3.IM 09 B Executive Inspection Tour Form

Environment, Health and Safety Integrated Management System Manual IM Format No. : IM 09 B IM 09 B: EHS Executive Inspection Tour Report Executive EHS Inspection Tour Team:

Job Number: Project Name: Inspector: Date of Inspection Tour:

1. Class 1 Risk Activities – as advised by the project team Risk Activities

Controls

Implementation & Physical Compliance Rating Matrix 0

Unacceptable

1

Poor

2

Needs Urgent Improvement

3

Average

Procedure implemented with minor omissions/ observations

4

Excellent

Evidence of full implementation

No evidence of procedure implementation or major breakdown Evidence of compliance but no procedures and/or high risk Procedure implemented with major omissions and/or high risk

2. Site Walk – observe that controls are in place and rate accordingly

Rating (Tick where Appropriate) Sl. No 1

Observation

Excellent 4

Average 3

Needs urgent improvement 2

Demonstrating visible management commitment towards safety Tips: (Is the Project Head participating in EHS inspection tours with other Project/construction managers & Other senior team members at least once per month – check records)

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Observation

Average 3

Needs urgent improvement 2

Working at height Tips: o o o o o o o o o o

3

Excellent 4

Adequate working platform Floor edge protection arrangement Opening protection arrangement Working on a ladder Woking at ground level near excavation Working near fragile materials Harness & Life lines Fall arrestor system Fall protection (catch nets) Workmen screening for height work

Temporary works & Formwork Tips: o Adequate working platform with top rail, mid-rail and toe-board o Erecting & working off scaffold o Erecting formwork as per scheme o Mobile scaffold safety compliance o Scaffold Tag System

4

Moving & Static Vehicles, Plant & Equipment Tips: o o o o o o o o o o o o o o

Permits Reversing alarms Traffic Marshals for marching & reversing Lights & indicators Seat belts Ignitions keys not left in vehicles Substandard pins Pedestrian/plant & vehicle segregation Traffic management Guarding Warning signs Fuel storage Fire extinguisher Competence licences

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Observation Excellent 4

5

Tunnel, Excavations & Underground Services Tips: o Permits o Underground utilities o Shoring and Sloping o Access and Egress o Fences and Guards o Area Lighting o Presence of Harmful gases o Ventilation

6

7

Cranes & Lifting Tips: o Safe rigging o Lifting gear in good condition o Exclusion zones o Tag ropes o No one underneath the load o Safe siting of the crane o Permit to lift issued o ASLI functioning o Competent operator & rigger Fire Controls / Emergency procedures

8

Tips: o Fire extinguishers suitably located o Hot work permits issued o Adequate means to raise the alarm o Emergency procedures displayed o Fire drills (atleast once in 6 months) o Fire routes clearly defined & not blocked o Adequate housekeeping o Adequate fuel & cylinder storage o Adequate General signage Working with Electricity & Overhead Services Tips: o o o o o o o o o

Average 3

Needs urgent improvement 2

Lock Out & Tag Out (LOTO) procedure Cable layout Clearance with overhead lines Earthing Over current protection Leakage current protection Secured Distribution Boards Fire protection Signage

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Observation

Entry permits Ventilation Presence of harmful gases Air Monitoring Fire protection Rescue arrangement

Traffic Management Restriction of unauthorized entry Traffic marshals Condition of hoardings No unsecured materials at height Safety net for height works Signage

Working over or adjacent to water Tips: o o o o o o o o

12

Needs urgent improvement 2

Working adjacent to or near public areas Tips: o o o o o o o

11

Average 3

Working in Confined Space Tips: o o o o o o

10

Excellent 4

Workforce – training & life jacket usage Monitoring of wind / tides Access arrangements on water Fencing of edges / openings Specific safety devices Barge safety compliance Rescue equipment (boats & life buoy) Disaster management plan

Piling Tips: o o o o o o

Piling equipment fitness Competent operator & supervision Clearance from UG / OH services Work permit system Protection against falling into bore hole Swing area restricted against man movement o Pile breaking – safety controls

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Observation

Excellent 4

Average 3

Needs urgent improvement 2

Access & Egress Tips: o Designated Pathways o Segregating pedestrians & vehicle movements, o Path ways free from slip & Trips o Adequate lighting o Adequate General signage

14

Health & Welfare Tips: o o o o o

15

First aid centre & equipment, Access to ambulance Rest Area - shelter & shade Drinking water, Toilets, hygienic work camps

Housekeeping Tips: o Separate Storage & Scrap Yards, o Work areas are clean and free of debris o Combustible material removed from sources of ignition o Adequate stacking of materials o Nails in wood appropriately removed before stacking

16

PPE (Implementation of Appropriate Personal Protective Equipment) Tips: o o o o o o o

Safety helmet Safety footwear Hi-Viz vest Eye protection Hearing protection Hand protection Respirators

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3. Uncontrolled risk – describe any other uncontrolled risks that were observed OBSERVATION

CORRECTIVE ACTION

ACTION BY

4. Engagement / Discussion with supervisors & workforce. Describe level of knowledge and understanding the risks and of controls / procedures etc.

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TARGET DATE

Environment, Health and Safety Integrated Management System Manual IM Format No. : IM 09 B

Signature of Inspector: …………………….. Signature of Person Receiving this report on behalf of the project: ……………………………..

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