CONTRACTOR’S NAME RISK ASSESSMENT CHECKLIST CONTRACT XXXX CONSTRUCTION OF ….. Subcontractor: Name of supervisor: Date: S/n 1 a. b. c. Description General Info Work Activity: e.g. Construction of Skin Wall at B2 Concourse Risk Register Reference Number: e.g. TKSS/GQ/RA/002 Number of workers: 22 2. Pre-work Checks a. b. Is RA up to date (to state latest review date) I have confirmed that ALL workers have been briefed on RA and SWP. (Worker who is not briefed shall not be allowed to commence work) I have confirmed that ALL workers have been trained to perform the work activity and able to perform the job assigned to them. (Worker who is not trained shall not be allowed to commence work) I have checked the PPEs of the workers and they are in good working conditions. I have checked the required tools and equipment (including machine guards) to be used by the workers and they are in good working conditions. New worker has been paired with an experienced worker. (New worker without experienced buddy shall not be allowed to commence work) List of Critical Risk and Mitigating Measures from Risk Register c. d. e. d. 3. a. b. c. Activity: e.g. access and work on scaffold platforms above 3m Hazards: e.g. slip and fall, tools drop from height Safety Provisions Required: check scaffold tag, no materials left on scaffold, lanyard for hand tools Activity: e.g. mixing of cement grout Hazards: e.g. exposure to cement dust, hand injury while using handheld mixer, electrical shock Safety Provisions Required: e.g. respiratory protection, hand tools at 110V and checked by LEW, proper mixing tank for grout mixing Activity: e.g. drilling of CBP walls for planting of starter rebars Hazards: e.g. electrical shock, hand injury cause by sudden twist of hand drill when drill bit gets jammed (Yes/No) If No, pls provide details Yes, dated 12 Oct 2022 e.g. No, 1 new worker (Amir Josei) joined today, removed from team for follow up briefing Yes Yes Yes Yes Perform at least 3 checks per shift e.g. @11am found materials left by others on scaffold, main-con informed to clear @3.30pm – work in order @6pm – work in order e.g. @10am workers reminded to dispose empty cement bags that were left scattered @2.30pm – work in order @ 5.30pm – work in order e.g. @9am – work in order @2.00m – worker using wrong drill for the work (without ATC), tool has been removed, to reinforce in tomorrow’s tbm 1 CONTRACTOR’S NAME RISK ASSESSMENT CHECKLIST Safety Provisions Required: e.g. electrical handheld tools inspected by LEW, drill equipped with ATC (Active Torque Control) d. e…. 4. a. b. c. d. e. Activity: Hazards: Safety Provisions Required: add on where necessary End of Shift Review I have checked and ensure All workers have left the work areas. (Supervisor shall ensure last worker has left the work area before completing this checklist) Are there any deviations from RA and SWP observed today? Are there any new hazards observed or reported by workers today? Is there any incident/accident during the works? Are the current controls and measures adequate for work to continue? CONTRACT XXXX CONSTRUCTION OF ….. @ 5.30pm – work in order Yes No Yes, refer to observation and action No Yes, refer to observation and action 2 CONTRACTOR’S NAME RISK ASSESSMENT CHECKLIST CONTRACT XXXX CONSTRUCTION OF ….. OBSERVATION & ACTION REQUIRED Observation Action Required 1. Worker feedback some rungs of the vertical ladders on the scaffold work platform were partly blocked by horizontal guardrails of scaffold and could result in slip and fall. 1. Spoken to main-con’s WSHO Tan and have arrange for a joint inspection of the affected ladders with their scaffold contractor tomorrow morning. 2. This hazard would be included into RA and SWP, our WSH Coordinator Muthusamy has been informed to update the documents. 3. Workers would be reminded on this new hazard at tomorrow’s toolbox meeting. 2. Worker used an electrical hand drill without ATC 1. Need to identify and label hand drills used for RC works so that workers use the correct tool. 2. WSH Coordinator Muthusamy to update the equipment list and label the hand drills for RC works. 3. Workers would be reminded on this finding at tomorrow’s toolbox meeting. This Checklist shall be attached to the daily toolbox meeting record and file on site. Name and Signature of Supervisor Date 3