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SAFETY INSPECTION CHECKLIST

Nov 2013 Pg 1/5





SAFETY INSPECTION CHECKLIST

SAFETY INSPECTION No. ___________



Our Ref : ________________
Date : ________________

To: M/s _________________________
Attn: Contractor P. Mgrs _____________________________
Attn: WSHO _____________________________

Dear Sir

SUMMARY OF SAFETY INSPECTIONS FOR MONTH OF _________ YR _______
AT ____________________________________________________________


1. The summary of the above site safety inspection is attached (ie page 2 to 5) for your attention and follow up
action.

2. Our assessment or comments on your safety performance is:-

ASSESSMENT & ACTION TAKEN BY PROJECT MANAGER

a. Last Warning Letter issued on ______________________ (date).

b. Last imposition of Demerit Points for poor site safety was recommended on ____________ (date).

c. Total Demerit Points imposed for infringement of site safety measures to-date is ___________________.

d. Other Comments :-
___________________________________________________________________________________________
___________________________________________________________________________________________
________________________________________________________________________________________


Yours faithfully




___________________________
Name & Signature of Project Manager

Notes:
(1) Site Safety Inspection to be conducted weekly & jointly between RTO/RE/P.Mgr and Contractor's representative or at the instruction of
P.Mgr in-charge.

(2) The status of all site safety inspections must be recorded in the safety checklist and properly documented on site immediately after the
inspection, a copy of Weekly Report on Safety Inspection should be given to Contractor for his immediate follow up / rectification.

(3) Contractor is required to notify Consultant RTO/RE/P.Mgr upon completion of all rectification. Demerit Points may be imposed without
further notice if Contractor failed to comply before the next inspection.

cc list:-

1

Contractor's WSHO / Site Safety Supervisor (Attn : Mr )

2

For SIPM Circulation

2b

Project Mgr



For noting and follow-up action

2c

RTO I/C



For action and file on site




SAFETY INSPECTION CHECKLIST
# Please indicate NA = Not Applicable
X = Not provided / Unsatisfactory / No
T = Satisfactory / Yes


REPORT ON SAFETY INSPECTION: MONTH OF / YR
PROJECT / SITE :
BLK NO (SUB STRUC) :
BLK NOs (ARCH) :
BLK NOs (SUPER STRUC) :

1. The above-mentioned inspection was jointly carried out with your representative on __________(1st week) /
____________ (2nd week) / ____________ (3rd week) and ___________ (last week) of the month.

2. The status report of the joint inspections is enclosed. You are to improve on the non-compliance items IMMEDIATELY /
or within _________ working days.

3. Please note that Demerit Points and/or Administrative Charges may be imposed on you if there are similar recurrences
of non-compliance in the next inspection.


CHECKLIST FOR SAFETY INSPECTION











Block

Storey
Status of Inspection #

Remarks

1st
week
2nd
week
3rd
week
End of
Month
(A) Building Construction













1. Provision of adequate overhead protection to













designated access point such as exit & entry to













building and at foot of passenger /material hoist tower.






























































2. Provision of adequate barricades to open sides of













building, lift openings and passenger/material hoist













platforms, floor openings / excavated trenches.






























































3. Provision of adequate and proper working platforms













with guardrails and toe-boards in accordance with













Scaffold Reg for workers working at height and













external of buildings, including submission of COS.












































4. Provision of adequate overhead protection
along peripheral of building under construction,
which is >4sty or 15m, and where workers are


expected to work below.




Pg 2/5

SAFETY INSPECTION CHECKLIST
# Please indicate NA = Not Applicable
X = Not provided / Unsatisfactory / No
T = Satisfactory / Yes
















.
Block Storey
Status of Inspection #

Remarks 1st
week
2nd
week
3rd
week
End of
Month
(A) Building Construction (Contd)
5. Approval under Permit-to-Work System obtained













for Piling / Demo / Hoisting / Excavation>1.5m deep













Work at height / Confine space / Hot works.




























































6. All site temp access way are well compacted and
adequately maintained, especially those used for/by
mobile crane and heavy vehicles. Steel plates to be
provided for movement of heavy lifting equipment,


including submission of COS.



7. Provision of adequate shoring to excavation













of depth > 1.5 m or in poor soil condition.













adequate stairway to be provided for entry and exit















to excavated trench/pit.































































8. Metal scaffolds are properly erected and complied













with all necessary requirements, including debris













cum dust screen netting and submission of COS.











































































9. Provision of fully decked catch platform at every













alternate floor inside lift shaft /CRC, and













provide proper cover to floor openings such as













top of CRC shaft, lift motor room, manholes,















drain opening, service ducts, sanitary pipes.
































10. Provision of barricades / fencing / boundary













including adequate signage to demarcate













working / hoisting area whereby there













is danger of falling object from above.













































Pg 3/5


SAFETY INSPECTION CHECKLIST
# Please indicate NA = Not Applicable
X = Not provided / Unsatisfactory / No
T = Satisfactory / Yes





Block



Storey


Status of Inspection #

Remarks


1st
week
2nd
week
3rd
week
End of
Month
(B) Personal Safety & Safety Administration













1. Workers and site personnel wear the appropriate













PPE (safety helmet, shoe & harness) according













to their job requirement.
























































2. Workers have undergone safety induction course
and briefed on In-house safety rules and regulation
SWP and Risk Assessment.








3. Records of daily safety inspections, worker's














SOC records, scaffolding register, issue of














personal protective equipment and first aid














box properly kept at site office etc.

























4 Safety Proposals / Submissions made for














all safety measures executed on site and














concurrence from the SO's Rep obtained.





























































5. Findings from previous safety inspections are














remedied / rectified, closed and properly recorded.










































































(C) Authorised Person / Operator






1. Tower Crane / Passenger/material hoists














Mobile Crane / construction vehicles /machineries














in operation controlled by an licensed/authorised














operators.
































Pg 4/5




SAFETY INSPECTION CHECKLIST
# Please indicate NA = Not Applicable
X = Not provided / Unsatisfactory / No
T = Satisfactory / Yes





Block



Storey


Status of Inspection #

Remarks





1st
week
2nd
week
3rd
week
End of
Month
(D) Maintenance of Machineries / Equipment

1. All heavy machineries / plant / fire fighting

equipment are regularly maintained and

have valid maintenance certificates.









(E) Licence for Factory / Electrical Generator

1. All worksite must have valid Factory licence.

All generators must have valid EMA licence.









(F) Housekeeping

1. Proper storage of precast component, formwork

steel bar, equipment and other building material

so as not to pose a danger to workers, site

personnel and public at large.







2. No accumulation of debris on metal scaffolding /

work platform / gondola / edge of building.











3. All escape routes are clearly demarcated and

cleared of any obstruction, debris, stagnant water.

fire fighting equipment must be in working order.








Inspection Jointly Conducted By: 1st week 2nd week 3rd week End of month

Initial &
Date
RTO/RE/P.Mgr








Contractors Rep. (WSHO)








Acknowledged by:

Initial &
Date
Resident Engineer

Project Manager








Pg 5/5