Loads/Barricading NA
13. Trenching & Excavations 14. Ladders / Stairways
Registered and Inspected Daily (only heavy-duty
Utilities Located and Marked NA NA
ladders used)
Only Fiber Glass Insulated Ladders used near or on
Adjacent Structures Stabilized NA NA
energized electrical sources
Secured Ladders/Proper Egress (4' deep or more, every
NA No Makeshift Ladders to be used. (self-made) NA
25" of travel)
Protection from Vehicular Traffic NA Damaged Ladders removed from service immediately NA
Other Barricades and Warnings (Pedestrians, Stop Logs,
NA Anchored / Tied Off and Extend 3 feet above Landing NA
etc.)
Material /Spoil Stored at Least 2" from Edge NA 1: 4 Pitch Utilized NA
Competent Person (Assigned & Performing Inspections) NA Training and Proper Use of Ladders
Sloping/Benching (per OSHA Tables) NA Stair Rails (4 or more risers, withstand 200 lb. load) NA
Wood Shoring (per OSHA tables) NA Proper Pitch (Between 30 & 50 Degrees from Parallel) NA
Trench Shield (Manufacturer Placard & Data on File at
NA Risers - Uniform Height and Width NA
Site)
Vertical Ladders Caged and Controlled Access NA
Landings (not less than 30" in travel direction every 12-
NA
vert. ft.)
15. Steel Erection 16. Concrete & Masonry
Fall Protection (including 100% above 6 feet) NA Formwork Shoring and Bracing NA
Access/Egress to Work Locations NA Access to Pour Areas and Proper Access Up Shoring NA
Curing/Form Stripping Procedures (In Place &
Bolt-Up Procedures Being Followed NA NA
Followed)
Welding/Hot Work (Permit to Work) NA Rebar Protected/Covered (Mushroom Heads) NA
Tools/Equipment Registered and Inspected Before Use
Connecting From Ladders / Aerial Lifts Use Where
NA (Concrete Bucket/Rigging, Floats, Vibrators, Electric NA
Possible
Cords, Whirly Birds, Masonry Saws, etc.
Rigging/Tag Lines NA Proper PPE used NA
Decking Operations NA Scaffolding Requirements Applied NA
Brick/Block Walls Properly Supported (Where
Overhead Protection NA NA
Applicable)
17. Welding & Cutting 18. Demolition & Blasting
Performed by Qualified Individuals NA Demolition Plan in Place (On File at Site) & PTW NA
OHS Forms Procedure Reference Revision Number Revision Date Approved By
Construction Safety Representative Inspection Checklist OHS-PR-09-09-F34 0 MAR 2022 OHSMS
PLANT AND FACILITY SAFETY
OHS-PR-09-09-F34
CONSTRUCTION SAFETY REPRESENTATIVE INSPECTION
CHECKLIST
Operating Area: EOA Department: General Projects Portfolio – Projects Sector
Reinforcement of 230kV Dammam & Khobar BSP for Retrofitting of GIS, MV Bays & Replacement of
Project Name:
Transformers
Contractor Name: TDP Project Type: Asset Replacement (C&E) Contract No.: 4400016886
Proper Work Area (All Fire Hazards Removed or
NA Utilities Disconnected, Purged, etc. NA
Properly & PTW Applied)
Trained Fire Watch Posted & Fire Extinguisher NA HazMat Remediation Activities NA
Proper PPE Used NA Access/Egress Controlled NA
Equipment Registered and Inspected Monthly and
NA Chutes/Holes (Properly Constructed & Barricaded) NA
Before Use
Hoses & Welding Leads in Good Repair NA Hot Work (PTW)/Fire Protection NA
Torch Regulators & Gauges in Good Repair NA Blasting Plan in Place (On File at Site) NA
Torches with Ant-Flash Arrestors on both sides of hoses NA Licensed Blaster Present at All Times NA
Fuel Gas Shut Off Key/Wrench Available NA All State & Local Permits on File NA
Cylinders Upright and Secured in trolley with 5 Kg Fully
NA Storage Facilities/Usage Logs NA
Charged Dry Powder Fire Extinguisher
Separation of stored Oxy & Fuel Gases/oils by 20' or 1/2 Use, Handling & Disposal of Blasting Materials /
NA NA
hr. fire-rated wall Packages
Fully Charged Fire Extinguishers Available NA Blast Mats/ Post Blast Inspection Procedure/Misfires NA
Warning System/ Warning Signage NA
19. Hazardous Waste 20. Traffic Control
Approved Traffic Control Plan (On File at Site) &
Waste Management Plan in Place (On File at Site) NA
adhered to
Contractor Competent Person Traffic Control Manager/Competent Person/Appointed NA
Flaggers (Trained, Reflectorized Vests, Stop/Slow
Industrial Hygienist/Air & Dust Monitoring/Testing NA
Paddles/Flags, Proper PPE)
Employee Training/Certifications (Records Maintained Barricades/Delineators/Signage (Installed Per
NA
on Site) Approved Plan)
Containment Systems (Spillage) Pedestrians and Vehicle Movement Separated NA
Storage/Disposal Schedule Dust Containment Plan NA
21. Hazardous Substance /Flammable Liquid Storage 22. Confined Space
Compliant Store & Storage Facilities (Certifications/ Confined Spaces Identified and Registered (On File at
NA
Signage/ Content/ Capacity) Site)
Appointed Competent Person Proper Signage NA
Accesses Controlled (Locked) PTW, RA’s, JSP, Toolbox Talk Available at Point of Entry NA
MSDS’s Available at Storage Access/Egress Register/Controlled NA
Trained and Competent Entry Attendant /Safety
Containment Systems (Spillage) Bunding = 100%+ 10%) NA
Harness and Lifeline worn where required
Air Quality Regularly Monitored & Recorder / Forced
Fire Protection & Alarm Systems NA
Ventilation / SCBA Available
Containment Material Available Communication System in Place NA
Safe Lighting & Ventilation System Rescue Plan & Equipment (Portable Frame) NA
CLOSEOUT
NO. CORRECTIVE ACTION ACTION BY
DATE
OHS Forms Procedure Reference Revision Number Revision Date Approved By
Construction Safety Representative Inspection Checklist OHS-PR-09-09-F34 0 MAR 2022 OHSMS
PLANT AND FACILITY SAFETY
OHS-PR-09-09-F34
CONSTRUCTION SAFETY REPRESENTATIVE INSPECTION
CHECKLIST
Operating Area: EOA Department: General Projects Portfolio – Projects Sector
Reinforcement of 230kV Dammam & Khobar BSP for Retrofitting of GIS, MV Bays & Replacement of
Project Name:
Transformers
Contractor Name: TDP Project Type: Asset Replacement (C&E) Contract No.: 4400016886
SAFETY OFFICER/REP: Site MANAGER:
NAME: NAME:
DATE: DATE:
SIGNATURE: SIGNATURE:
CORRECTION REPORT
Date 17/FEB/2025 Date
Inspection Corrected
Inspected by Mazen Khaled Hassan Correction Report
Report by
Signature Signature
Risk
BEFORE AFTER
Rate
Low
Safety Observation 1: Actioned Taken:
Provide Proper shelf to keep the shoes properly infront of
Masji/Rest room
OHS Forms Procedure Reference Revision Number Revision Date Approved By
Construction Safety Representative Inspection Checklist OHS-PR-09-09-F34 0 MAR 2022 OHSMS
PLANT AND FACILITY SAFETY
OHS-PR-09-09-F34
CONSTRUCTION SAFETY REPRESENTATIVE INSPECTION
CHECKLIST
Operating Area: EOA Department: General Projects Portfolio – Projects Sector
Reinforcement of 230kV Dammam & Khobar BSP for Retrofitting of GIS, MV Bays & Replacement of
Project Name:
Transformers
Contractor Name: TDP Project Type: Asset Replacement (C&E) Contract No.: 4400016886
Low
Safety Observation 2: Actioned Taken:
Inspect the switch and apply the correct color code
Low
Safety Observation 3: Actioned Taken:
Stack the handtools properly and segregated from one another.
Low
Safety Observation 4: Actioned Taken:
Keep only materials for which area is designated.
OHS Forms Procedure Reference Revision Number Revision Date Approved By
Construction Safety Representative Inspection Checklist OHS-PR-09-09-F34 0 MAR 2022 OHSMS
PLANT AND FACILITY SAFETY
OHS-PR-09-09-F34
CONSTRUCTION SAFETY REPRESENTATIVE INSPECTION
CHECKLIST
Operating Area: EOA Department: General Projects Portfolio – Projects Sector
Reinforcement of 230kV Dammam & Khobar BSP for Retrofitting of GIS, MV Bays & Replacement of
Project Name:
Transformers
Contractor Name: TDP Project Type: Asset Replacement (C&E) Contract No.: 4400016886
Low
Safety Observation 5: Actioned Taken:
Stack all tools and equipments in arranged form Low
Safety Observation 6: Actioned Taken:
Keep fire Extinguisher Near by the Main DB.
Low
Safety Observation 7: Actioned Taken:
Provide proper shelf for cleaning Acids
OHS Forms Procedure Reference Revision Number Revision Date Approved By
Construction Safety Representative Inspection Checklist OHS-PR-09-09-F34 0 MAR 2022 OHSMS
PLANT AND FACILITY SAFETY
OHS-PR-09-09-F34
CONSTRUCTION SAFETY REPRESENTATIVE INSPECTION
CHECKLIST
Operating Area: EOA Department: General Projects Portfolio – Projects Sector
Reinforcement of 230kV Dammam & Khobar BSP for Retrofitting of GIS, MV Bays & Replacement of
Project Name:
Transformers
Contractor Name: TDP Project Type: Asset Replacement (C&E) Contract No.: 4400016886
Low
Safety Observation 8:
Keep the Dust bin clean or provide sufficient size of waste
bin for the Kitchen
OHS Forms Procedure Reference Revision Number Revision Date Approved By
Construction Safety Representative Inspection Checklist OHS-PR-09-09-F34 0 MAR 2022 OHSMS
