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    Weekly Safety Inspection Report: Sample

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    Aviects Avie Jaro
    This weekly safety inspection report summarizes the status of various safety items at a plant or construction project. It includes 16 items related to welfare facilities, first aid, housekeeping, security, protective equipment, excavations, machinery, scaffolds, lifting operations, gas cylinders, signage, work permits, fire protection, hazardous substances, and other safety concerns. For each item, the report indicates whether the current status is satisfactory or needs attention, and provides a remarks section to explain issues. Any items needing attention would be documented in a summary section with the concern, required action plan, person responsible, target completion time, and current status.

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    Weekly Safety Inspection Report: Sample

    Uploaded by

    Aviects Avie Jaro
    131 views3 pages
    This weekly safety inspection report summarizes the status of various safety items at a plant or construction project. It includes 16 items related to welfare facilities, first aid, housekeeping, security, protective equipment, excavations, machinery, scaffolds, lifting operations, gas cylinders, signage, work permits, fire protection, hazardous substances, and other safety concerns. For each item, the report indicates whether the current status is satisfactory or needs attention, and provides a remarks section to explain issues. Any items needing attention would be documented in a summary section with the concern, required action plan, person responsible, target completion time, and current status.

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    ahahay

    Original Title

    INSP ATCS

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    This weekly safety inspection report summarizes the status of various safety items at a plant or construction project. It includes 16 items related to welfare facilities, first aid, housekeeping, security, protective equipment, excavations, machinery, scaffolds, lifting operations, gas cylinders, signage, work permits, fire protection, hazardous substances, and other safety concerns. For each item, the report indicates whether the current status is satisfactory or needs attention, and provides a remarks section to explain issues. Any items needing attention would be documented in a summary section with the concern, required action plan, person responsible, target completion time, and current status.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    131 views3 pages

    Weekly Safety Inspection Report: Sample

    Uploaded by

    Aviects Avie Jaro
    This weekly safety inspection report summarizes the status of various safety items at a plant or construction project. It includes 16 items related to welfare facilities, first aid, housekeeping, security, protective equipment, excavations, machinery, scaffolds, lifting operations, gas cylinders, signage, work permits, fire protection, hazardous substances, and other safety concerns. For each item, the report indicates whether the current status is satisfactory or needs attention, and provides a remarks section to explain issues. Any items needing attention would be documented in a summary section with the concern, required action plan, person responsible, target completion time, and current status.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 3

    SAMPLE

    Weekly Safety Inspection Report

    Plant/Project: ___________________________________ Date: ____________________


    Location: ___________________________________

    Satisfactory
    Item Description Yes No Remarks
    1 WELFARE FACILITIES
    Clean toilets with exhaust fan
    Potable water provided
    Eating and resting areas
    Canteen facilities
    2 FIRST AID STATION
    Paramedics
    Medical record book
    Emergency medical handbook
    Telephone numbers displayed
    Adequate first aid supplies
    Adequate first aid equipment
    Clean room with potable water supply
    3 HOUSEKEEPING
    Segregation of waste and scrap
    Waste and scrap regularly collected &
    disposed of
    No build up of flammable materials
    4 SITE SECURITY ACCESS
    Security check correctly performed
    Guardhouse continuously manned
    Round check register updated
    Perimeter fence intact
    Inspection of materials' gate passes
    5 Personal Protective Equipment (PPE)
    Eye protection
    Head protection
    Hand protection
    Foot protection
    Any other protection
    6 EXCAVATIONS
    Signs posted
    Hard barrier installed
    Shoring provided (if applicable)
    1m spoil clearance from the excavated pit
    Sloping maintained (if applicable)
    Appropriate access provided
    7 Mechanical and Electrical
    Adequate guarding on machines
    Insulation, cables, industrial plugs in good
    condition
    Cables suspended using S hooks and lead
    stands
    Inspected regularly with color code sticker
    ELCB provided to site power boards
    Grounding installed to equipment/machine
    Unused machines electrically isolated

    5MCSS WEEKLY INSPECTION FORM REV0


    Satisfactory
    Item Description Yes No Remarks
    8 SCAFFOLDS/ LADDER
    Scaffolds correctly erected
    Scaffolds properly secured
    Toe boards, guardrails (top & midrail),
    handrails & access checked
    Fully boarded platforms
    Scaffolds correctly tagged
    Materials in good condition
    9 PLANT & EQUIPMENT
    Available license for drivers/operators
    Vehicle and equipment condition
    Reverse alarm installed
    Flashing light installed
    Generators and welding machine condition
    Compressors and water pumps condition
    10 LIFTS & CRANES
    Available license or third party certificate
    for operators and certificate for banksmen
    and riggers
    Load capacity displayed
    Certification updated
    Condition of access, foundation and
    supports
    Stability
    Chains & slings in good condition
    11 LIFTING OPERATIONS
    Lifting locations properly identified
    Loads correctly secured
    Lifting gear conditions
    Rigging plan
    12 COMPRESSED GAS CYLINDERS
    Stored upright, valves protected
    Gauges working; hoses inspected
    Flashback arrestor fitted
    Cylinders are securely tied or with trolley
    Type of gas clearly marked on cylinders
    13 SAFETY SIGNAGE
    Clearly displayed
    Clean and legible
    WORK PERMITS (Confined Space, Hot
    14 Work, Excavation and Electrical Work)
    Work permit correctly issued and signed
    Work permit requirements enforced
    15 FIRE PROTECTION
    Fire Extinguisher available at hot work
    locations
    Welding and grinding works locations
    properly secured
    Fire extinguisher not obstructed
    Expiration date of fire extinguisher
    checked.
    16 HAZARDOUS SUBSTANCES
    Toxic/ hazardous substance correctly
    tagged/ labelled and secured
    Adequate storage provided
    Appropriate bundwall provided
    Safety Data Sheet (SDS) present

    5MCSS WEEKLY INSPECTION FORM REV0


    Satisfactory
    Item Description Yes No Remarks
    17 OTHER RELATED SAFETY ITEMS

    SUMMARY
    Item Concern (Problem) Action Plan Responsible Target Time Status

    Inspected by: ____________________ Approved By: ___________________

    5MCSS WEEKLY INSPECTION FORM REV0

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