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N° OS DATE OF EXECUTION
IMPLEMENTATION PROCEDURE
CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS
Available & up to
Fire Extinguishers
date
If any, Move to
Spare parts & Equipments
Warehouse
Lights Working
In good working
Door locks / locking mechanism
order
1
IMPLEMENTATION PROCEDURE
CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS
In good working
Door locks / locking mechanism
order
3 GENERAL COMMENTS
2
AREA Mix reclaimer
Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company. Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear. c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.
IMPLEMENTATION PROCEDURE
CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS
Lights Working √
Working (Green Led
Emergency Lights and Exit Lights
ON) √ not available
CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS
Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.
IMPLEMENTATION PROCEDURE
CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS
Lights Working √
Working (Green Led
Emergency Lights and Exit Lights
ON) √ not available
CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS
Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.
IMPLEMENTATION PROCEDURE
CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS
Lights Working √
Working (Green Led
Emergency Lights and Exit Lights
ON) √ not available
CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS
Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.
IMPLEMENTATION PROCEDURE
CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS
Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.
IMPLEMENTATION PROCEDURE
CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS
Available & up to
Fire Extinguishers
date √
Cable Trays / Cable Conduits Need - in good order √
If any, Move to
Spare parts & Equipments
Warehouse √
Push buttons / Lighting Switches In working order √ not working
CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS
Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.
IMPLEMENTATION PROCEDURE
CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS
In good working
Air-conditioning Units
order √
smoke detector is
Fire Alarm systems Working (Flashing) √ covered
Available & up to
Fire Extinguishers
date √
Cable Trays / Cable Conduits Need - in good order √
If any, Move to
Spare parts & Equipments
Warehouse √
The lighting push
Push buttons / Lighting Switches In working order √ buttons not
working
Power Socket Outlets (if available) In working order √
one lighting
Lights Working √ fixture not
working
Working (Green Led
Emergency Lights and Exit Lights
ON) √
Visual Check for All equipments Not damaged √
If any , Write tag
Locked out Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
2 LV & Subcontrol Panels in the room
Panel 1- Tag number 762.WP212
In good working
Door locks / locking mechanism
order √
The drawing not
Drawings ( Interconnection Diagrams or related documents) Available √ available
All terminals secure
Earthing
& connected √
Inside Light Working √
Display Unit (if available) Working √
If any , Write tag
Damage/missing Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
3 GENERAL COMMENTS
AREA CF silo
Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.
IMPLEMENTATION PROCEDURE
CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS
Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.
IMPLEMENTATION PROCEDURE
CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS
CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS
Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.
IMPLEMENTATION PROCEDURE
CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS
In good working
Air-conditioning Units
order √
the smoke
Fire Alarm systems Working (Flashing) √ detectors is
covered
Available & up to
Fire Extinguishers
date √
Cable Trays / Cable Conduits Need - in good order √
If any, Move to
Spare parts & Equipments
Warehouse √
Push buttons / Lighting Switches In working order √
Power Socket Outlets (if available) In working order √
whole lights not
Lights Working √ working & room is
dark
Working (Green Led the emergency
Emergency Lights and Exit Lights
ON) √ light not charging
Visual Check for All equipments Not damaged √
If any , Write tag
Locked out Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
2 LV & Subcontrol Panels in the room
Panel 1- Tag number 321.HG700A01
In good working
Door locks / locking mechanism
order √
Drawings ( Interconnection Diagrams or related documents) Available √ not available
All terminals secure
Earthing
& connected √
Inside Light Working √
Display Unit (if available) Working √ The display removed
If any , Write tag
Damage/missing Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
3 GENERAL COMMENTS
AREA conditioning tower
Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.
IMPLEMENTATION PROCEDURE
CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS
Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
Hour(s) / Operative
Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company. Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear. c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.
IMPLEMENTATION PROCEDURE
CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS
Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.
IMPLEMENTATION PROCEDURE
CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS
CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS
Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.
IMPLEMENTATION PROCEDURE
CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS
Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.
IMPLEMENTATION PROCEDURE
CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS
CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS
Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.
IMPLEMENTATION PROCEDURE
CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS
In good working
Air-conditioning Units
order √
Fire Alarm systems Working (Flashing) √
the fire
Available & up to
Fire Extinguishers
date √ extinguisher not
available
CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS
Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.
IMPLEMENTATION PROCEDURE
CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS
CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS
Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.
IMPLEMENTATION PROCEDURE
CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS
Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.
IMPLEMENTATION PROCEDURE
CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS
Available & up to
Fire Extinguishers
date √
Cable Trays / Cable Conduits Need - in good order √
If any, Move to
Spare parts & Equipments
Warehouse √
Push buttons / Lighting Switches In working order √
Power Socket Outlets (if available) In working order √
Lights Working √
Working (Green Led
Emergency Lights and Exit Lights
ON) √
Visual Check for All equipments Not damaged √
If any , Write tag
Locked out Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
2 LV & Subcontrol Panels in the room
CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS
Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.
IMPLEMENTATION PROCEDURE
CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS
In good working
Air-conditioning Units
order √
Fire Alarm systems Working (Flashing) √
the fire
Available & up to
Fire Extinguishers
date √ extinguisher not
available
Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.
IMPLEMENTATION PROCEDURE
CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS
In good working
Air-conditioning Units
order √
smoke detector is
Fire Alarm systems Working (Flashing) √ covered
Available & up to
Fire Extinguishers
date √
Cable Trays / Cable Conduits Need - in good order √
If any, Move to
Spare parts & Equipments
Warehouse √
Push buttons / Lighting Switches In working order √
Power Socket Outlets (if available) In working order √
Lights Working √
Working (Green Led
Emergency Lights and Exit Lights
ON) √
Visual Check for All equipments Not damaged √
If any , Write tag
Locked out Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
2 LV & Subcontrol Panels in the room
CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS
Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.
IMPLEMENTATION PROCEDURE
CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS
Available & up to
Fire Extinguishers
date √
Cable Trays / Cable Conduits Need - in good order √
If any, Move to
Spare parts & Equipments
Warehouse √
Push buttons / Lighting Switches In working order √
Power Socket Outlets (if available) In working order √
Lights Working √
wrong connection
Working (Green Led
Emergency Lights and Exit Lights
ON) √ for emergency
lights
Visual Check for All equipments Not damaged √
If any , Write tag
Locked out Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
2 LV & Subcontrol Panels in the room
Panel 1- Tag number 611.SI100A01
In good working
Door locks / locking mechanism
order √
Drawings ( Interconnection Diagrams or related documents) Available √ Drawing not available
All terminals secure
Earthing
& connected √
Inside Light Working √
Display Unit (if available) Working √
If any , Write tag
Damage/missing Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
3 GENERAL COMMENTS
AREA Cement silo 2
Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.
IMPLEMENTATION PROCEDURE
CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS
Available & up to
Fire Extinguishers
date √
Cable Trays / Cable Conduits Need - in good order √
If any, Move to
Spare parts & Equipments
Warehouse √
Push buttons / Lighting Switches In working order √
Power Socket Outlets (if available) In working order √
one lighting
Lights Working √ fixture is damage
Working (Green Led
Emergency Lights and Exit Lights
ON) √
Visual Check for All equipments Not damaged √
If any , Write tag
Locked out Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
2 LV & Subcontrol Panels in the room
Panel 1- Tag number 612.SI100A01
In good working
Door locks / locking mechanism
order √
Drawings ( Interconnection Diagrams or related documents) Available √ Drawing not available
All terminals secure
Earthing
& connected √
Inside Light Working √
Display Unit (if available) Working √
If any , Write tag
Damage/missing Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
3 GENERAL COMMENTS
AREA Packing plant
Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.
IMPLEMENTATION PROCEDURE
CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS
CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS
Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.
IMPLEMENTATION PROCEDURE
CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS