Ufone 2G Modrinization Project EHS Checklist

Region Rep. Office

Project Name Project Code
Site ID Site name
Subcontractor Name Team leader
Auditor Date
Compliance Remark (if
Category No. EHS Checking Items
Yes/ No/ NA not comply)
1 Does the employee have the training certificate?
2 Does the rigger/electrician have third party certificate?
3 Does anyone have First Aid Certificate in the team?
People
Does the team know the nearest hospital for emergency
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response?
5 Is the employee in a proper health condition for working?
Is the PPE (Safety harness, double lanyard, helmet, glove,
6
shoes, etc.) in good condition?
Tools and PPE 7 Is the first aid kit available and within the expiry date ?
8 Is the equipment (such as hand drill, etc.) in good
9 Is fire fighting system available at site?
10 Is the risk assessment been done before work start?
11 Has the Pre-Task EHS checking been done before work
12 Does the employee wear PPE such as safety
Does the rigger properly use full body harness, double
13
lanyard and tool bag etc. during working on tower?
Behavior
Wireless Is there any people standing around tower feet when there
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and MW is a work carried out on the tower?
15 Has the EHS self check been done by the team?
Is the electrical wire well insulated and the electrical plug is
16
firmly connected?
17 Is safety signs available at site?
18 Is the access to site safe?

If hazardous substances are used, is the material safety

19
Environment data sheet (MSDS) available and is it stored safely?

Is there any damage to the landowner's area (bad

20
landscape arrangement, wastes not collected, etc.)?
21 Is permitted working hour followed and proper action taken
Whether ground cable is connected well enough between
Material 22
equipment and earth?
Other findings

Signature (Team Leader) Signature (Auditor)

 Ufone 2G Modrinization Project Driving Safety Checklist
Region Rep. Office
Project Name Project Code
Site ID Site name
Subcontractor Name Team leader
Auditor Date
Remark (if
Compliance
No EHS Checking Items not
(Yes/ No/ NA)
comply)
1 Does the driver have a driving license?
3 Is the driver completed defensive driving safety training Project?
2 Are safety belts in driver and passenger seats available?
3 Are the tires in good condition?
4 Are fire extinguishers, first aid kits available?
5 Is a warning triangle available and okay?
6 Is the vehicle maintained within 5000KM?
Does the driver follow driving safety absolute rules (wear seatbelt,
7 never over speed, never use handheld devices when drive, never
Driving drive under alcohol and drugs)
Safety
Is the vehicle facilities with GPS or OBD for driving safety
8
monitoring?
Is the driver not under fatigue driving? (stop to have a rest after 4
9
hours' driving)
Other findings

Signature (Team Leader) Signature (Auditor)

 Risk Assessment Form
Project Name: Site ID:
Date: Activity:
1 Collection of Material
Equipment Picked from Waehouse
Risk/Hazard:

Risk Assessment

2 Transport to Site/Delivering to Site

Risk/Hazard

Risk Assessment

3 Working at Height
Risk/Hazard

Risk Assessment

4 Working Indoor Site

Risk/Hazard

Risk Assessment