Daily Observation Sheet

MS Parivartan – GOREGAON
Name:
Category: - 1. Housekeeping 2. Unsafe practice 3. Unsafe condition 4. PPE's 5. Fire 6. Height/Scaffold
7. Slip, Trip & Fall 8. Emergency equipment /Signages 9. Tools &
Date: Equipment 10. Electrical 11. Hygiene/ Welfare 12. Others
Sr Informed
No
Location Observation Category Rectification to
Status
Sr Informed
No
Location Observation Category Rectification to
Status
Sr Informed
No
Location Observation Category Rectification to
Status
P = Checked and OK O = Checked and needs rectification N/A = Not applicable to or present on this project
Por O Por O
Item Item
or N/A or N/A
1. Access – Clear / Designated / Signage 27. Manual Handling - Trolleys / mechanical aids

2. Amenities – Clean / Adequate 28. Penetrations - covers secured / barricaded

3. Certificates of competency / Licenses / Tickets 29. Plant – Inspection / Maintenance / Guarding / Logbook
30. PPE - Hard hat / boots / hearing protection / goggles / hi-vis
4. Confined Space – Training / Entry Permit / Retrieval vests
5. Consultation – Method / frequency / statement 31. SWMS – Signed / compliance checks undertaken

6. Dangerous Goods stored in secure ventilated area. 32. Training of employees - Records

7. Demolition - Licensing / Services / Felling methodology 33. Traffic control - Signage / ticketed controller

8. Drinking water – Locations / Adequate 34. Ventilation - Adequate

9. Electrical equipment - Tagged / Residual Current Device 35. Visitors register – Up to date

10. Temporary DB’s - Secure / lockable lid / RCD / tested and tagged 36. Work Platforms - complete / duty rating

11. Elevated Work Platform - Log book / competency 37. Crane - Logs / Maintenance / Regulatory Authority Registration

12. Emergency evacuation plan - Contact numbers / assembly 38. Excavation - Services / depth / barricades / shoring / access

13. Explosive power tools - Eye & ear protection / signage 39. Formwork - Catch decks / edge protection / engineer sign-off

14. Falling objects – Overhead protection / hoarding / kickboards 40. Handrails / midrails / toeboards / edge protection

15. Fencing - Site security / signage / afterhours emergency contact 41. Hoist – Maintenance / Handover Certificate / logbook
16. Fire Fighting Equipment – Serviced / tagged / signage / location / 42. Moving Plant - Spotter / high visibility vest / separation of
access pedestrians
17. First aid - facilities / location / trained personnel 43. Noise levels - testing

18. First aid treatment - Recording / monthly reporting 44. Plant – Licensed operators / Regulatory Authority Registration

19. Hazardous Substances – location / storage 45. Reinforcing - Starters Protected / bar caps

20. Hazardous Substances Register - Risk Assessment / MSDS 46. Rigging and control of loads - wind / tag line / communications
47. Safety harness - Approved anchors / condition / training / rescue
21. Hot work - Permit / flashback arresters / FFE / clothing / PPE plan
48. Scaffolding - Complete / handover certificate / bracing / ladder
22. Housekeeping - Rubbish removal / clear access access
23. Ladders – Condition / use / tied off / industrial rated 49. Tilt-up or precast-bracing / engineering certification

24. Lasers - Warning signage 50. UV – Sunscreen / Clothing

25. Lift penetrations caged Other

26. Lighting – Adequate / Emergency back-up (if required)