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WEEKLY HSE REPORT PT Nihon Globaltech Date/ Period : Project Name: Location :
No
Observations
1
Is tool box talk conducting every day ?
2
Is the Personal Protective Equipment such as safety helmet, safety glasses, safety shoes, ear plug wearpack etc already used properly ?
3
Is the condition if scaffolding, ladders, and work platforms satisfactory ?
4
Are openings and other potential fall points appropriately protected or barricaded and marked ?
5 6
Are earth leakage circuit breaker (ELCBs) installed (if required) ? Are electric equipment earthed properly
7
Are distribution and switch boards propery insulated/ locked ?
8
Are electric connections proper and without bare conductors visible ?
9
Is the condition of cables satisfactory ?
10
Are combustible and inflammable materials properly stocked to prevent fire hazard ?
11
Traffic signs and hazard sign installed ?
12
Are first-aid room adequately equipped and medic available ?
13
Is fire fighting equipment adequate and serviceable and fire extinguisher tags checked regulary ?
14
Is any accident/ incident reported ? If "YES" then attach the report's copy
15
Is site and office toilets are clean ?
16
Is house keeping in site offices being taken care of ?
17
Is house keeping in site being taken care of ?
18
Is house keeping in accomodation and dining hall being taking care of ? Other Site Information ?
Yes
No
NA
Signed by :
HSE Officer
REPORT baltech
Action Taken
Responsible Person
Complete Date
Site Manager