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She Site Inspection

The SHE Representative Inspection Form outlines various safety and compliance checks for a construction project, including housekeeping, stacking and storage, access control, PPE usage, excavation safety, emergency preparedness, environmental compliance, and administrative requirements. Each item is to be monitored daily throughout the week, with a section for documenting deviations and recommended control measures. The form emphasizes the importance of maintaining safety standards and proper procedures to ensure a safe working environment.

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Charly MN
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14 views3 pages

She Site Inspection

The SHE Representative Inspection Form outlines various safety and compliance checks for a construction project, including housekeeping, stacking and storage, access control, PPE usage, excavation safety, emergency preparedness, environmental compliance, and administrative requirements. Each item is to be monitored daily throughout the week, with a section for documenting deviations and recommended control measures. The form emphasizes the importance of maintaining safety standards and proper procedures to ensure a safe working environment.

Uploaded by

Charly MN
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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SHE REPRESENTATIVE INSPECTION FORM

PROJECT NAME: WEEK ENDING:


PROJECT VENUE:

ITEMS TO BE CHECKED MON TUE WED THURS FRID SAT


Housekeeping
Accumulation of rubble on site
Barricading on the accumulated rubble
Rubble, off cuts, unused materials removed from the walking and
working areas
Provision of waste bins for different types of waste on site
Rubble disposed of in designated bins
Oil spillages on site
Stacking and storage
Competent stacking supervisor
Adequate stacking of materials e.g. not higher than 1 metre
Stacked materials stable
Stacks on firm level surface/base
Adequate storage of materials
For flammables, valid fire extinguisher provided and ventilation
Storage area neatly packed, not creating hazards
Storage area have no excess material
Access control and traffic accommodation
Signs used to inform the public of upcoming construction work
Flag person provided to direct traffic and public when needed
The flag person been trained and shown how to direct traffic and the
public
Adequate access control at the construction site office
Security provided at the construction site for public
Barricading where needed
Open excavations, manholes, uneven surfaces barricaded
Sidewalk protection effective
Barricading adequate and still visible to public
PPE-Personal Protective Equipment
Employees provided with PPE and using it
Employees exposed to dust provided with dust masks and using it
accordingly
Hearing protection available for personnel that may be exposed to noise
Respiratory protection available to personnel and being used when
conditions require
Construction vehicles
Operators properly trained and authorized
Back-up alarms operational
Inspection and maintenance performed on a regular schedule
Employees prohibited from riding on heavy equipment without a proper
seat
Equipment clean and free of grease, oil, mud, fluids and other slipping
hazards?
Mobile plant provided with valid, adequately sized fire extinguishers
Mobile plant ergonomically designated, seats with mechanical
suspensions

ITEMS TO BE CHECKED MON TUE WED THURS FRID SAT


Excavations
Overhead utility lines noted and precautions taken to avoid contact with
equipment
Utility companies been notified of proposed excavation work
All tools, equipment, and shoring materials readily available prior to job
start up
Spoil pile stored at least two feet from the edge of the excavation
Barricades, stop logs, properly placed, if needed
Excavation five feet or deeper correctly sloped, benched, shored or is a
trench box used
Soil classification been made by a competent person
Step ladder or other means of egress provided in trenches or
excavations 1,5 meter or deeper
When used ladders extend three feet above the surface are, they
secured
Shoring and shielding systems inspected daily by a competent person
Trenches backfilled as soon a work is completed/or barricaded
Excavation inspected daily or more frequently when conditions could
affect the soil
From work designed, fabricated, erected, supported, braced and
maintained to support vertical and lateral loads
Adequate barricade in place in all unsafe open areas
Emergency preparedness plan
Fire equipment’s available and valid
First aid kit available and items still valid
Fire extinguisher location accessible and marked
Fire extinguishers provided for:
 Office
 Storage areas
 Diesel bund wall (if available)
Evacuation plan in place
Emergency numbers available for employees
Competent first aider appointed and certificate still valid
Fire equipment’s available and items still valid
Environmental compliance
Is there an EMP in place
Are there waste bins for proper disposal of different types of waste
Are environmental impacts controlled and managed
Are there proper control measures for spillage on site
Is there proper disposal for contaminated waste
Administrative requirements
Is there a safety file and is it approved?
Is there a valid notification of work as approved by DOL?
Is there a valid letter of good standing?
Are company policies available, signed, communicated to employees
and displayed?
Are there competency certificates for all legal appointees?
Are all employees on site inducted
Are all mobile plant operators medically fit
Is there a construction permit required if yes, is it available?

LIST OF DEVIATION AND CONTROL MEASURES


Item: Deviation/Non compliance Recommended control measure Date of implementation

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