HSE SITE INSPECTION CHECK LIST

GOVERNORATE DISTRICT

DATE OF INSPECTION MZEC OPT INCHARGE:

CONTRACTOR NAME CONTRACTOR INCHARGE

SR.NO. DESCRIPTION

COMPLIANCEDURING

INSPECTION( YES/ NO)

COMPLIANCE BYCONTRACTOR REMARKS

1 PERSONAL PROTECTIVEEQUIPMENT

a Hard Hats as per MZEC Rules

b Safety Shoes

c Coverall as per MZEC Rules

d Safety Goggles

e Safety Gloves for 11kV & 33kV,LV and cotton

f PPE for Welding or CuttingWork

g Arc Flash Suit

2 LOCATION CONTROL

a Safe and easy access to site

b Barricading (Caution tape &Chain)

c Safety Instructions Sign Boards

d Caution or Danger Sign Board

e Men at Work

f MZEC and Company Sign Board

g Assembly Point

h Parking Area Assigned

i Equipment Set-up andPositioning

j Work Area Clean, Tidy & Orderly

3 FACILITIES FOR STAFF & WORK

a Drinking Water for staff (SiteWork)

b Tool Box Talk (TBT) beforestarting for the day

c Availability of HSE InductionTrained and Experienced Staff

d Record of Fitness and Healthinessof all Staff

e Shelter for Rest time

f Availability of adequate numberof First Aid Boxes at the site

g Availability of the trained &certified First Aid personnel

:Remarks

Inspector Name & SignDate