PAGE 1 OF 4

CONSOLIDATED CONSTRUCTION CONSORTIUM LTD FORMAT NO. : CSF - 010

REV. NO. 1
HSE Inspection Checklist
DATE : 19-01-2010

Project Name : Name of the Building / Structure : Date :

Project Code :
Yes No Partial % N/A Remarks

1 Safety Promotion
1.1 Safety Awareness - slogans displayed at site?
1.2 Safety Posters on the job displayed?
1.3 Are AOR of Injury forms filled and filed?
1.4 Are Emergency Numbers displayed?
1.5 Are all the employees on the job aware of who should be
contacted in case of an accident?
1.6 Are monthly safety meeting held?
1.7 Is there specific accident investigation follow up made?
1.8 Toolbox talks conducted weekly?

2 General House Keeping

2.1 Is there regular disposal of the waste and trash?
2.2 Are the walkways and passageways free from obstruction?
2.3 Are the material and equipment stacked properly?
2.4 Are the electrical cords, hoses, welding leads etc.elevated
to prevent tripping hazards?
2.5 Are the scrap material free of protruding nails?
2.6 Do the access to electrical control panel free of obstruction?
2.7 Trash receptacles are provided for work areas?
Do they use barricade tapes and
2.8 warning signs where required?
2.9 Others

3 Ladders, Ramps, and Stairs

3.1 Do the Ladders inspected before use?
3.2 Do the Ladders secured?
3.3 Do the spacing of rungs of the ladder not more than 12"?
3.4 All rungs/ side rails on ladders in good condition?
3.5 Do the ladders extend 36" above the floor?
3.6 Do the stairways landing have guardrails
3.7 Do the platform/ stairway free from tripping hazards?

4 Scaffolding, Platform, ladders

4.1 Are scaffolds properly erected?
4.2 Are adequate boards (planks) with cleats and wire down?
4.3 Are boards secured properly?
 PAGE 2 OF 4

CONSOLIDATED CONSTRUCTION CONSORTIUM LTD FORMAT NO. : CSF - 010

REV. NO. 1
HSE Inspection Checklist
DATE : 19-01-2010

Project Name : Name of the Building / Structure : Date :

Project Code :
Yes No Partial % N/A Remarks
4.4 Do the scaffolds have ladders for safety access?
4.5 Have the scaffold tied to structure every 20'?
4.6 Do platforms have guardrails, intermediate rails and
toe boards?
4.7 Are the scaffolds free from obstruction?
4.8 Do the platforms free from openings?

5 Electrical
5.1 Do they use proper plug-top for power tapping?
5.2 Are ELCB used?
5.3 Are the cables/ switches/ power sockets free of damaged?
5.4 Are the cable protected properly?
5.5 Are the cables run properly and identified?
5.6 Are the temporary electrical installations inspected by CP?
5.7 Are distribution boards grounded?
5.8 Do the access to power distribution board free of obstruction?
5.9 Is the project site illuminated adequately?
5,10 Have posted the warning signs at the electrical panel?

6 Excavation & Trenches

6.1 Is there a competent person/ site engineer?
6.2 Excavation at 5 or more feet in depth are properly
sloped, benched, or shored?
6.3 Are ladders provided for every 25 feet?
6.4 Have the excavation barricaded properly?
6.5 Earth moving equipment inspected and equipped
with back-up alarm?
6.6 Are excavation areas ensured free of electrical cables etc.

7 Welding and cutting

7.1 Have the welding/ cutting area free from fire hazard material?
7.2 Are compressed gas cylinders secured in upright
position and caps on unused cylinder?
7.3 Are the empty cylinders removed and not left lying around?
7.4 Are fire extinguisher available at welding/ cutting area?
7.5 Flash screens/ shields provided?
7.6 Does adequate ventilation provided?
7.7 Are the cutting hoses/ electrode holders free from defects?

8 Fire Prevention
8.1 Are the flammable material away from fire sources?
8.2 Are the flammable liquids handled in approved safety cans?
8.3 Are flammable material containers identified properly?
 PAGE 3 OF 4

CONSOLIDATED CONSTRUCTION CONSORTIUM LTD FORMAT NO. : CSF - 010

REV. NO. 1
HSE Inspection Checklist
DATE : 19-01-2010

Project Name : Name of the Building / Structure : Date :

Project Code :
Yes No Partial % N/A Remarks
8.4 Are there adequate fire extinguished provided?
8.5 Are fire extinguishers identified with contents and purpose?
8.6 Are "No Smoking" procedure followed?
8.7 Are the oxygen separated from combustible cylinders?

9 Personal Protection
9.1 Are personnel wearing hard hats/ safety helmet?
9.2 Safety belt used, as required
9.3 Safety goggle used, as required
9.4 Construction safety boots are worn by employees?
9.5 Safety hand gloves used, as required?
9.6 Safety respirator used, as required?
9.7 Ear plug, as required?

10 First-aid
10.1 Do the site have first-aid box?
10.2 Do the site have qualified first-aider?
10.3 Do the first-aid box contents replenished regularly?

11 Fall protection
11.1 Do the wall opening at sides are barricaded?
11.2 Do the floor opening are covered or barricaded?
11.3 Do the stairway landing are protected or barricaded?
11.4 Are there perimeter guarding provided?
11.5 Do they use safety belt/ harness as required?
11.6 Do they use safety nets?
11.7 Do the safety nets free from defects?
11.8 Do the safety nets secured properly?

12 Builder Hoist
12.1 Do the lifting cage is covered with safety net?
12.2 The loading and unloading platform is provide with guard
rails
12.3 Do the person engaged in loading and unloading wear
safety belt
12.4 Do the hoist cage is adquately tied and brace?
12.5 Do the hoisting ropes and other attachment is in good
condition?
12.6 Do the moving parts of the hoist are guarded?
12.7 Do the hoist working area is barricaded?
12.8 Do the hoist is provided with limit switches?
12.9 Do the communication between the operator and user is
effective?
 PAGE 4 OF 4

CONSOLIDATED CONSTRUCTION CONSORTIUM LTD FORMAT NO. : CSF - 010

REV. NO. 1
HSE Inspection Checklist
DATE : 19-01-2010

Project Name : Name of the Building / Structure : Date :

Project Code :
Yes No Partial % N/A Remarks

13 Cranes and Lifting

13.1 Do the operator has certification?
13.2 Do the lifting machine(s) have certification?
13.3 Do the Loads/ radius indicator available/ working?
13.4 Are safety latched in the hook?
13.5 Do wire rope, chains, slings in good condition?
13.6 Do they have rigger/ signalman?
13.7 Are proper support used for out-riggers?
13.8 Do the counter weight and swing radius barricaded?
13.9 Do the lifting machine away from power lines?
13.10 Do the lifting zone clear of persons.

14 Power tools and hand tools

14.1 Are the power tools equipped with guards?
14.2 Do the conditions of the connectors are free from defects?
14.3 Have the power tools inspected periodically?
14.4 Do they use correct hand tools for the job?
14.5 Do the hand tools are free from defects?
14.6 No makeshift of hand tools

15 Miscellaneous

16 Comments

Prepared by Project Manager / Project in-charge

Signature Signature
Name : Name :
Date : Date :