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SHOW GEOLOCATION
Reference Form

Site Location

Work Location

EHS INSPECTION REPORT
Project

MT SOPHIA

Inspection Date

Inspected by (Name)
subcon

Designation
Supervisor

1.0 Environment of Premises
1.1 Are hoardings properly constructed and maintained?
 Yes
 No
 NA
Remarks (Action By / Location)       

1.2 Are adequate warning signs and notices displayed along roadside and boundary of work premises?
 Yes
 No
 NA
Remarks (Action By / Location)       

1.3 Are working premises taken care of against any nuisance in terms of safety, health and environmental?
 Yes
 No
 NA
Remarks (Action By / Location)       

1.4 Is access / passageway clear of obstruction?
 Yes
 No
 NA
Remarks (Action By / Location)       

2.0 Excavation Works
2.1 Are effective barricades provided?
 Yes
 No
 NA
Remarks (Action By / Location)       

2.2 Are warning signs prominently displayed?
 Yes
 No
 NA
Remarks (Action By / Location)       

2.3 Is shoring provided for depth more than 1.5m?
 Yes
 No
 NA
Remarks (Action By / Location)       

2.4 Is shoring constructed in accordance to PE design for more than 4m depth excavation?
 Yes
 No
 NA
Remarks (Action By / Location)       

2.5 Is proper access and egress ladder with handrails provided?
 Yes
 No
 NA
Remarks (Action By / Location)       

2.6 Is underground services detection carried out by Licensed Cable Detector workers?
 Yes
 No
 NA
Remarks (Action By / Location)       

2.7 Are materials stored at least 600mm away from edge of trenches / excavation?
 Yes
 No
 NA
Remarks (Action By / Location)       

2.8 Are water pumped out before entry of workers?
 Yes
 No
 NA
Remarks (Action By / Location)       

2.9 Is soil and slope condition inspected before entry and after inclement weather?
 Yes
 No
 NA
Remarks (Action By / Location)       

2.10 Is excavator operator trained and authorized?
 Yes
 No
 NA
Remarks (Action By / Location)       

2.11 Is excavator fitted with light / rotating light and in working condition?
 Yes
 No
 NA
Remarks (Action By / Location)       

2.12 Is excavator approved as lifting equipment?
 Yes
 No
 NA
Remarks (Action By / Location)       

2.13 Are banksman trained and assigned to the excavator?
 Yes
 No
 NA
Remarks (Action By / Location)       

3.0 Lifting Operations
3.1 Are lifting equipment, gears and ancillary gadgets inspected and provided with valid certificates?
 Yes
 No
 NA
Remarks (Action By / Location)       

3.2 Are cranes and machineries (tower, crawler, mobile, piling & lorry) in good working condition and provided with valid certificates?
 Yes
 No
 NA
Remarks (Action By / Location)       

3.3 Is colour code correct for the month and expired / damaged lifting gears / equipment coded red?
 Yes
 No
 NA
Remarks (Action By / Location)       

3.4 Is lifting zone defined and barricaded or cordoned off with warning signages?
 Yes
 No
 NA
Remarks (Action By / Location)       

3.5 Is lifting team deployed for the lifting operation? (Lifting Supervisor, Rigger / Signalman)
 Yes
 No
 NA
Remarks (Action By / Location)       

3.6 Is safe working load defined for the lifting machine / equipment and the load?
 Yes
 No
 NA
Remarks (Action By / Location)       

3.7 Are loose materials contained in lifting buckets and protected with lifting nets?
 Yes
 No
 NA
Remarks (Action By / Location)       

3.8 Is crane access constructed according to the Professional Engineer design?
 Yes
 No
 NA
Remarks (Action By / Location)       

3.9 Is crane access provided with steel plates?
 Yes
 No
 NA
Remarks (Action By / Location)       

3.10 Is crane’s log card available and updated daily?
 Yes
 No
 NA
Remarks (Action By / Location)       

3.11 Is tag line used to guide the movement of the load?
 Yes
 No
 NA
Remarks (Action By / Location)       

4.0 Electrical Works
4.1 Is Licensed Electrical Worker conducting monthly checks on the electrical tools / equipment?
 Yes
 No
 NA
Remarks (Action By / Location)       

4.2 Is colour code correct for the month and damaged equipment coded red?
 Yes
 No
 NA
Remarks (Action By / Location)       

4.3 Are distribution boards without tampering and locked at all times?
 Yes
 No
 NA
Remarks (Action By / Location)       

4.4 Are all socket-outlet assembly and plugs of the approved industrial type and in good condition?
 Yes
 No
 NA
Remarks (Action By / Location)       

4.5 Is electrical wiring properly connected without illegal tapping?
 Yes
 No
 NA
Remarks (Action By / Location)       

4.6 Are cables properly insulated, protected and suspended above ground?
 Yes
 No
 NA
Remarks (Action By / Location)       

4.7 Are workers trained to operate the electrical tool?
 Yes
 No
 NA
Remarks (Action By / Location)       

4.8 Is proper working bench provided?
 Yes
 No
 NA
Remarks (Action By / Location)       

4.9 Are photo and contact number of authorised worker handling and maintaining the generator set displayed?
 Yes
 No
 NA
Remarks (Action By / Location)       

5.0 Mechanical Works
5.1 Are machinery guards / shields provided for moving parts?
 Yes
 No
 NA
Remarks (Action By / Location)       

5.2 Are locking devices or handles (as appropriate) provided?
 Yes
 No
 NA
Remarks (Action By / Location)       

5.3 Is clamping device or safe technique of holding down work piece provided?
 Yes
 No
 NA
Remarks (Action By / Location)       

5.4 Is drip tray provided for machinery?
 Yes
 No
 NA
Remarks (Action By / Location)       

5.5 Are workers trained in the operation of the machinery?
 Yes
 No
 NA
Remarks (Action By / Location)       

5.6 Is housekeeping performed on working platforms of Mobile Elevated Working Platform (MEWP) (eg boom lift / scissor lift)?
 Yes
 No
 NA
Remarks (Action By / Location)       

5.7 Is safe working load indicated and inspection carried out prior to operating MEWP?
 Yes
 No
 NA
Remarks (Action By / Location)       

5.8 Is access provided and without obstruction?
 Yes
 No
 NA
Remarks (Action By / Location)       

6.0 Scaffolding Works
6.1 Is approved scaffold contractor engaged for scaffolds more than 4m?
 Yes
 No
 NA
Remarks (Action By / Location)       

6.2 Are scaffold erectors trained and certified?
 Yes
 No
 NA
Remarks (Action By / Location)       

6.3 Is scaffold supervisor on site to supervise the erection and dismantling works?
 Yes
 No
 NA
Remarks (Action By / Location)       

6.4 Is scaffold erected according to the Professional Engineer design?
 Yes
 No
 NA
Remarks (Action By / Location)       

6.5 Are adequate bracings provided?
 Yes
 No
 NA
Remarks (Action By / Location)       

6.6 Are scaffolding without electrical hazards? (E.g. wiring looped over scaffolding)
 Yes
 No
 NA
Remarks (Action By / Location)       

6.7 Are necessary components (soleplates, base plates, guardrails, access ladders, toeboards, safe working load) provided?
 Yes
 No
 NA
Remarks (Action By / Location)       

6.8 Are tiebacks provided?
 Yes
 No
 NA
Remarks (Action By / Location)       

6.9 Is scaffolding inspected on every 7 days?
 Yes
 No
 NA
Remarks (Action By / Location)       

6.10 Is housekeeping on the working platform carried out?
 Yes
 No
 NA
Remarks (Action By / Location)       

6.11 Is working platform fully decked, secured and closed with toeboards?
 Yes
 No
 NA
Remarks (Action By / Location)       

6.12 Are workers trained to work on scaffoldings?
 Yes
 No
 NA
Remarks (Action By / Location)       

7.0 Hot Works
7.1 Is diesel storage less than 1500 litres?
 Yes
 No
 NA
Remarks (Action By / Location)       

7.2 If diesel storage more than 1500 litres, is Singapore Civil Defence Force license obtained?
 Yes
 No
 NA
Remarks (Action By / Location)       

7.3 Are appropriate warning signs and notices displayed at hot work area and storage area?
 Yes
 No
 NA
Remarks (Action By / Location)       

7.4 Are fire extinguishers provided and in good working condition?
 Yes
 No
 NA
Remarks (Action By / Location)       

7.5 Is fire blanket provided or necessary precaution taken for hot work activity?
 Yes
 No
 NA
Remarks (Action By / Location)       

7.6 Are gas cylinders kept upright and secured?
 Yes
 No
 NA
Remarks (Action By / Location)       

7.7 Are necessary components (flashback arrestor, hoses, appropriate clips, valves and pressure gauges) in good working condition?
 Yes
 No
 NA
Remarks (Action By / Location)       

7.8 Is worker trained in carrying out hot works?
 Yes
 No
 NA
Remarks (Action By / Location)       

7.9 Is welding machine in good working condition and fitted with low voltage shock preventor?
 Yes
 No
 NA
Remarks (Action By / Location)       

7.10 Are connection points inspected for leakages?
 Yes
 No
 NA
Remarks (Action By / Location)       

7.11 Are incompatible works prevented from being carried out in nearby area?
 Yes
 No
 NA
Remarks (Action By / Location)       

8.0 Formwork, Architectural & Structural Works
8.1 Are overhead shelter provided for access and egress of the building?
 Yes
 No
 NA
Remarks (Action By / Location)       

8.2 Are open ends and sides effectively barricaded to prevent falls?
 Yes
 No
 NA
Remarks (Action By / Location)       

8.3 Are warning signs and barricades provided during erection and dismantling of formworks?
 Yes
 No
 NA
Remarks (Action By / Location)       

8.4 Is formwork supervisor on site supervising the erection and dismantling process?
 Yes
 No
 NA
Remarks (Action By / Location)       

8.5 Is housekeeping carried out after formwork dismantling?
 Yes
 No
 NA
Remarks (Action By / Location)       

8.6 Are proper refuse chutes provided for transferring of debris from upper floors?
 Yes
 No
 NA
Remarks (Action By / Location)       

8.7 Are edge of building and openings cleared of materials?
 Yes
 No
 NA
Remarks (Action By / Location)       

8.8 Is material receiving platform constructed according to Professional Engineer design?
 Yes
 No
 NA
Remarks (Action By / Location)       

8.9 Is material catch platform provided and maintained?
 Yes
 No
 NA
Remarks (Action By / Location)       

8.10 Is adequate ventilation provided?
 Yes
 No
 NA
Remarks (Action By / Location)       

8.11 Are means of access and egress defined, provided and maintained unobstructed?
 Yes
 No
 NA
Remarks (Action By / Location)       

8.12 Is concreting carried out safely and orderly manner?
 Yes
 No
 NA
Remarks (Action By / Location)       

8.13 Is proper working platform provided and used for structural and architectural works?
 Yes
 No
 NA
Remarks (Action By / Location)       

9.0 Personal Protective Equipment (PPE)

9.1 Are workers issued and equipped with the necessary PPE (i.e. helmet, safety shoes / boots, chin strap, ear plugs or other PPE stipulated in risk assessment and safe work procedures)?
 Yes
 No
 NA
Remarks (Action By / Location)       

9.2 Are workers utilizing their PPEs when carrying out their work?
 Yes
 No
 NA
Remarks (Action By / Location)       

10.0 Tools and Ladder
10.1 Is ladder secured or buddy system practiced when using ladder?
 Yes
 No
 NA
Remarks (Action By / Location)       

10.2 Is ladder in good working condition without defect?
 Yes
 No
 NA
Remarks (Action By / Location)       

10.3 Is ladder used on level and firm ground?
 Yes
 No
 NA
Remarks (Action By / Location)       

10.4 Are last three steps of ladder prohibited from using?
 Yes
 No
 NA
Remarks (Action By / Location)       

10.5 Are correct hand tools used for the respective works?
 Yes
 No
 NA
Remarks (Action By / Location)       

10.6 Are hand tools in good working condition without defect and tampering?
 Yes
 No
 NA
Remarks (Action By / Location)       

11.0 Tools and Ladder
11.1 Are adequate first aid boxes provided and maintained?
 Yes
 No
 NA
Remarks (Action By / Location)       

11.2 Is housekeeping maintained at all areas? (Eg storage area, exits, offices, reinforcement / fabrication / carpentry yard, etc)
 Yes
 No
 NA
Remarks (Action By / Location)       

11.3 Are materials not on shelving stored / stacked within human height?
 Yes
 No
 NA
Remarks (Action By / Location)       

11.4 Are materials stored on level and firm ground and stacked in an orderly manner?
 Yes
 No
 NA
Remarks (Action By / Location)       

11.5 Are sanitary facilities cleaned and maintained?
 Yes
 No
 NA
Remarks (Action By / Location)       

11.6 Are explosive powered tools operator trained?
 Yes
 No
 NA
Remarks (Action By / Location)       

11.7 Are explosive powered tools registered and certified?
 Yes
 No
 NA
Remarks (Action By / Location)       

11.8 Are explosive powered tools inspected prior to use?
 Yes
 No
 NA
Remarks (Action By / Location)       

11.9 Are chemicals or hazardous substances properly stored and provided with drip tray?
 Yes
 No
 NA
Remarks (Action By / Location)       

11.10 Are chemicals and hazardous substances properly labeled and only appointed personnel are authorised to handle them?
 Yes
 No
 NA
Remarks (Action By / Location)       

11.11 Is safety data sheet provided, easily accessible and communicated to the workers?
 Yes
 No
 NA
Remarks (Action By / Location)       

12.0 Additional Remarks
12.1

12.2

12.3

12.4

12.5

Inspection Photo
1. Please use mobile phone to attach photo

1.      
Remarks       

2.Please use mobile phone to attach photo

2.
Remarks       

3.Please use mobile phone to attach photo

3.
Remarks       

4.Please use mobile phone to attach photo

4.
Remarks       

5.Please use mobile phone to attach photo

5.
Remarks       

Inspection Report Submitted by

subcon 
Signature   

Supervisor