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SITE SAFETY AUDIT CHECKLISTS

i) Checklist for Safety Quality Record

ii) Checklist for Building Works

iii) Checklist for Metal Scaffolding Works

iv) Checklist for Mast Climbing Workplatform

v) Checklist for Civil Engineering Works

vi) Checklist for Suspended Scaffolding Works (Gondola)


2/24

CHECKLIST FOR SAFETY QUALITY RECORD

Contractor :

Contract Name : Blk Nos. :

Contract No : Date :

Type of Work : Time :

Safety Inspection No. :

REPORT
S/N ITEMS OF VISIT REMARKS

PERMIT

1) Registration of Factory with Ministry of ManPower


(MOM)

LICENCE

1) Licence to operate and use electrical or supply


installation

SAFETY MANAGEMENT

1) Safety and Health Management System (SHMS)/Safety


Programme submission

2) SHMS/Safety Programme approval by Consultant

3) Monthly safety report/auditing report by


WSHO/site safety supervisor

ACTS AND REGULATION

1) A copy of Workplace Safety and Health(WSH) Act

2) A copy of WSH(Construction) Regulations

RECORDS

1) Personal Protective Equipment


3/24

REPORT
S/N ITEMS OF VISIT REMARKS

RECORDS (cont'd)

2) Supervisors' Safety Course /


Workers' Safety Orientation Course Certificate

3) Authorised operator for machinery

FIRST AID

1) List of first aid items and its medical supplies

2) Name of first aider and their certificates

MOBILE CRANE

1) Submission for safe use of mobile crane

2) Approval for use of mobile crane by Consultant

3) 6-monthly checklist and certificate for testing and


inspection by Approved Examiner(AE)

4) Weekly checking of crane access by site


engineer/supervisor

5) 3-monthly checklist for maintenance by


mechanic

6) Daily checking by operator

TOWER CRANE

1) Submission for safe use of Tower Crane

2) Approval for use of Tower Crane by Consultant

3) 6-monthly checklist and certificate for testing and


inspection by Approved Examiner(AE)

4) 3-monthly checklist for maintenance by mechanic

5) Daily checking by operator


4/24

REPORT
S/N ITEMS OF VISIT REMARKS

METAL SCAFFOLD

1) Submission for erection of metal scaffold

2) Approval for erection of metal scaffold by Consultant

3) Weekly scaffold register by scaffold supervisor

4) 3-monthly checking by Professional Engineer


(PE) (Civil) or his engineers

5) Submission for dismantling of metal scaffold

6) Approval for dismantling of metal scaffold by Consultant

PASSENGER-CUM-MATERIAL HOIST (P/M)

1) Submission for safe use of P/M hoist

2) Approval for use of P/M Hoist by Consultant

3) 3-monthly checklist and certificate for testing and


inspection by Approved Examiner(AE)

4) 3-monthly checklist for maintenance by mechanic

5) Daily checking by operator

MAST CLIMBING WORKPLATFORM

1) Submission for safe use of workplatform

2) Approval for use of workplatform by Consultant

3) 6-monthly certificate for testing and


inspection by Approved Examiner(AE)
5/24

REPORT
S/N ITEMS OF VISIT REMARKS

MAST CLIMBING WORKPLATFORM (cont'd)

4) Weekly workplatform register by workplatform


supervisor

5) Monthly checking by PE (Civil) or his engineers

SUSPENDED SCAFFOLD (GONDOLA)

1) Submission for safe use of gondola

2) Approval for use of gondola by Consultant

3) 6-monthly certificate for


testing and inspection by Approved Examiner(AE)

4) Weekly checking by gondola supervisor

5) Monthly checking by PE (Civil) or his engineers

SUBMISSION AND APPROVAL FOR TEMPORARY


STRUCTURES BY CONSULTANT

1) Workers' quarter

2) Hoarding

3) Entry/exit overhead shelter

4) Refuse chute

5) Material receiving platform

6) Metal staircase to construction level

7) Lightweight panels transporting cart

8) Concrete batching plant


6/24

REPORT
S/N ITEMS OF VISIT REMARKS

OTHERS

1)

2)

3)

* _/ = Satisfactory/Yes X = Not provided/Not satisfactory/Inadequate/No


NA = Not Applicable - = Briefing Remark/Advice

INSPECTED BY

NAME
INITIAL/DATE

Copy To:

OFFICERS INITIAL/DATE REMARK


i)
ii)
Action Taken Stop/Warn/Admin/Lifting on ______________/Nil

*CONSULTANTS /OTHERS : ________________

NAME INITIAL/DATE REMARK


i) CONSULTANT'S SO: - For your follow-up action.
ii) CONSULTANT'S SS: - For your action/filing.

CONTRACTOR - For immediate rectification.

* Delete whichever is applicable


7/24

CHECKLIST FOR BUILDING WORK

Contractor :

Contract Name : Blk Nos :

Contract No : Date :

Type of Work : Time :

Safety Inspection No. :

REPORT
S/N ITEMS BLK STY OF VISIT REMARKS

1) Personal Protective Equipment worn by


workers/site staff

2) Barricade to open sides of buildings/


excavation

3) Barricade to lift openings

4) Passenger cum material hoist

a) Swing metal gates


b) Hoist landing/shelter
8/24

REPORT
S/N ITEMS BLK STY OF VISIT REMARKS

5) Closely decked continuous working


platform with toe boards at top most
level. (NA for this checklist if the
checklist for metal scaffold is used)

6) a) Platforms at alternate storey in lift


shafts

b) Platforms at alternate storey in central refuse


chutes

7) Peripheral Overhead Shelter provided.


(NA for this checklist if the checklist
for metal scaffold is used)

8) Overhead shelters to exit and entry points


of building

9) Overhead shelter to exit/entry point of


passenger/material hoist

10) Temporary Refuse Chute provided

11) Metal staircase to construction levels


provided

12) Sound cover to central refuse chute top


opening provided

13) Safety Information Board and Assembly


Stage/Safety Notice Board provided
9/24

REPORT
S/N ITEMS BLK STY OF VISIT REMARKS

14) AUTHORISED PERSONS


a) Passenger/Material hoists operated
by authorised person
b) Vehicles driven by authorised person

c) Machinery operated by authorised person


d) Mobile/Tower crane operated by
authorised person

15) UNSAFE ACTS


a) Workers not pillioning on dumpers
b) Workers not pillioning on excavator
c) No unsafe work procedures
d) No unsafe act of workers

16) OTHERS

* _/ = Satisfactory/Yes X = Not provided/Not satisfactory/Inadequate/No


NA = Not Applicable - = Briefing Remark/Advice

INSPECTED BY

NAME
INITIAL/DATE

Copy To:

OFFICERS INITIAL/DATE REMARK


i)
ii)
Action Taken Stop/Warn/Admin/Lifting on ______________/Nil

*CONSULTANT/Other* :

NAME INITIAL/DATE REMARK


i) CONSULTANT'S SO: - For your follow-up action
ii) CONSULTANT'S SS: - For your action/filing

CONTRACTOR - For immediate rectification.

* Delete whichever is applicable


CHECKLIST FOR METAL SCAFFOLDING WORK

Contractor :

Contract Name : Blk Nos. :

Contract No : Date :

Type of Work : Time :

Safety Inspection No. :

REPORT
S/N ITEMS BLK OF VISIT REMARKS

1) FOUNDATIONS

a) Scaffold erected on firm ground


b) Scaffold not endangered by open
excavation

2) SOLEPLATES

Proper soleplates used

3) BASEPLATES
Proper baseplates fitted to all standards or
legs of scaffold

4) FOOT - TIES
Foot-ties fitted to both inner and outer
standards

5) ALIGNMENT OF SCAFFOLD
COMPONENTS

a) Standards or Frames vertical


b) Ledgers and transoms levelled
REPORT
S/N ITEMS BLK OF VISIT REMARKS

6) TORSION CABLE
Tensioned torsion cable at every
cantilever bracket and C-channel

7) TUBES AND FITTINGS


a) Ledgers connected to standards with
right angle couplers
b) Transoms connected to the standards
with right-angle couplers
c) End to end connections in members
staggered in adjacent bays and
adjacent pairs

8) FRAMES
a) Standards connected end to end with
either sleeve couplers or joint pins

b) Armlocks installed at all vertical joints


between frames
c) Cross bracings are fitted and connected
to frames

9) Scaffolds erected one lift above the


top most level (Not applicable for
mechanised formwork system)

10) TIE BACK


a) At every 2 lifts or at every floor starting
from base
b) Spaced not more than 3 bays or 7.5
metres apart whichever is lesser
c) Spaced no further than one bay from
ends in a staggered manner

d) To every standard above the level of


the peripheral overhead shelter
e) Effective temporary tie immediately
below top most level

11) HORIZONTAL BRACINGS OR 'LACING'


At every 5 lifts of frame, tube or modular
scaffold to both inner and outer standards

12) DEBRIS NET


Debris screening net erected to prevent
particles and debris dislodged from the
scaffold
REPORT
S/N ITEMS BLK OF VISIT REMARKS

13) LADDER
Ladders are securely attached to the
scaffold for access

14) SCAFFOLD COMPONENT MATERIAL


a) Scaffold components and fittings
showing no signs of deterioration

b) All fittings are tight and undamaged

15) BRACING for TUBE or MODULAR SCAFFOLD


a) Diagonal bracings connected either to
projecting transoms with right-angle
couplers or to the standards with swivel
couplers
b) Ledger bracings connected to the
ledgers with right-angle couplers or to the
standards with swivel couplers

c) Ledger/diagonal bracings connected


end to end using either sleeve couplers
or joint-pins

16) Guardrails are fitted and connected to


standards

17) WORKING PLATFORM (BELOW TOP MOST LEVEL)


Closely decked continuous working
platform with toeboards immediately below
top most level (Minimum width 635mm)

18) WORKING PLATFORM (AT EVERY ALTERNATE LIFT)


a) Closely decked continuous working
platform with toeboards at every alternate lift of
metal scaffold
b) WORKING PLATFORM (ISOLATED)
Closely decked isolated working
platform with toeboards and guardrail.
c) WORKING PLATFORM (SIZE)
For timber and metal deckings, the
plank used shall be at least 200mm wide
and 38mm thick and it is not projecting
beyond its end support by more than 4
times its thickness
d) METAL DECKING
Metal deckings are held down securely
to prevent uplift and cantilever effects

19) PERIPHERAL OVERHEAD SHELTER


Continuous peripheral overhead shelter
provided not endangered by moving
machinery
REPORT
S/N ITEMS BLK OF VISIT REMARKS

20) PROFESSIONAL ENGINEER'S DRAWING

Scaffolds are erected strictly in


accordance with the Professional
Engineer's design and drawings

21) SCAFFOLD DISMANTLING/ERECTION

a) WARNING SIGNBOARDS
Warning signboards stating "Caution. Do
not use the scaffold." in 4 official
languages placed at strategic locations

b) TIE BACKS

Tie backs are not released in advance of


scaffold dismantling

c) BARRICADES

Barricades erected to restrict access to the


scaffold

22) DISMANTLED SCAFFOLD COMPONENTS

Dismantled scaffold components brought


to the ground by a safe method

23) QUALIFIED SCAFFOLD SUPERVISOR

Qualified scaffold supervisor supervises the


scaffold erection/dismantling operation

24) QUALIFIED SCAFFOLD ERECTORS

Qualified scaffold erectors


erecting/dismantling the scaffold

25) SAFETY HARNESS AND LIFELINES

Safety harness and lifelines used by the


scaffold erectors
REPORT
S/N ITEMS BLK OF VISIT REMARKS

OTHERS

26)

* _/ = Satisfactory/Yes X = Not provided/Not satisfactory/Inadequate/No


NA = Not Applicable - = Briefing Remark/Advice

INSPECTED BY

NAME
INITIAL/DATE

Copy To:

OFFICERS INITIAL/DATE REMARK


i)
ii)
Action Taken Stop/Warn/Admin/Lifting on ______________/Nil

*CONSULTANT/Other : _________________

NAME INITIAL/DATE REMARK


i) CONSULTANT'S SO: - For your follow-up action.
ii) CONSULTANT'S SS: - For your action/filing.

CONTRACTOR - For immediate rectification.

* Delete whichever is applicable


CHECKLIST FOR MAST CLIMBING WORKPLATFORM

Contractor

Site Blk No. :

Contract No Date :

Type of Work Time :

Safety Inspection No.

REPORT
S/N ITEMS BLK OF VISIT REMARKS

1) Adequate warning signs placed


conspicuously at strategic locations

2) Effective barricades at ground level

3) ELCB provided at the distribution control


panel and a proper cover to the fuse box

4) Safety devices are in good working


condition

5) The tiebacks system erected


according to PE's drawing

6) The masts stands on level and firm ground


REPORT
S/N ITEMS BLK OF VISIT REMARKS

7) All out-riggers are fully extended and


properly supported

8) No unauthorised extension of workplatform

9) Guardrails of the workplatform overlaid with


fine screening debris net

10) Metal staircase provided and securely


attached to workplatform

11) Load evenly distributed inside the


workplatform

12) No obstruction to the operating pathway


of the workplatform

13) Workplatforms are lowered to the


base/ground level when not in use

14) Electrical cables in the drum

15) Electrical cables and plugs are


not damaged

16) Safe working load and max. no. of operators


(not more than 3 persons for single mast and
5 persons for twin masts) are prominently
displayed at the side of the workplatform
REPORT
S/N ITEMS BLK OF VISIT REMARKS

17) No overloading of workplatform

18) Erection/Dismantling of workplatform

a) Workplatform supervisor supervises tne work

b) Mast tieback directly below the workplatform installed


prior to erection/not released prior
to dismantling

c) Connections between masts properly secured


before operating the workplatform

19) Personal Protective Equipment

a) Workers/Riggers anchor safety belt


to independent lifeline
b) Safety helmet worn by workers/riggers

20) Housekeeping

OTHERS

21)

* _/ = Satisfactory/Yes X = Not provided/Not satisfactory/Inadequate/No


NA = Not Applicable - = Briefing Remark/Advice

INSPECTED BY
NAME
INITIAL/DATE

Copy To:

OFFICERS Initial/Date REMARK


i)
ii)
Action Taken *Stop/Warn/Admin/Lifting on _______/Nil

*CONSULTANT /Other :

NAME INITIAL/DATE REMARK


i) CONSULTANT'S SO: - For your follow-up action.
ii) CONSULTANT'S SS: - For your action/filing.

CONTRACTOR

* Delete whichever is applicable


CHECKLIST FOR SUSPENDED SCAFFOLDING WORK (GONDOLA)

Contractor :

Site : Blk No. :

Contract No : Date :

Type of Work : Time :

Safety Inspection No. :

REPORT
S/N ITEMS BLK OF VISIT REMARKS

1) Valid Certificate of lifting machine


by Approved Examiner(AE)

2) Protective hoardings/barricading
at ground floor.

3) Warning signboards placed


at strategic locations

4) ELCB provided at the distribution


control panel

5) Proper cover to Fuse box

6) Four wire ropes provided for


each cradle (min. 8mm ø)
REPORT
S/N ITEMS BLK OF VISIT REMARKS

7) Wire ropes free from defects and


properly tensioned

8) Safety wire ropes independently


anchored to a permanent structure

9) Brackets properly clamped


to roof structures

10) Brackets used according to PE's


drawings

11) Hooks & Angle Brackets are properly


secured in position by wire ropes
according to PE's drawing.

12) Fist' grips/'U' shackles/'Bull Dog'


grips used to fasten the joint of
wire ropes

13) Wire ropes protected from


direct contact with existing
structure
REPORT
S/N ITEMS BLK OF VISIT REMARKS

14) Wire ropes for "tie backs" of the


anchorage system used according to
PE's drawings

15) Safe working load and maximum


allowable no. of operators (not more
than 3) prominently specified at the
cradle side

16) Out-riggers spaced not more


than 3.2m apart

17) Personal Protective Equipment:

a) Workers/Riggers anchor
safety harness to independent
lifeline

b) Safety helmet worn by


workers/riggers

OTHERS

18)
* _/ = Satisfactory/Yes X = Not provided/Not satisfactory/Inadequate/No
NA = Not Applicable - = Briefing Remark/Advice

INSPECTED BY
NAME
INITIAL/DATE

Copy To:

OFFICERS INITIAL/DATE REMARK


i)
ii)
Action Taken Stop/Warn/Admin/Lifting on ______________/Nil

* CONSULTANT/Other :

NAME INITIAL/DATE REMARK


i) CONSULTANT'S SO: - For your follow-up action.
ii) CONSULTANT'S SS: - For your action/filing.

CONTRACTOR - For immediate rectification.

* Delete whichever is applicable


22/24

CHECKLIST FOR CIVIL ENGINEERING WORK

Contractor :

Contract Name : __________________________________________________________


Contract No : Date :

Type of Work : Time :

Safety Inspection No. :

REPORT
S/N ITEMS OF VISIT REMARKS

1) Personal Protective Equipment Record

2) Namelist of authoried operators to operate machinery


vehicles

3) First Aid Box with adequate medical supplies

4) Adequate warning signboards placed and conspicuously


at strategic locations

5) Route conversion signboards for public information and


convenience ( where piblic access is affected)

6) Blinker lights to trenches/works to existing road

7) Shoring to excavated trenches more than 1.5m deep

8) Shoring to excavated trench more than 4m deep


constructed according to PE's design and drawings
23/24

REPORT
S/N ITEMS OF VISIT REMARKS

9) Open sides of excavation are guarded by adequate


and effective barricades ( min 1.1m height)

10) Temporary access with railing properly secured over


trenches

11) Ladders,stairways or ramps provided in trenches of more


than 1.2m depth

12) Materials kept away from the edges of trenches


( at least 610mm away from the trench)

13) Safety cover across road opening /over drain opening

14) Overhead protection for workers working in the manholes


near buildings under construction

15) Tunnel constructed according to PE's design and drawings

16) Approved ventiliation system provided in tunnel in


accordance to PE's design and drawings

17) Flash back Arrestor or fitted to regulator and blowpipe of


gas cyclinder

18) Personal Protective Equipment worn by workers/site staff

19) Vehicles/machinery operated by authorised persons

20) Housekeeping
24/24

REPORT
S/N ITEMS OF VISIT REMARKS

OTHERS

21)

* _/ = Satisfactory/Yes X = Not provided/Not satisfactory/Inadequate/No


NA = Not Applicable - = Briefing Remark/Advice

INSPECTED BY

NAME
INITIAL/DATE

Copy To:

OFFICERS INITIAL/DATE REMARK


i)
ii)
Action Taken Stop/Warn/Admin/Lifting on ______________/Nil

*CONSULTANT/OTHERS* : ________________

NAME INITIAL/DATE REMARK


i) CONSULTANT 'S SO: - For your follow-up action.
ii) CONSULTANT'S SS: - For your action/filing.

CONTRACTOR - For immediate rectification.

* Delete whichever is applicable

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