Main Contractor Co
LOGO
Company Name
Project Number:
Client Logo
Client:
HSE OBSERVATION REPORT
Date & Time of
Inspection:
Project :
Report
Number:
Consultant
Main Contractor
Inspected By:
Categories Checked:
1. Working practice
4. Fire precautions
7. Electricity
10. Working at height
13. Permit systems
Hazard observations:
Sr.
Description of hazard
No
1
2
Observed water filters damaged
condition. Need an immediate
replacement to ensure water safety.
Water coolers are not working. No cool
water available for workers at site.
Accompanied by:
2.
5.
8.
11.
14.
Photos
Health & welfare
House keeping
Plant/Machinery
Signage/notice board
Trainings
3.
6.
9.
12.
15.
Risk Rating
H
M
L
First aid
PPE
Access/Egress
Hazardous substances
Environmental
Action required
Responsibility
Replace the water filters on monthly once
and provide filters inspection tag.
Company Name
Provide cool water for workers and
improve welfare facilities.
Company Name
Health & Safety Management System
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Main Contractor Co
LOGO
3
Company Name
Project Number:
Unsafe work practises by workers at
work place
Client Logo
Client:
Provide training for workers about safe
work methods with abrasive machines.
Unsafe practices while working with
tiles cutting machine.
4
Unsafe scaffolding observed at site.
Absence of guard rails , ladder access,
wooden boards and supports observed.
Provide guard rails, ladder and extender
supports for scaffolding.
Risk of scaffold or collapse leading to
major injury.
5
Poor housekeeping at spa floor and
Ground floor areas.
Ensure good housekeeping on staircases
and access ways of the building.
 Risk of slip-trip-falls causing
personal injury and fire risk
Health & Safety Management System
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Main Contractor Co
LOGO
Company Name
Project Number:
Client Logo
Client:
Action Plan:
Sr.No
Description of required action
Responsibility
Target Date
Closing date
Status
(Closed/Open)
1
Replace the soiled water filters
Immediate
Immediate
Closed
2
Provide cool water for workers and ensure welfare
facilities.
10-11-2019
10-11-2019
Closed
3
Provide training for workers about safe work methods
with abrasive machines.
11-11-2019
11-11-2019
Closed
4
Provide guard rails, ladder and supports for scaffolding.
11-11-2019
5
Ensure good housekeeping on staircases and access ways
of the building.
12-11-2019
Close out By Site Execution :
Open
12-11-2019
Closed
Noted By HSE Department
Name:
Name:
Designation:
Designation:
Signature:
Signature:
Follow up: At a later date please attach the communication evidence & agreed solution for the rectification of non conformity.
Reviewed By HSE Manger
Name
Signature:
Date:
Comments:
Health & Safety Management System
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