SITE INSTRUCTION
PROJECT TITLE:
CONTRACT NO. :
CONTRACTOR :
INSTRUCTION NO.: DATE : TIME:
TITLE:
DESCRIPTION:
ISSUED BY SAFETY ENGINEER , PD/________
RECEIVED BY SITE ENGR. / SAFETY ENGR. (CONTRACTOR)
CONFIRMED BY PROJECT MANAGER, CONTRACTOR*
CONCURRED BY TRANSMISSION ENGR. SPECIALIST, PD/____
* Note : The contractor confirms that this site instruction does not involve adjustment in the Contract Sum or extension of the Contract Milestones
and not inconsistent with the intent of the Contract Documents.
SEC- SIF/ 101 - Rev. 00
DAILY SITE SAFETY REPORT
Project Title :
Contractor : Contract # :
Date: Timing :
Location : Weather Condition:
STANDARDS NA Yes No COMMENTS
Work Permit Availablity
Daily Attendence Sheet (Contractor+Sub-Con)
Approved Job Safety Analysis /Risk Asssessments /
Method Statements / Hazard Identification Plans for every
activity on site
Work Site General
Toolbox Talk Topic :
First Aid kit / First Aider / Emergency Telephone
Numbers at site
Valid SEC IDs
Safety Orientation for all employees
(contractor+SubCon) has been conducted
Drinking Water Facility
Site log book
Work area clean and tidy
Housekeeping
Waste containers provided and are being used
Regular disposal of waste
Passage/Walkways/ access roads unobstructed
Signage / Marking for walkways/passages
Fire Extinguishers available with every vehicle
Fire prevention
Fire Extinguishers inspected and in working
condition
Hot work permit implementation
Designated "Smoking Area"
Adequate wiring, well insulated
Electrical Installations
(Temp/Permanent)
Wiring without joints and damages
Valid Extension cords with proper plugs
Proper barrication
Wiring properly terminated with suitable outlets
Double insulated hand tools shall be used
Hand Tools
Properly kept and well maintained
Any damaged hand tool found at site.
Pre Task tool inspection done
Page 01/03 SEC- DSR/ 59/1 - Rev. 01
STANDARDS NA Yes No COMMENTS
Double insulated and three pin plug fitted
Portable Electrical tools/
Mechanical Safegaurds in use
equipments
Correct Tool for correct job
Any damaged hand tool found at site.
Required PPEs being worn
Proper storage and well maintained
In good condition
Fitted with anti-slip footing
Step ladders fully opened and locked while using
Site made ladders properly constructed with
suitable material
Scaffolding frame work Firm Footing
Ladders / Scaffoldings
(Foundation)
Sole and base plate as per standard
Standards supported and secured
Scaffold level and plum
All nuts bolts tightened
Necessary Railing and toe board fitted
Warning signs displayed
Inspection tag available
Necessary Safety Harness is being used
Area around scaffolding barricaded
Use of Safety Shoes, Halmats, Gloves, Belts &
Harnesses
PPEs use
Use of Masks, Goggles , full face sheild if necessary
In good condition and Well maintained
Adequate use of PPE
Loading / Unloading
Is area barricated
Warning Signal given while loading/unloading
Sling in good condition, without damage
Specify the machinary :
Heavy Equipments/ Machinary used
Operator fully trained (Attach Certificate)
Competent Rigger present at site
Good Physical and medical condition of operator
Ground suitable to use for that machine ?
Alarms, hooters in working condition
Page 02/03 SEC- DSR/ 59/2 - Rev. 01
STANDARDS NA Yes No COMMENTS
Pre job inspection for hydraulic system done
Pre job inspection for electrical (Operation
Control and Selector Swiches) system done
Angle Indicator, Pressure Guage, Boom Stop,
LRI in working condition
Outriggers , Jack Cylinders condition
Tyre pressure, Deisel Level, Battary Level,
Engine Oil, Radiator Water inspected
Any Oil leakage
Boom Hoist and Load Hoist wire in good condition
Wintch Motor, Cluch, Brakes in working condition
Wire Rope, Hook block condition
Goal Posts, Hazard Signs, Traffic Signs installed
Any incident happened on site
Nature of Incident Minor Moderate Major
Brief description of Incident
Incident / Near Miss
Time
Immediate Corrective Action taken :
No. of injured persons First Aid at site / Hospitalized
Machinary Damaged
No. of Hours work
Machinary Repared at site / Replaced with other
stopped
Accident Reported to SEC Safety Engineer
Accident Report submitted to SEC
Comments :
By :
Signature of Site Safety Supervisor (Contractor) :__________________________________
Signature of Site Engineer (Contractor) :__________________________________
Attachments:
*Attendence Sheet
*Certificates of HE Operator
* 2-3 Site Pictures
Page 03/03 SEC- DSR/ 59/3 - Rev. 01
SITE INSTRUCTION
REPLACEMENT OF EXISTING OUTDOOR UTHMANIYAH P/P 115KV
Project Title:
WITH NEW GIS SUBSTATION
LARSEN AND TOUBRO
Contractor: SAUDI ARABIA LLC
Contract No.: 4400012370
Instruction No. : 1 Date & Day : 3/7/2020 / Friday
Title: SAFETY VIOLATION
Violation Description :
Attention Project Manager Mr. Ivan.
This is to inform you that concrete pouring was unable to complete
before 12:00 Pm due to poor supply of concrete from HACO
supplier.as you are aware that Saudi Arabia's Ministry of Human
Resources and Social Development announced that there is a ban to
work under the sun — from 12 p.m. to 3 p.m. — for three months
starting from 15th june to 15th september stipulates that it is not
permissible to make an employee work in the open under direct
sunlight.
The ministry decision aims to
preserve the safety and health of workers and employees in the private
sector and is in line with its commitment to provide them a healthy
and safe work environment and spare them from any risks and harm as
part of the safety and occupational health considerations.
Issued By : Site Engineer/ PD/ E -PD/H SYED MUNAWAR ALI
Received By: Site Engineer/ Safety Engineer. (Contractor)
Confirmed By: Project Manager (Contractor)*
Concurred By: Transmission Engr./Specialist , PD/ ______
* Note : The contractor confirms that this site instruction doest not involve adjustment in the Contract Sum or
extension of the contract milestones and NOR inconsistent with the intent of the Contract Documents.
SEC/SIF/101- Rev 0.0
