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Welfare Inspection

The document is a Site Welfare Facilities Inspection form used for monthly inspections of project sites. It includes a checklist of various welfare facility aspects such as cleanliness, availability of water, and sanitation facilities, along with space for remarks and actions. The form is standardized and any changes must be communicated to corporate HSE.

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31 views1 page

Welfare Inspection

The document is a Site Welfare Facilities Inspection form used for monthly inspections of project sites. It includes a checklist of various welfare facility aspects such as cleanliness, availability of water, and sanitation facilities, along with space for remarks and actions. The form is standardized and any changes must be communicated to corporate HSE.

Uploaded by

bs4058108
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Doc. No.

HSEMS/FORM/076
SITE WELFARE FACILITIES INSPECTION Rev. No. 2
Rev. Date 02.07.20

Name of Project Site: Inspection Frequency: Monthly

Job No. of Project Site: Inspection Date:

Company / Contractor Name: Location:

Yes / No / NA /
S.N. Check Points Remarks / Actions
OK / Not OK
1 Availability

2 Cleanliness

3 Labour Shed Light (24 Hr. Provision)

4 Fan / Ventilation

5 Seating arrangement

6 Total Nos. of Urinals

7 White Washed,Painted

8 Water Availability

9 Cleanliness
Urinals
10 Disinfection

11 No leaks from pipes, fitting, tap

12 Urinal not damaged

13 Soap for cleaning hands

14 Total Nos. of Lavatories

15 White Washed,Painted

16 Water Availability

17 Cleanliness
Lavatory
18 Disinfection

19 No leaks from pipes, fitting, tap

20 Toilet seat not damaged

21 Soap for cleaning hands

22 Total Nos. of Potable Drinking Water Tanks Provided

23 Cleanliness of water tank, maintain in log book/display

24 No water logging/wet muddy area


Potable Drinking Water
25 Tested as per IS 10500 standard

26 Cold water or lemon water provided during hot season

27 Adequate numbers of Bins

28 Garbage & Rubbish Bins color coded/identified

29 Disposal Food waste bins with Lid

30 System of disposing from Site

31 Availability

32 Cleanliness
Drainage System
33 No leaks

34 Covering (If required)

35 Sweeper Availability

36 Electrical System:

37 HSE Posters:

38 Other:-
39 Other:-
40 Other:-
Sign Sign

Inspected By : Name Approved By (If Required) : Name

Designation Designation

This format is prepared by corporate HSE. Sites are not authorized to make any change in this format. If any change is required, it shall be informed to
Note:
corporate HSE.

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