Establish and Integrate Company LTE Network with The National security
Networks.
Contract No # 22059056
DAILY HSE SITE INSPECTION CHECKLIST
Location: Date:
SN INSPECTION ITEMS YES NO N/A REMARK
1 WORK PERMIT
a The permit is for the work type, equipment and locations on which personnel are
b working?
Personnel are following all conditions and precautions identified on the permit?
c The permit is for the correct day and time?
d The permit is on the work site?
2 PERSONAL PROTECTIVE EQUIPMENT (PPE)
a Are personnel utilizing the required PPE?
b Are PPE items in good condition?
c Are safety belts being utilized in accordance with site requirements?
d Where task requires, is hearing protection being utilized?
e Where task requires, is the respiratory protection appropriate for contamination?
f Where task requires, are proper gloves being utilized?
3 HOUSEKEEPING
a Are walkways clearly identified and clear of materials?
b Are welding leads adequately routed to avoid tripping hazards?
c Is material properly stored to avoid congestion in the work areas?
d Are walking surfaces maintained free of oil and other materials?
e Are nails removed from stored timbers and wood?
4 POWER TOOLS AND EQUIPMENT
a All tools are inspected and tagged to indicate last inspection?
b Required safety guards are in place?
c Discs on portable grinders matched to the ROM’s of the grinder?
Power and extension cords are elevated or otherwise routed to prevent damage to the
d
cords and prevent tripping hazards?
5
PORTABLE LADDER
a The ladder is erected on a firm and stable base material?
b Safety feet are used and in good condition?
c The ladder is erected at a 4:1 ratio of height to base?
d The ladder is tied off at the top?
e Personnel are standing at least two rungs below the top rung of the ladder?
f The ladder is free of defects i.e. cracks, bad rungs, etc?
g The ladder made of Aluminum?
6 SCAFFOLDING
a Scaffold components, planking/decking in good condition? Planks graded for scaffold?
b All scaffold components in place and no defects?
c Competent person in charge of erection/inspection?
d Screw jacks being used to level and plumb scaffold when required?
e Scaffold legs braced, with braces properly attached?
f Guard railing in place on all open sides and ends?
g Visual check to verify clamps secured in place?
h Scaffold secured to structure to prevent movement?
i Brackets, tube and clamp, and accessories properly placed with wedges tightened?
j Area around scaffold has been secured/roped off?
k Toe boards properly installed where required?
l Proper access to get on and off the scaffold? Ladders secured
m Scaffold control tag has been signed and approved for use?
7 CRANE OPERATIONS
a Load charts are posted and utilized?
b The swing radius of the counter weight is barricaded?
c The crane is operated on level ground and with all outriggers down?
d Flagmen are used when moving cranes or transporting a load?
e The operator is trained for the specific crane he uses?
f An anti-blocking device is provided and checked to ensure it functions?
g Sufficient clearance from power lines is provided?
1 GPC-HSE-F-02-2023
h Loads are lifted away from personnel or sensitive equipment?
8 RIGGING
a Approved rigging practices are used?
b Rigging equipment is free of visible damage?
c All crane hooks are equipped with a functional safety latch?
d Third party load test inspection is conducted on the rigging tools, tackles &
e equipments?
The throat of load hooks is measured routinely to detect changes in hook gap?
f The load capacity of each rigging device is clearly marked on the device?
g Tag lines are used to control suspended loads?
h Signals or warnings are given before raising loads?
9 MATERIAL STORAGE
a Aisles and passageways are clear and unobstructed?
b Materials are stacked or otherwise organized to prevent the piles or stacks from falling?
c Chemicals are segregated to avoid storing incompatible items in proximity to each
Hazardous or flammable liquids are stored in curbed or drained areas to prevent
d accumulation
in the event of leaks or spills?
e Caution and warning signs are posted for hazardous materials?
f Rack storage systems are anchored and stable?
10 EXCAVATION AND TRENCHING
a Is the site cleared for utilities and other underground obstructions?
Is PTW obtained with all the required documents (JHA, Site Drawing and confined
b space if it is
confined
c Is space
excavated category)
material placed 1 Meter or more from the edge?
d If ladders are used, are they secured and do they extend 3 feet above the edge of the
excavation?
e Is the excavation well marked and barricaded to prevent personnel or vehicles from
f falling
If rampsin?are used are their appropriate means to prevent slipping?
Are support systems provided to stabilize adjacent structures, buildings, roadways,
g sidewalks,
etc.?
If excavation is a confined space Is confined space PTW available at site and Gas test
h results
recorded
Are support systems provided to stabilize adjacent structures, buildings, roadways,
i sidewalks,
etc.?
j Is there available means to prevent surface water from entering excavation?
11 EMERGENCY PREPAREDNESS
a Emergency power and lighting is available for critical or safe haven or other inhabited
b areas?
Emergency alarms / signals are routinely tested?
c Excavation / muster drills are routinely conducted?
d Personnel have been trained concerning the emergency plan?
e Radio or other means of emergency communications are available and operational?
Emergency medical treatment facilities and supplies are available in less than 3 minutes
f travel
g time?
The written site emergency plan is available and current?
h Emergency phone numbers or radio frequencies are clearly posted throughout the work
12 site?
HOT WORK
a Fire watch is on site, equipped and understands their duties?
b Sparks are being contained to the immediate work area?
The permit is posted on the job site? & Personnel are following all conditions and
c precautions
d identified
The work on
areatheis permit?
free of combustible and flammable materials?
e The required number of fire extinguishers are available, serviceable & operable?
Have suitable and sufficient hazard warning signs been posted adjacent to (including
f above and
below,
g Are where appropriate)
compressed gas bottlesthe work
well area?
segregated?
h Are compressed gas bottles well secured?
i Are the (compressed gas bottles) not in use capped and secured?
j Is fire watcher provided for the activity?
Observation:
Name of HSE Engineer/ Supervisor / Officer: Signature
2 GPC-HSE-F-02-2023