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