EI
JR
13-148
Project Research
Study Report on the Guidelines for the Management of Safety for Construction
Works in Japanese ODA Projects
Final Report
Samples of Practical Tool for Safety Construction Management on Site
<Volume 3/3>
July 2013
Japan International Cooperation Agency (JICA)
The Overseas Construction Association of Japan, Inc.
Composition of the Outcomes
The outcomes of the Project Research: “Study Report on the Guidelines for the Management of Safety for Construction Works in Japanese ODA Projects” are composed of the 3 volumesshown below.
This volume is the “Samples of Practical Tool for Safety Construction Management on Site” of the reports. See each report, other than this, for the “Main Text,” and “Guidelines (Preliminary Draft).”
First of the 3 volumes:Main TextIntroduction Background of Working out the Guidelines (Preliminary Draft)Chapter 1 Outline of the Field Study ResultsChapter 2 Current Status of Safety Management in Construction Works in Advanced
CountriesChapter 3 Review on Other GuidelinesChapter 4 Outline of the Guidelines for the Management of Safety for Construction
WorksChapter 5 Considering the Operation Policy on the Guidelines
Second of the 3 volumes: Guidelines (preliminary draft)Chapter 1 General RulesChapter 2 Basic Policies for Safety ManagementChapter 3 Contents of the “Safety Plan”Chapter 4 Contents of the “Method Statements on Safety”Chapter 5 Technical Guideline for Safe Execution (by the Type of Work)Chapter 6 Technical Guideline for Safe Execution (by the Type of Accident)
Third of the 3 volumes: This document.Samples of Practical Tool for Safety Construction Management on Site1. Risk Assessment Form2. Operating Instructions3. Record of Meetings4. Weekly & Monthly Report5. Site Inspection Check Sheet6. Occupational Safety & Health Management System7. Partnership with Locals etc.
Table of Contents
i
Project ResearchStudy Report on the Guidelines for the Management of Safety
for Construction Works in Japanese ODA Projects
Final Report
Samples of Practical Tool forSafety Construction Management on Site
<Volume 3/3>
◆Table of Contents◆
PagePreface ................................................................................................................ 1
1. Risk Assessment Form ........................................................................... 31.1 Case Example 1-1 ........................................................................................ 31.2 Case Example 1-2 ........................................................................................ 51.3 Case Example 1-3 ........................................................................................ 91.4 Case Example 1-4 ...................................................................................... 17
2. Operating Instructions ........................................................................ 272.1 Case Example 2-1 ...................................................................................... 272.2 Case Example 2-2 ...................................................................................... 302.3 Case Example 2-3 ...................................................................................... 332.4 Case Example 2-4 ...................................................................................... 362.5 Case Example 2-5 ...................................................................................... 412.6 Case Example 2-6 ...................................................................................... 44
3. Record of Meetings ............................................................................... 473.1 Case Example 3-1 ...................................................................................... 47
4. Weekly & Monthly Report ................................................................. 494.1 Case Example 4-1 ...................................................................................... 494.2 Case Example 4-2 ...................................................................................... 51
Table of Contents
ii
4.3 Case Example 4-3 ...................................................................................... 61
5. Site Inspection Check Sheet ............................................................... 635.1 Case Example 5-1 ...................................................................................... 635.2 Case Example 5-2 ...................................................................................... 66
6. Occupational Safety & Health Management System.................. 776.1 Case Example 6-1 ...................................................................................... 776.2 Case Example 6-2 ...................................................................................... 796.3 Case Example 6-3 ...................................................................................... 896.4 Case Example 6-4 ...................................................................................... 916.5 Case Example 6-5 ...................................................................................... 936.6 Case Example 6-6 ...................................................................................... 95
7. Partnership with Locals etc................................................................ 977.1 Case Example 7-1 ...................................................................................... 977.2 Case Example 7-2 ...................................................................................... 997.3 Case Example 7-3 .................................................................................... 1027.4 Case Example 7-4 .................................................................................... 106
Preface
1
Preface
This Safety Construction Management Booklet is the sequel to the educational material for construction workers drawn up in the Study on Safety Management for ODA Construction Work in Japanese ODA Project, February 2012.
This booklet is to be available to personnel concerned with ODA construction projects, especially the Contractors and the Engineers for the purpose of improving site control, periodical checkout and mitigating risks in order to ensure safety management. It is expected to be used mainly as a reference material to overall controllers, personnel in charge of safety measures and head offices of contractors and engineers.
We wish all entities concerned with the projects to utilize the booklet for enhancing safety management awareness and promoting safety management activities in ODA construction works.
July, 2013
1. Risk Assessment Form
3
1 Risk Assessment Form
1.1 Case Example 1-1
1) OutlineAll possible hazards are listed for each type of work. Considering the effect to each
stakeholder (including the Employer, the Contractor, the public, visitors, and young people), degree of seriousness is reckoned in numerical value. Then, degree of seriousness is multiplied by frequency rate to calculate the total risk of each type of work.
Additionally, the risk rate after taking corresponding measures on risk control is re-calculated. If the risk rate is greater than the standard rate, this type of work cannot be launched due to the site regulations.
2) Case ExampleThe Case Example 1-1 is on the following page.
1. Risk Assessment Form
4
Risk Assessment Form Case Example 1-1
EC
ON
PU
BV
ISY
PO
TH
ERC
FR
RC
FR
R
E : E
mpl
oyer
VIS
: V
isito
rC
ON
: C
ontr
acto
rY
P :
You
ng P
eopl
eP
UB
: P
ublic
PRO
JEC
T
OC
CU
PAT
ION
AL,
HE
ALT
H, S
AF
ETY
and
RE
HA
BIL
ITA
TIO
N P
LAN
Peo
ple
affe
cted
Bef
ore
Aft
er C
ontr
olR
isk
Con
trol
Mea
sure
sR
efer
ence
Act
ivit
ies
Haz
ard
Con
sequ
ence
RIS
K A
SSE
SSM
EN
T
APP
LIC
AB
LE M
ETH
OD
ST
ATE
MEN
T
R
ISK
AS
SES
SME
NT
PR
EPA
RE
D B
Y
(C)H
EA
LTH
& S
AF
ETY
CO
NSE
QU
EN
CE
S1 N
EG
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IBLE
/NO
EFF
ECT
S2 M
INO
R IN
JU
RIE
S
S3 M
AJ
OR
INJ
UR
IES
S4 F
AT
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S
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ENT
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(F)
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Y
1 N
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1-4
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9-12
SU
BS
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RK
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1. Risk Assessment Form
5
1.2 Case Example 1-2
1) OutlineThis is a feedback from the Contractor to the risk assessment prepared by the
Engineer, an extract from the occupational safety and health documents which the Contractor submits to the Engineer. The Engineer’s request to manage occupational safety and health suitable for local regulations and environment is granted by the Contractor who states that the Safety Plan Document is reviewed accordingly.
This is the case example, which shows both the Engineer and the Contractor acknowledge the importance of risk assessment and perform in coordination with each other.
2) Case ExampleThe Case Example 1-2 is on the following page.
1. Risk Assessment Form
6
Risk Assessment Form Case Example 1-2 ①
Date :
Rev.:
RFA Type:
Signed : Date :
Signed : Date :
ITEM STATUS
1
2
3
4
5
6
7
8
REQUEST FOR APPROVAL (RFA)
To : The Engineer From : The Contractor
Reference in Contract : RFA Title :
Company :
Representative :
Submitted by :
EHS □ MEP □ QA/QC □ Engineering □
RFA has been produced by :
RFA has been reviewed by :Expected Work Start on :
Note: The attached Health and Safety Plan has been updated as per the comments received on Revision C of the same.
RFA Number [ ] Transmittal Ref:
Engineer's Representative
Name :
Engineer's Assistant
Name :
Approval Status :
A Approved, no exception taken. No re-submittal required. Proceed with manufacture fabrication and/or construction.
B Approved with Comment, incorporate comments, resubmit within 7 days. Proceed with manufacture, fabrication
and/or construction.
C Rejected, incorporate comments and re-submit. Do not proceed with manufacture, fabrication and/or construction.
COMMENTS
RFA has been approved by PM : Signed :
We enclose (1) set for your comments/approval
Received Date & Sign
ENGINEER'S APPROVAL / COMMENT (EAC)
Work Package :
S/C RFA No :
1. Risk Assessment Form
7
Risk Assessment Form Case Example 1-2 ②
PROJECT NAME
PROJECT HEALTH & SAFETY PLAN
JV REPLY TO COMMENTS ON REV C
Please note the following in response to the comments received on revision C of MAR -0038. We have revised the previously submitted documents as noted below and have enclosed the revised extracts for your review and approval.
ITEM COMMENTS JV RESPONSE
1 Person in-change of Emergencies on SiteProject Emergency Contact List updated and attached in Section 19 of PEHSP
2Dust Prevention should be added under this section.(Appendix 1 – EMP Section 8)
Please see additional to Section 8 (8.1 & 8.2)
3User of phrase “if practicable” shall be deleted under this section. (Appendix 1 – EMP Section 12)
Has been deleted.
4
Any description that can be expressed more concretely shall take way. Eg. Wheel washing roller or spray nozzle (Appendix 1 – EMP Section 12)
Wheel washing facilities (Wash Through) included with washing jet spray has been specified. We have thoroughly reviewed and updated the document and addressed the specific example.
5Water pollution mitigation-Surface Run-off -Additional
Section 12.2 Environmental Control Details has been added as requested and reiterated on control measures in surface run off.
6The word remain ‘marine’, Marine shall be deleted.
The word ‘marine’ has been removed from the Risk assessment as shown in Appendix 1 Project Environmental Management Plan.
7Section 13-Risk Assessment Requested to re-examine the RA based on construction content and local condition
These have been reviewed and updated, please see Appendix 1 Environmental Management plan section13.
8
You are requested to submit revised “Work Method Statement for Environmental Monitoring Works together with revised Project Environmental Management Plan.
Attached Revised “Work Method Statement for Environmental Monitoring Works” and revised Project Environmental Plan Rev D.
1. Risk Assessment Form
8
Risk Assessment Form Case Example 1-2 ③
PROJECT NAME
PROJECT HEALTH & SAFETY PLAN
ITEM COMMENTS JV RESPONSE
9The Environmental Manager has still not been confirmed as of today. When can this key person be on board
The resume of Environmental Manager has been approved by XXX on 02nd. July 2012. Refer to XXXNo:
ISSUE AND REVISION COPNTROL
Rev. Amendment Submittal date Approval Date Approval Status
A First Draft for 9 comment 22 Mar 12 9 Apr 12 C
B
Revised with changes incorporating comments from XXX and amendments to JV operational health and safety procedures.
7 Apr 12 4 May 12 C
C
Revised with changes incorporating comments from XXX and amendment to JV to JV operational health and Safety procedures.
12 June 12 25 June 12 C
D
Revised with changes incorporating comments from XXX and amendments to JV operational health and safety procedures.
4 July 12 TBA TBA
1. Risk Assessment Form
9
1.3 Case Example 1-3
1) OutlineFirst, all hazards are identified for each category of work (Excavation and Backfill,
Working at Height, Operations for Heavy Machinery and for Electricity). Then, the effects of the hazards are considered to rank risks of each type of work. Contents of specific measures such as wearing Personal Protective Equipment (PPE) or devising work procedures are to be filled in the last column (Case Example 1-3-1).
Moreover, near miss incidents (i.e. potentially serious incidents) are also to be reported likewise more serious accidents in the same format (Case Example 1-3-2).Near miss incidents, which are more likely to occur, as subjects, more data will be collected for conducting an analysis on risk assessment.
2) Case ExampleThe case examples 1-3-1 and 1-3-2 are on the following pages.
1. Risk Assessment Form
10
Risk Assessment Form Case Example 1-3-1 ①Pr
oject
nam
e
Healt
h an
d Sa
fety
Plan
Appe
ndix
7: S
ample
of R
isk A
sses
smen
t and
Man
agem
ent
Risk
Ass
essm
ent a
nd M
anag
emen
tPr
oject:
Coun
try:
Co
ntra
ctor
s Na
me:
Cont
ract
No.:
Task
: Exc
avat
ion
and
Back
fill
Iden
tify
Haza
rd
(Pot
entia
l to
do h
arm
)
Haza
rd ef
fect
(if th
e Ha
zard
is re
lease
d)Ri
sk
Rank
ing
Cont
rol M
easu
res
(PPE
, Pro
cedu
res,
etc
.)Re
cove
ry M
easu
res
Appr
oved
: Nam
e:
Si
gnat
ure:
Title
:
Prep
ared
: Nam
e:
Si
gnat
ure:
Title:
1. Risk Assessment Form
11
Risk Assessment Form Case Example 1-3-1 ②Pr
ojec
t nam
e
Heal
th a
nd S
afet
y Pla
n
Risk
Ass
essm
ent a
nd M
anag
emen
tPr
ojec
t:
Cou
ntry
:
Cont
ract
ors
Nam
e:
C
ontra
ct N
o.:
Task
: Wor
king
at H
eigh
t
Iden
tify
Haza
rd
(Pot
entia
l to
do h
arm
)
Haza
rd e
ffect
(if th
e Ha
zard
is re
lease
d)Ri
sk
Rank
ing
Cont
rol M
easu
res
(PPE
, Pro
cedu
res,
etc
.)Re
cove
ry M
easu
res
Appr
oved
: Nam
e:
Si
gnat
ure:
Title
:
Prep
ared
: Nam
e:
Si
gnat
ure:
Title
:
1. Risk Assessment Form
12
Risk Assessment Form Case Example 1-3-1 ③Ap
pend
ix7:
Sam
ple
of R
isk A
sses
smen
t and
Man
agem
ent
Proj
ect n
ame
Heal
th a
nd S
afet
y Pl
an
Risk
Ass
essm
ent a
nd M
anag
emen
t
Proj
ect:
C
ount
ry:
Cont
ract
ors
Nam
e:
Co
ntra
ct N
o.:
Task
: Hea
vy L
iftin
g O
pera
tions
Iden
tify
Haza
rd
(Pot
entia
l to
do h
arm
)
Haza
rd e
ffect
(if th
e Ha
zard
is re
leas
ed)
Risk
Ra
nkin
gCo
ntro
l Mea
sure
s
(PPE
, Pro
cedu
res,
etc
.)Re
cove
ry M
easu
res
1. Risk Assessment Form
13
Risk Assessment Form Case Example 1-3-1 ④
Pro
ject
nam
e
Hea
lth a
nd S
afet
y P
lan
Ris
k A
sses
smen
t and
Man
agem
ent
Pro
ject
:
Cou
ntry
:
Con
tract
ors
Nam
e:
C
ontra
ct N
o.:
Task
: Ele
ctric
ity
Iden
tify
Haz
ard
(Pot
entia
l to
do h
arm
)
Haz
ard
effe
ct
(if th
e H
azar
d is
rele
ased
)R
isk
Ran
king
Con
trol
Mea
sure
s
(PP
E, P
roce
dure
s, e
tc.)
Rec
over
y M
easu
res
App
rove
d: N
ame:
Sig
natu
re:
Ti
tle:
Pre
pare
d: N
ame:
Sig
natu
re:
Title
:
1. Risk Assessment Form
14
Risk Assessment Form Case Example 1-3-2 ①
Project Name:
Health and Safety Plan
FR: IAR-1/3
Appendix 4: Accident / Near Miss Report
INCIDENT / ACCIDENT REPORT
To: File No.:
Details (To be completed by site engineer in charge within 24 hours)
Project: Country
Contractors Name: Contract No.:
Location of Incident: Date: Time:
Weather Condition: FINE[ ] RAIN[ ] COLD[ ] HOT[ ]
Visibility: Temperature
Name of Injured: Nationality:
Dale of Birth: Day Month Year ID NO.:
Sex: Male[ ] Female[ ] Occupation:
Activity at time of Accident:
Severity of Injury: Fatal[ ] Referred to Hospital[ ] Sent Home[ ] Return to Work[ ]
Parts of Body Injured Types of Injury
Head [ ] Torso [ ] Crush [ ]
Eyes [ ] Back [ ] Fracture [ ]
Ears [ ] Abdomen [ ] Dislocation [ ]Face [ ] Hip [ ] Sever [ ]
Neck [ ] Rump [ ] Laceration [ ]
Shoulder [ ] Thigh [ ] Puncture Wound [ ]
Arm [ ] Leg [ ] Abrasion [ ]
Elbow [ ] Knee [ ] Bruise [ ]
Wrist [ ] Foot [ ] Sprain / Strain [ ]
Hand [ ] Ankle [ ] Electric Shock [ ]
Finger [ ] Toe [ ] Burn [ ]
Chest [ ] Multiple [ ]
Other: Other:
Witness
Name: Company: ID No:
Name: Company: ID No:
Name: Company: ID No:
1. Risk Assessment Form
15
Risk Assessment Form Case Example 1-3-2 ②
Project Name:
Health and Safety Plan
FR: IAR-2/3Appendix 4: Accident / Near Miss ReportHow did Accident OccurDescription: Sketch(Continued on separate sheet if necessary)
How could this accident have been avoidedState:
(mark x one)A – Requirements / Guidelines not prepared Dose Incident relate to the oneB - Requirements / Guidelines not appropriate of the following: C - Requirements / Guidelines not complied If Yes, mark appropriately
A B C Descriptions Emergency IsolationLeadership and Accountability Ground DisturbanceRisk Assessment and Management Confined Space EntryPeople, Training and Behaviours Working at HeightWorking with Contractors and Others Lifting OperationsFacilities Design and Construction Vehicle SafetyOperation and Maintenance Management of ChangeManagement of ChargeInformation and DocumentationCustomers and ProductsCommunity and Stakeholder Awareness Does Incident relate to Dropped Objects?
Crisis and Emergency Management YesIncident Analysis and Prevention NoAssessment, Assurance and Improvement
Action to prevent reoccurrenceNo.
ActionResponsible
PersonPriority
Due Time
123456
1. Risk Assessment Form
16
Risk Assessment Form Case Example 1-3-2 ③
Project Name:
Health and Safety Plan
FR: IAR-3/3Appendix 4: Accident / Near Miss Report
What Action is being taken to Prevent Reoccurrence?
State
Action: Yes[ ] No[ ] Date:
Other Comments:
Name: Signature: Title:
Follow-up Review (To be completed by the Engineer’s Safety Department)
Do all actions taken meet the Engineer’s satisfaction? Yes[ ] No[ ]
If No, please state further actions required:
Close out: Yes[ ] No[ ] Date:
Name Signature: Title:
The Engineer’s Review and Comments
Report to the Employer: Yes[ ] No[ ] Lost Work Days: Light Duty Days:
Name: Signature: Title:
Distribution: The Employer, The Engineer, Construction Manager, Safety Manager
1. Risk Assessment Form
17
1.4 Case Example 1-4
1) OutlineIn this case example, all possible types of accidents (including hazards and
hazardous components) are identified for each type of work, and then they are considered to rate degree of seriousness. Degree of seriousness is multiplied by frequency rate to calculate the risks (which helps to decide the priorities of the countermeasures to be taken). Finally, after considering risk mitigation plans, they are listed to evaluate the risks after taking measures. It is notable that even with risk mitigation plans conducted; risk will not be zero as possibility of risk still remains.This case example resembles the Case Example 1-1.
This particular format is used for common construction work. Other formats for road construction, bridge construction, etc. are also available. Users can select to use appropriate format depending on the specific type of work and characteristics. It is considered as an example that the head office of corporation which accepted an offer and obtained OHSAS18001 tends to cope with safety management of overseas projectsby a group of inspectors/persons in charge visiting applicable construction sites. .
2) Case ExampleThe Case Example 1-4 is on the following page.
1. Risk Assessment Form
18
Risk Assessment Form Case Example 1-4 ①1. R
isk M
anagem
ent Sh
eet fo
r Com
mon C
onstru
ction P
rocedu
res
Type
of wo
rkRis
ky ma
chiner
y, tool
s,ma
terials
Legis
lation
Comm
on ope
ration
Identif
ication
of po
tential
risks
(assum
ed acc
idents
)
seriou
sness
:a
Degre
e of
possib
ility:b
Evalu
ation :
a*bPri
ority
Emerg
ency
event
Specifi
c meas
ures fo
r risk
mitiga
tion (p
revent
ion me
asures
ofhar
mfuln
ess/da
ngerou
sness)
Priorit
y on
taking
measu
resPP
E : Pe
rsonal
Protec
tive Eq
uipme
ntWh
o?Re
-seriou
sness
:a
Degre
e of
recurr
ence :
bRe
-evalu
ation :
a*bRis
ks rem
ained
1Op
eration
on ste
pladde
rsand
ladder
s etc.
Stepla
dders,
ladder
s, tool
sFal
ling of
f a lad
der6
848
5Re
frain f
rom us
ing he
avy an
d lengt
hy obj
ects d
uring o
peratio
nA
Safety
belts
Worke
rs6
212
3
Refra
in from
opera
tion by
leanin
g forw
ardA
Refra
in from
opera
tion tha
t gener
ate re
flective
force
ARe
frain f
rom us
ing lad
ders w
ithout t
reads
ENRe
frain f
rom us
ing lad
ders o
f the h
eight o
f over
1.8m
ENTo
ppling
of a l
adder
64
244
Refra
in from
using
ladder
s at st
eps an
d slop
esA
Worke
rs6
212
3Re
frain f
rom us
ing lad
ders o
n the te
mpora
ry cov
ers fo
r open
pitsA
Pay a
ttention
to sle
eve ho
les etc
. during
opera
tionA
Refra
in from
exten
ding le
gs of
ladder
s espe
cially
on ste
psEN
Ensur
e to se
t a bla
de latc
h prop
erlyEN
Falling
off a
ladder
when
getting
onand
gettin
g off
62
123
Refra
in from
carry
ing hu
ge or
length
y obje
cts wh
ile get
ting on
and g
etting
off a l
adder
AWo
rkers
Refra
in from
jumpin
g off a
ladder
A
Breaki
ng of
a scaf
folding
of a l
adder
62
123
○Pa
y atten
tion to
sleeve
holes
etc. du
ring op
eration
AWo
rkers
Ensur
e to se
t a bla
de latc
h prop
erlyA
Ensur
e three
point
mount
aining
of a l
adder
AEn
sure to
attach
both s
ides o
f scaff
old bo
ards p
roperly
and ti
ghtly
EN
2Op
eration
s on p
ortabl
esca
ffoldin
gsPo
rtable
scaff
olding
s, tool
sFal
ling do
wn sc
affold
ings
68
485
Refra
in from
using
heavy
and le
ngthy
object
s durin
g oper
ation
ASaf
ety be
ltsWo
rkers
62
123
Refra
in from
opera
tion tha
t gener
ate re
flective
force
A
Refra
in from
bendi
ng for
ward
during
opera
tionA
Refra
in from
havin
g more
than 2
perso
ns wo
rking o
n a po
rtable
scaffo
lding
A
Refra
in from
steppi
ng ont
o one
portab
le scaf
folding
from a
nother
AUn
stable
porta
ble sc
affold
ings a
ndtop
pling
64
244
Adjus
t the le
ngth o
f legs
proper
ly, esp
ecially
when
using
it on r
ough
surfac
e and
at step
sEN
Worke
rs6
212
3
Refra
in from
using
ladder
s on th
e temp
orary
covers
for op
en pits
APa
y atten
tion to
sleeve
holes
etc. du
ring op
eration
AEn
sure to
set a
blade
latch p
roperly
ENRe
frain f
rom ex
tendin
g legs
of por
table s
caffold
ing es
peciall
y on s
teps
ENFal
ling of
f a lad
der wh
en get
ting on
and ge
tting o
ff6
212
3Re
frain f
rom ge
tting o
n and
getting
off a
porta
ble sc
affold
ing wi
th a he
avyor
length
y obje
ctA
Worke
rs
Refra
in from
jumpin
g off a
porta
ble sc
affold
ingA
3Op
eration
s on f
ramew
orksca
ffoldin
gs
frame
work
scaffo
ldings,
stage
planks
, ladde
rs, ver
tical
nets, t
ools
Falling
off sc
affold
ings
104
405
Ensur
e prev
entive
measu
res su
ch as
handra
ils and
safety
nets e
tc. are
checke
d thoro
ughly
ASaf
ety be
ltsFor
eman
62
123
If prev
entive
measu
res are
not av
ailable
, ensur
e to us
e safe
ty belts
PBre
aking
and br
eaking
apart
ofsca
ffoldin
gs6
424
4Ins
pect sc
affold
ings b
efore
startin
g oper
ation
AWo
rkers
62
123
Keep
the tot
al weig
ht allow
ed on
scaffo
ldings
below
the re
gulatio
nA
Ensur
e to att
ach bo
th side
s of sc
affold
board
s prop
erly an
d tight
ly (and
ensure
to loc
k supp
lement
ary po
sts pr
operly)
EN
LAW No.1 Year 1970 regarding Work Safety
1. Risk Assessment Form
19
Risk Assessment Form Case Example 1-4 ②Fal
ling off
scaff
olding
s when
gettin
gon
and ge
tting o
ff from
impro
perste
ps10
440
5Ge
t on an
d get o
ff a sc
affold
ing us
ing pro
per ste
ps (re
frain f
rom us
ingbra
ces etc
.)EN
Worke
rs10
110
3
4Cra
ne ope
rations
Crane
operati
on too
ls, lifte
dloa
dsIns
pection
of cra
ne equ
ipment
not
carried
out
62
123
Check
on the
crane
operat
ion too
ls such
as: sh
ackles
, clam
ps and
wire
ropes
etc. be
fore o
peratio
nA
Safety
belts
Person
in cha
rge fo
r crane
operati
onsDis
pose o
f defe
ctive e
quipm
ent an
d mate
rials
EL
Inappr
opriate
crane
operati
ons6
212
3Sel
ect the
prope
r cran
e oper
ation p
rocess
and to
ols tha
t are s
uitable
fortar
get loa
ds bef
ore the
launch
of ope
ration
(length
, shape
and w
eight e
tc.)EN
Person
in cha
rge fo
r crane
operati
onsWo
rkers e
ntering
into c
rane
operat
ion are
a6
212
3Ev
acuate
from t
he wo
rking r
adius
before
the lau
nch of
operati
onA
Crane
operat
or
Launc
h of o
peratio
n after
confir
mation
of wo
rkers'
evacua
tionA
Call fo
r other
worke
r's atte
ntion b
y whist
les or
microp
hones
A
Lifted
loads
movin
g back
and f
orthand
then h
itting s
ome o
ther o
bjects
104
405
Set a h
ook rig
ht abov
e liftin
g loads
ACra
ne ope
rator
101
103
Check
the ba
lance
of lifte
d loads
just af
ter han
ging it
ARe
-do if u
nbalan
ced co
ndition
is rec
ognized
ENUs
e assis
ting rop
e to mi
nimize
jolting
EN
Falling
of lifte
d loads
104
405
Ensur
e to fix
lifted
loads
tightly
and us
e appr
opriate
lifting
tools s
uch as
wire-n
et sack
etc.
ENCra
ne ope
rator
101
103
Use a
crane
of appr
opriate
standa
rd acc
ording
to the
weigh
t of loa
dsEN
Third
person
s' brea
k-in to
the cra
neope
ration
area
62
123
Set an
off-lim
it rule f
or the
crane
operati
on spa
ceA
Person
in cha
rge fo
r crane
operati
ons
5Op
eration
s with
movab
lecra
nesMo
vable c
ranes,
lifted
loads
Comm
on Op
eration
4:Cra
ne Op
eration
sIns
pection
of cra
ne equ
ipment
not
carried
out
62
123
Check
on the
crane
operat
ion too
ls such
as: sh
ackles
, clam
ps and
wire
ropes
etc. be
fore o
peratio
nA
Safety
belts
Person
in cha
rge fo
r crane
operati
onsDis
pose o
f defe
ctive e
quipm
ent an
d mate
rials
EL
Inappr
opriate
crane
operati
ons6
212
3Sel
ect the
prope
r cran
e oper
ation p
rocess
and to
ols tha
t are s
uitable
fortar
get loa
ds bef
ore the
launch
of ope
ration
(length
, shape
and w
eight e
tc.)EN
Person
in cha
rge fo
r crane
operati
onsWo
rkers e
ntering
into c
rane
operat
ion are
a6
212
3Ev
acuate
from t
he wo
rking r
adius
before
the lau
nch of
operati
onA
Crane
operat
or
Launc
h of o
peratio
n after
confir
mation
of wo
rkers'
evacua
tionA
Call fo
r other
worke
r's atte
ntion b
y whist
les or
microp
hones
A
Lifted
loads
movin
g back
and f
orthand
then h
itting s
ome o
ther o
bjects
104
405
Set a h
ook rig
ht abov
e liftin
g loads
ACra
ne ope
rator
101
103
Check
the ba
lance
of lifte
d loads
just af
ter han
ging it
ARe
-do if u
nbalan
ced co
ndition
is rec
ognized
ENUs
e assis
ting rop
e to mi
nimize
jolting
EN
Falling
of lifte
d loads
104
405
Ensur
e to fix
lifted
loads
tightly
and us
e appr
opriate
lifting
tools s
uch as
wire-n
et sack
etc.
ENCra
ne ope
rator
101
103
Use a
crane
of appr
opriate
standa
rd acc
ording
to the
weigh
t of loa
dsEN
Third
person
s' brea
k-in to
crane
operat
ion are
a6
212
3Set
an off
-limit ru
le for t
he cra
ne ope
ration
space
APer
son in
charge
for cr
aneope
rations
Overt
urn of
a cran
e6
424
4Us
e an a
ppropr
iate cra
ne (ca
lculate
and p
lan wi
th 90%
of the
total
capaci
ty)EN
Person
in cha
rge6
16
2
Check
the gr
ound f
irst an
d fully
exten
d outr
iggers
ENOp
erators
Strictl
y follow
the sa
fe work
ing loa
d defin
ed at z
ero loa
ding c
apacity
(crane
carry
ing typ
e)A
LAW No.1 Year 1970 regarding Work Safety
1. Risk Assessment Form
20
Risk Assessment Form Case Example 1-4 ③Co
ntinuou
s meas
ureme
nt of lif
ted loa
ds by
measu
ring ga
uges th
rough
theope
ration
A
Always
check
the wa
rning li
ght an
d stop
opera
tion wh
en its
color c
hanges
from b
lue to
yellow
A
Check
the len
gth an
d angl
e of th
e jib a
nd dec
ide the
weigh
t of lift
ed loa
dsacc
ording
lyEN
Check
on lift
ing we
ight pr
operly
(crane
carry
ing typ
e)A
Follow
the pr
oper op
eration
suitab
le for
the ma
chine
perfor
mance
,esp
ecially
for th
e safe
workin
g load
etc.
A
Collisi
on wit
h a cra
ne10
440
5Set
an off
-limit ru
le for t
he cra
ne ope
ration
space
ACh
ief wo
rker
Prohib
it movi
ng bac
kward
AOp
erators
Follow
the dir
ection
guide
d by s
ite con
ductors
AIns
tall a s
afety m
otion s
ensor
except
small
rotating
type c
ranes
EN
Equipm
ent fal
ling fro
m rear
deck
andhitt
ing wo
rkers d
uring c
onveya
nce6
212
3Ch
eck on
ancho
r wires
etc.
AFor
eman
6Exc
avation
by a h
ydraul
icsho
velHy
draulic
shove
l, earth
and
sand
Rollin
g dow
n of a
hydrau
lic sho
vel6
212
3Re
frain f
rom ap
proach
ing too
close
to road
shoul
ders, t
op of t
he slo
pes, or
the dit
ches
AOp
erators
Check
the sta
bility o
f natura
l groun
d befo
re start
ing the
opera
tionA
Chief
worke
rUs
e of a
hydrau
lic sho
vel for
improp
er purp
oses
64
244
Do sa
fety ma
nagem
ent un
der the
instru
ction o
f oper
ation m
anager
AOp
erators
62
123
Use a
hydra
ulic sh
ovel w
ith cra
ne fun
ction (e
xcavat
or)EN
Chief
worke
r
Collisi
on wit
h a hy
draulic
shove
l10
440
5Set
an off
-limit ru
le for t
he cra
ne ope
ration
space
ACh
ief wo
rker
101
103
Prohib
it movi
ng bac
kward
AOp
erators
Follow
the dir
ection
guide
d by s
ite con
ductors
AIns
tall a s
afety m
otion s
ensor
except
small
rotating
type c
ranes
ENCo
llision
with a
dump
truck
62
123
Drive
only o
n instru
cted ro
utes a
nd roa
dsA
Driver
sFol
low the
direct
ion gu
ided b
y site
conduc
torsA
Incons
istency
of sign
s6
212
3Co
nfirm t
he sign
s befo
re start
ing op
eration
and g
ive the
signs
in a go
odsig
ht of th
e drive
rA
Flagm
en
Falling
into e
xcavat
ion ar
ea6
212
3Set
guard
rails to
preven
t autom
obiles
and pe
rsons
from f
alling d
own
ENCh
ief wo
rker
Set an
appro
priate t
ool for
gettin
g on a
nd get
ting off
and f
ix it w
ellEN
7Tru
cks(inc
luding
dump
trucks
)Tru
cks(inc
luding
dump
trucks
)Co
llision
betwe
en a tr
uck an
d a sit
econ
ductor
104
405
Guide
within
the tru
ck driv
er's vis
ual ra
ngeA
Site co
nducto
r10
110
3
Falling
down
of a t
ruck
62
123
Alloca
te site
conduc
torsA
Forem
anDis
play c
onnect
able e
quipm
entA
Forem
anPa
y good
attent
ion to
traffic
hazard
asses
sment
and s
tudy th
e conv
eyance
route w
ellA
Falling
down
the rea
r deck
of a
runnin
g vehi
cle6
424
4Re
frain f
rom tra
nsferr
ing wi
th stay
ing on
the rea
r deck
AWo
rkers
11
11
Equipm
ent fal
ling fro
m rear
deck
andhitt
ing wo
rkers d
uring c
onveya
nce6
212
3Ch
eck on
ancho
r wires
etc.
AFor
eman
Collisi
on wit
h a tru
ck6
212
3All
ocate s
ite con
ductors
AWo
rkers
8Ins
tallatio
n of st
eel sh
eetsPili
ng ma
chine,
piles
of ste
elshe
etsTem
poraril
y-piled
steel s
heets f
alling
apart
102
204
Decid
e the a
ppropr
iate he
ight of
piles
(and th
e num
ber of
steel s
heets)
then m
anage
them a
ccordin
glyA
Forem
an10
110
3
LAW No.1 Year 1970 regarding Work Safety
Safety
belts
andref
lective
vests
fortra
ffic na
vigato
r
Safety
belts
andref
lective
vests
fortra
ffic na
vigato
r
1. Risk Assessment Form
21
Risk Assessment Form Case Example 1-4 ④Lig
htweig
ht stee
l sheet
s are
bent by
pressu
re10
110
3Re
frain f
rom fo
rceful
pile dr
iving a
nd ado
pt vibra
tion dr
iving
SFor
eman
Comm
on Op
eration
5:Mo
vable c
ranes
Inspec
tion of
crane
equipm
ent no
tcar
ried ou
t6
212
3Ch
eck on
the cr
ane op
eration
tools s
uch as
: shack
les, cl
amps
and wi
rerop
es etc
. befor
e oper
ation
ASaf
ety be
ltsPe
rson in
charg
e for
crane
operat
ions
Dispos
e of d
efectiv
e equi
pment
and m
aterial
sEL
Inappr
opriate
crane
operat
ions
62
123
Select
the pr
oper c
rane o
peratio
n proc
ess an
d tools
that ar
e suita
ble fo
rtar
get loa
ds bef
ore the
launch
of op
eration
(lengt
h, shap
e and
weigh
t etc.)
ENPe
rson in
charg
e for
crane
operat
ions
Worke
rs ente
ring int
o cran
eope
ration
area
62
123
Evacu
ate fro
m the
workin
g radi
us bef
ore the
launch
of op
eration
ACra
ne ope
rator
Launc
h of op
eration
after
confir
mation
of wo
rkers e
vacuat
ionA
Call fo
r othe
r work
er's att
ention
by wh
istles
or mic
rophon
esA
Lifted
loads
movin
g back
and f
orth
and the
n hittin
g som
e othe
r obje
cts10
440
5Set
a hook
right a
bove li
fting lo
adsA
Crane
operat
or10
110
3
Check
the ba
lance
of lifte
d loads
just af
ter ha
nging
itA
Re-do
if unb
alance
d cond
ition is
recog
nized
ENUs
e assis
ting ro
pe to m
inimize
jolting
EN
Falling
of lift
ed loa
ds10
440
5En
sure to
fix lift
ed loa
ds tigh
tly and
use a
ppropr
iate lift
ing too
ls such
aswir
e-net s
ack etc
.EN
Crane
operat
or10
110
3
Use a
crane
of ap
propria
te stan
dard a
ccordin
g to the
weigh
t of loa
dsEN
Third
person
s' brea
k-in to
crane
operat
ion ar
ea6
212
3Set
an of
f-limit r
ule fo
r the c
rane o
peratio
n spac
eA
Perso
n in ch
arge f
or cra
neope
ration
s
Overt
urn of
a cran
e6
424
4Us
e an a
ppropr
iate cr
ane (c
alcula
te and
plan w
ith 90%
of the
total
capaci
ty)EN
Perso
n in ch
arge
61
62
Check
the gr
ound f
irst an
d fully
exten
d outri
ggers
ENOp
erator
sStr
ictly f
ollow t
he saf
e work
ing loa
d defin
ed at z
ero loa
ding c
apacity
(crane
carry
ing typ
e)A
Contin
uous m
easure
ment o
f lifted
loads
by me
asuring
gauge
s throu
gh the
operat
ionA
Always
check
the wa
rning li
ght an
d stop
opera
tion wh
en its
color
change
sfro
m blue
to yel
lowA
Check
the len
gth an
d angl
e of th
e jib a
nd dec
ide the
weigh
t of lift
ed loa
dsacc
ording
lyEN
Check
on lift
ing we
ight pr
operly
(crane
carry
ing typ
e)A
Follow
the pr
oper o
peratio
n suita
ble fo
r the m
achine
perfo
rmanc
e,esp
ecially
for th
e safe
workin
g load
etc.
A
Collisi
on wit
h a cr
ane10
440
5Set
an of
f-limit r
ule fo
r the c
rane o
peratio
n spac
eA
Chief
worke
r10
110
3Pro
hibit m
oving
backw
ardA
Opera
tors
Follow
the dir
ection
guide
d by s
ite con
ductors
AIns
tall a s
afety m
otion s
ensor
except
small
rotatin
g type
cranes
ENEq
uipme
nt fallin
g from
rear
deck a
ndhitt
ing wo
rkers d
uring c
onveya
nce6
212
3Ch
eck on
ancho
r wires
etc.
AFor
eman
9Gro
und ex
cavatio
nHy
draulic
shove
ls, dum
ptru
cks, bu
lldozer
s, eart
h and
sand
Comm
on Op
eration
6:Ro
lling do
wn of
ahyd
raulic
shovel
Rollin
g dow
n of a
hydra
ulic sh
ovel
62
123
Refra
in from
appro
aching
too clo
se to r
oad sh
oulder
s, top
of the
slopes
, orditc
hesA
Opera
tors
Check
the gr
ound s
tability
befor
e the la
unch o
f oper
ation
ACh
ief wo
rker
Use o
f a hy
draulic
shove
l for
improp
er pur
poses
64
244
Do sa
fety m
anagem
ent un
der ins
tructio
n of op
eration
manag
erA
Opera
tors
62
123
Safety
belts
andref
lective
vests
fortra
ffic na
vigato
r
LAW No.1 Year 1970 regarding Work Safety
1. Risk Assessment Form
22
Risk Assessment Form Case Example 1-4 ⑤Us
e a hy
draulic
shove
l with
crane
functio
n (exc
avator
)EN
Chief
worke
rCo
llision
with a
hydra
ulic sh
ovel
104
405
Set an
off-li
mit ru
le for
the cr
ane op
eration
space
ACh
ief wo
rker
101
103
Prohib
it movi
ng bac
kward
AFol
low the
direct
ion gu
ided b
y site
conduc
tors
AIns
tall a s
afety m
otion s
ensor
except
small
rotatin
g type
cranes
ENCo
llision
with a
dump
truck
62
123
Drive
only o
n instru
cted r
outes
and ro
adsA
Drive
rsFol
low the
direct
ion gu
ided b
y site
conduc
tors
A
Incons
istency
of sig
ns6
212
3Co
nfirm t
he sig
ns bef
ore sta
rting o
peratio
n and
give t
he sig
ns in a
good
sight o
f the d
river
AFla
gmen
Falling
into e
xcavat
ion ar
ea6
212
3Set
guard
rails to
preve
nt aut
omobi
les an
d pers
ons fro
m falli
ng dow
nEN
Chief
worke
rSet
an ap
propria
te tool
for g
etting
on and
gettin
g off a
nd fix
it well
ENCo
mmon
Opera
tion 7:
Dump
trucks
Collisi
on bet
ween
a truck
and a
site
conduc
tor10
440
5Gu
ide wi
thin the
truck
driver
's visu
al rang
eA
Site co
nducto
r10
110
3
Rollin
g dow
n of a
truck
62
123
Alloca
te site
conduc
tors
AFor
eman
Displa
y conn
ectabl
e equi
pment
AFor
eman
Pay g
ood att
ention
to tra
ffic ha
zard a
ssessm
ent an
d stud
y the c
onveya
ncerou
te well
A
Falling
down
the re
ar dec
k of a
runnin
g vehi
cle6
424
4Re
frain f
rom tra
nsferr
ing wi
th stay
ing on
the re
ar dec
kA
Worke
rs1
11
1
Equip
ment f
alling
from
rear d
eck an
dhitt
ing wo
rkers d
uring c
onveya
nce6
212
3Ch
eck on
ancho
r wires
etc.
AFor
eman
Collisi
on wit
h a tru
ck6
212
3All
ocate s
ite con
ductor
sA
Worke
rsCo
llision
with a
bulldo
zer10
220
4Re
frain f
rom cr
ossing
a path
just be
fore a
nd aft
er the
pass
of a b
ulldoze
rA
Forem
an10
110
3Cle
arly de
sign a
nd dra
w the
workin
g spac
e and
keep it
a off-l
imit zo
neA
Forem
anWo
rkers b
eing b
uried a
live by
landsl
ides
108
805
Manag
e the h
eight o
f the e
xcavat
ion su
rface
and alw
ays ma
intain t
heequ
ilibrium
slope
ACh
ief wo
rker
102
204
10Ba
se con
crete p
lacing
Concr
ete pu
mp ve
hicles
,con
crete m
ixing v
ehicle
s,vib
rators
, concr
ete
Comm
on Op
eration
7:Tru
cks (su
bstitut
eusa
ge、準用?
)
Collisi
on bet
ween
a truck
and a
site
conduc
tor10
440
5Gu
ide wi
thin the
truck
driver
's visu
al rang
eA
Site co
nducto
r10
110
3
Rollin
g dow
n of a
truck
62
123
Alloca
te site
conduc
tors
AFor
eman
Displa
y conn
ectabl
e equi
pment
AFor
eman
Pay g
ood att
ention
to tra
ffic ha
zard a
ssessm
ent an
d stud
y the c
onveya
ncerou
te well
A
Falling
down
the re
ar dec
k of a
runnin
g vehi
cle6
424
4Re
frain f
rom tra
nsferr
ing wi
th stay
ing on
the re
ar dec
kA
Worke
rs1
11
1
Equip
ment f
alling
from
rear d
eck an
dhitt
ing wo
rkers d
uring c
onveya
nce6
212
3Ch
eck on
ancho
r wires
etc.
AFor
eman
Collisi
on wit
h a tru
ck6
212
3All
ocate s
ite con
ductor
sA
Worke
rs
Overt
urn of
a conc
rete p
ump v
ehicle
62
123
Check
the gr
ound f
irst an
d fully
exten
d outr
iggers
ENPro
tective
masks
,pro
tective
glasse
s and
vibrat
ion pr
oof glo
besOp
erator
s
Collisi
on wit
h a bu
cket
101
103
Refra
in from
appro
aching
close
to buck
ets wh
ile the
y are
movin
gA
Worke
rs
11Fab
ricatio
n and
disma
ntling
offra
mewo
rks
Movab
le cran
es, tru
cks,
round
saws, b
oards,
timber
sCo
mmon
Opera
tion 5:
Movab
le cran
esIns
pection
of cr
ane no
t carrie
d out
62
123
Check
on the
crane
opera
tion too
ls such
as: sh
ackles
, clam
ps and
wire
ropes
etc. be
fore o
peratio
nA
Safety
belts
Perso
n in ch
arge f
or cra
neope
ration
s
Safety
belts
andref
lective
vests
for
traffic
navig
ator
Safety
belts
andref
lective
vests
for
traffic
navig
ator
LAW No.1 Year 1970 regarding Work Safety
1. Risk Assessment Form
23
Risk Assessment Form Case Example 1-4 ⑥Dis
pose o
f defe
ctive e
quipm
ent an
d mate
rials
EL
Inappr
opriate
crane
opera
tions
62
123
Selec
t the p
roper
crane
operat
ion pr
ocess
and too
ls that
are s
uitable
for
target
loads
before
the lau
nch of
opera
tion (le
ngth, s
hape a
nd we
ight et
c.)EN
Perso
n in ch
arge f
or cra
neope
ration
sWo
rkers e
ntering
into c
rane
operat
ion ar
ea6
212
3Ev
acuate
from t
he wo
rking r
adius
before
the la
unch o
f oper
ation
ACr
ane op
erator
Launc
h of o
peratio
n afte
r conf
irmatio
n of w
orkers
evacu
ation
ACa
ll for o
ther w
orker'
s atten
tion by
whistl
es or
microp
hones
ALif
ted loa
ds mo
ving b
ack an
d fort
hand
then h
itting s
ome o
ther o
bjects
104
405
Set a
hook r
ight ab
ove lift
ing loa
dsA
Crane
opera
tor10
110
3
Check
the ba
lance
of lifte
d loads
just af
ter ha
nging
itA
Re-do
when
somepl
ace is
unbala
nced
ENUs
e assis
ting ro
pe to m
inimize
jolting
EN
Falling
of lift
ed loa
ds10
440
5En
sure to
fix lift
ed loa
ds tigh
tly and
use a
ppropr
iate lift
ing too
ls such
aswir
e-net s
ack etc
.EN
Crane
opera
tor10
110
3
Use a
crane
of ap
propri
ate sta
ndard
accord
ing to
the we
ight o
f loads
ENTh
ird per
sons' b
reak-in
to cra
neope
ration
area
62
123
Set an
off-li
mit ru
le for
the cr
ane op
eration
space
APe
rson in
charg
e for
crane
operat
ions
Overt
urn of
a cran
e6
424
4Us
e an a
ppropr
iate cr
ane (c
alcula
te and
plan w
ith 90%
of the
total
capaci
ty)EN
Perso
n in ch
arge
61
62
Check
the gr
ound f
irst an
d fully
exten
d outr
iggers
ENOp
erator
sStr
ictly f
ollow t
he saf
e work
ing loa
d defin
ed at z
ero loa
ding c
apacity
(crane
carry
ing typ
e)A
Contin
uous m
easure
ment o
f lifted
loads
by me
asuring
gauge
s throu
gh the
operat
ionA
Always
check
the wa
rning li
ght an
d stop
opera
tion wh
en its
color
change
sfro
m blue
to yel
lowA
Check
the len
gth an
d angl
e of th
e jib a
nd dec
ide the
weigh
t of lift
ed loa
dsacc
ording
lyEN
Check
on lift
ing we
ight pr
operly
(crane
carry
ing typ
e)A
Follow
the pr
oper o
peratio
n suita
ble fo
r the m
achine
perfo
rmanc
e,esp
ecially
for th
e safe
workin
g load
etc.
A
Collisi
on wit
h a cr
ane10
440
5Se
t an of
f-limit
rule f
or the
crane
opera
tion sp
aceA
Chief
worke
r10
110
3Pro
hibit m
oving
backw
ardA
Opera
tors
Follow
the dir
ection
guide
d by s
ite con
ductor
sA
Install
a safe
ty motio
n sens
or exc
ept sm
all rot
ating ty
pe cra
nesEN
Equip
ment f
alling
from r
ear de
ck and
hitting
work
ers du
ring co
nveyan
ce6
212
3Ch
eck on
ancho
r wire
s etc.
AFo
reman
Comm
on Op
eration
7:Tru
cksCo
llision
betwe
en a tr
uck an
d a sit
econ
ductor
104
405
Guide
within
the tru
ck driv
er's vis
ual ra
ngeA
Site c
onduct
or10
110
3
Rollin
g dow
n of a
truck
62
123
Alloca
te site
conduc
tors
AFo
reman
Displa
y the r
oad sh
oulder
AFo
reman
Pay g
ood att
ention
to tra
ffic ha
zard a
ssessm
ent an
d stud
y the c
onveya
ncerou
te well
A
Falling
down
the re
ar dec
k of a
runnin
g vehi
cle6
424
4Re
frain f
rom tra
nsferr
ing wi
th stay
ing on
the r
ear de
ckA
Worke
rs1
11
1
Equip
ment f
alling
from r
ear de
ck and
hitting
work
ers du
ring co
nveyan
ce6
212
3Ch
eck on
ancho
r wire
s etc.
AFo
reman
Collisi
on wit
h a tru
ck6
212
3All
ocate s
ite con
ductor
sA
Worke
rs
Safety
belts
andref
lective
vests
for
traffic
navig
ator
LAW No.1 Year 1970 regarding Work Safety
1. Risk Assessment Form
24
Risk Assessment Form Case Example 1-4 ⑦Ge
tting a
cut by
cuttin
g blad
es10
110
3Ca
rry ou
t inspe
ction o
f blad
e safe
ty sens
ors be
fore s
taring
opera
tionA
Protec
tive ma
sks,
protec
tive gla
sses a
ndsaf
ety be
ltsWo
rkers
Worke
rs' clo
thes o
r glob
es get
tingent
angled
in a m
achine
62
123
Carry
out in
spectio
n of w
orking
clothe
s befo
re sta
rting o
peratio
nA
Worke
rs
12Co
ncrete
placem
entCo
ncrete
pump
vehic
les,
concre
te mix
ing ve
hicles
,con
crete
vibrat
ors
Comm
on Op
eration
7:Tru
cks (su
bstitut
eusa
ge、準用?
)
Collisi
on bet
ween
a truck
and a
site
conduc
tor10
440
5Gu
ide wi
thin the
truck
driver's
visual
range
ASite
condu
ctor
101
103
Rollin
g dow
n of a
truck
62
123
Alloca
te site
conduc
tors
AFor
eman
Displa
y the r
oad sh
oulder
AFor
eman
Pay g
ood att
ention
to tra
ffic ha
zard a
ssessm
ent an
d stud
y the c
onveya
ncerou
te well
A
Falling
down
the re
ar dec
k of a
runnin
g vehi
cle6
424
4Re
frain f
rom tra
nsferr
ing wi
th stay
ing on
the re
ar dec
kA
Worke
rs1
11
1
Equip
ment f
alling
from r
ear de
ck and
hitting
worke
rs durin
g conv
eyance
62
123
Check
on an
chor w
ires e
tc.A
Forem
an
Collisi
on wit
h a tru
ck6
212
3All
ocate s
ite con
ductor
sA
Worke
rs
Collap
se of
frame
work
structu
res10
880
5Do
uble c
heck th
e stre
ngth o
f false
work
APro
tective
masks
,pro
tective
glasse
s and
vibrat
ion pr
oof glo
besFor
eman
101
103
Check
the co
ndition
of co
ncrete
form
shorin
g fram
ework
AWo
rkers
Divide
the loa
ds (w
eight)
into s
everal
groups
AFor
eman
Rollin
g dow
n of a
concr
ete pu
mpveh
icle6
212
3Ch
eck the
groun
d first
and f
ully ex
tend o
utrigg
ersEN
Opera
tors
Worke
rs getti
ng stu
ck by
equipm
ent10
220
4We
aring p
rotect
ive eq
uipme
nt (glo
ves)
POp
erator
s8
216
3
13Set
ting an
d rem
oval of
tempor
ary co
nstruc
tionMo
vable c
ranes,
trucks
,bui
lding m
aterial
sCo
mmon
Opera
tion 5:
Movab
le cran
esIns
pection
of cr
ane eq
uipme
nt not
carried
out
62
123
Check
on the
crane
opera
tion too
ls such
as: sh
ackles
, clam
ps and
wire
ropes
etc. be
fore o
peratio
nA
Safet
y belts
Perso
n in ch
arge f
or cra
neope
ration
sDis
pose o
f defe
ctive e
quipm
ent an
d mate
rials
EL
Inappr
opriate
crane
opera
tions
62
123
Selec
t the p
roper
crane
operat
ion pr
ocess
and too
ls that
are s
uitable
for
target
loads
before
the la
unch o
f oper
ation (
length
, shape
and w
eight e
tc.)EN
Perso
n in ch
arge f
or cra
neope
ration
sWo
rkers e
ntering
into c
rane
operat
ion ar
ea6
212
3Ev
acuate
from t
he wo
rking r
adius
before
the lau
nch of
opera
tionA
Crane
operat
or
Launc
h of o
peratio
n afte
r conf
irmatio
n of w
orkers
evacu
ation
ACa
ll for o
ther w
orker'
s atten
tion by
whistl
es or
microp
hones
ALif
ted loa
ds mo
ving b
ack an
d fort
hand
then h
itting s
ome o
ther o
bjects
104
405
Set a
hook r
ight ab
ove lift
ing loa
dsA
Crane
operat
or10
110
3
Check
the ba
lance
of lifte
d loads
just a
fter h
anging
itA
Re-do
if unb
alance
d cond
ition is
recog
nized
ENUs
e assis
ting ro
pe to
minimi
ze jolt
ingEN
Falling
of lift
ed loa
ds10
440
5En
sure to
fix lift
ed loa
ds tigh
tly and
use a
ppropr
iate lift
ing too
ls such
aswir
e-net s
ack etc
.EN
Crane
operat
or10
110
3
Use a
crane
of ap
propria
te stan
dard a
ccordin
g to the
weigh
t of loa
dsEN
Third
person
s' brea
k-in to
the cr
aneope
ration
area
62
123
Set an
off-li
mit ru
le for
the cr
ane op
eration
space
APe
rson in
charg
e for
crane
operat
ions
Overt
urn of
a cran
e6
424
4Us
e an a
ppropr
iate cr
ane (c
alcula
te and
plan w
ith 90%
of the
total
capaci
ty)EN
Perso
n in ch
arge
61
62
Check
the gr
ound f
irst an
d fully
exten
d outr
iggers
ENOp
erator
sStr
ictly f
ollow t
he saf
e work
ing loa
d defi
ned at
zero lo
ading
capaci
ty(cr
ane ca
rrying
type)
A
Safet
y belts
and
reflec
tive ve
sts fo
rtra
ffic na
vigato
rLAW No.1 Year 1970 regarding Work Safety
1. Risk Assessment Form
25
Risk Assessment Form Case Example 1-4 ⑧Co
ntinuou
s meas
ureme
nt of lif
ted loa
ds by
measu
ring ga
uges th
rough
theope
ration
A
Always
check
the wa
rning li
ght an
d stop
opera
tion wh
en its
color
change
sfro
m blue
to yel
lowA
Check
the len
gth an
d angl
e of th
e jib a
nd dec
ide the
weigh
t of lift
ed loa
dsacc
ording
lyEN
Check
on lift
ing we
ight pr
operly
(crane
carry
ing typ
e)A
Follow
the pr
oper o
peratio
n suita
ble fo
r the m
achine
perfo
rmance
,esp
ecially
for th
e safe
workin
g load
etc.
A
Collisi
on wit
h a cr
ane10
440
5Set
an of
f-limit
rule f
or the
workin
g spac
eA
Chief
worke
r10
110
3Pro
hibit m
oving
backw
ardA
Opera
tors
Follow
ing gu
ides b
y site
conduc
torsA
Install
a safe
ty motio
n sens
or exc
ept sm
all rot
ating ty
pe cra
nesEN
Equipm
ent fa
lling f
rom re
ar dec
k and
hitting
worke
rs durin
g conv
eyance
62
123
Check
on an
chor w
ires etc
.A
Forem
an
Comm
on Op
eration
7:Tru
cksCo
llision
betwe
en a tr
uck an
d a sit
econ
ductor
104
405
Guide
within
the tru
ck driv
er's vis
ual ra
ngeA
Site co
nducto
r10
110
3
Rollin
g dow
n of a
truck
62
123
Alloca
te site
conduc
tors
AFor
eman
Displa
y the r
oad sh
oulder
AFor
eman
Pay g
ood att
ention
to traf
fic haz
ard as
sessm
ent an
d stud
y the c
onveya
ncerou
te well
A
Falling
down
the re
ar deck
of a
runnin
g vehi
cle6
424
4Re
frain f
rom tra
nsferr
ing wi
th stay
ing on
the re
ar dec
kA
Worke
rs1
11
1
Equipm
ent fa
lling f
rom re
ar dec
k and
hitting
worke
rs durin
g conv
eyance
62
123
Check
on an
chor w
ires etc
.A
Forem
an
Collisi
on wit
h a tru
ck6
212
3All
ocate s
ite con
ductor
sA
Worke
rsFal
ling do
wn du
ring fab
rication
ordism
antling
of tem
porary
struct
ures
62
123
Using
a safe
ty belt
proper
ly with
a main
rope
AFor
eman
Cubic
le, pow
er dis
tributio
nboa
rds, po
wer lin
es ele
ctrica
ltoo
ls, gen
erator
s
Electr
ical sh
ock by
incom
plete
covera
ge10
220
4Ch
eckup
with a
n insul
ation r
esista
nce me
terEN
Qualif
ied pe
rson
61
61
Check
on the
inspec
tion rec
ordA
Forem
anEle
ctrica
l shock
by a l
ack of
anear
thing d
evice
102
204
Check
on the
setup
resist
ance v
alue
AQu
alified
perso
n6
16
1
Check
on the
install
ation c
onditio
nA
Forem
anMa
lfunctio
n of a
powe
r distr
ibution
board
62
123
Check
on po
wer d
istribu
tion bo
ards p
eriodic
allyEN
Qualif
ied pe
rson
61
61
Displa
y conn
ectabl
e equi
pment
A
14Pla
cing s
hort st
ruts a
ndwa
lings
Movab
le cran
es, H
type
steels
Comm
on Op
eration
5:Mo
vable c
ranes
Inspec
tion of
crane
equipm
ent no
tcar
ried ou
t6
212
3Ch
eck on
the cra
ne ope
ration
tools s
uch as
: shack
les, cla
mps a
nd wir
erop
es etc
. befor
e oper
ation
ASaf
ety be
ltsPe
rson in
charg
e for
crane
operati
onsDis
pose o
f defe
ctive e
quipm
ent an
d mate
rials
EL
Inappr
opriate
crane
opera
tions
62
123
Select
the pr
oper c
rane o
peratio
n proc
ess an
d tools
that ar
e suita
ble for
target
loads
before
the lau
nch of
opera
tion (le
ngth, s
hape a
nd we
ight et
c.)EN
Perso
n in ch
arge f
or cra
neope
rations
Worke
rs ente
ring int
o cran
eope
ration
area
62
123
Evacu
ate fro
m the
workin
g radi
us bef
ore the
launch
of op
eration
ACra
ne ope
rator
Launc
h of o
peratio
n after
confir
mation
of wo
rkers'
evacua
tionA
Call fo
r othe
r work
er's att
ention
by wh
istles
or mic
rophon
esA
Lifted
loads
movin
g back
and fo
rthand
hitting
some
other
object
s10
440
5Set
a hook
right a
bove li
fting lo
adsA
Crane
operat
or10
110
3
Safety
belts
andref
lective
vests
fortra
ffic na
vigato
r
LAW No.1 Year 1970 regarding Work Safety
1. Risk Assessment Form
26
Risk Assessment Form Case Example 1-4 ⑨Che
ck the
balance
of lifte
d loads
just af
ter han
ging it
ARe-
do if u
nbalanc
ed con
dition is
recogn
izedEN
Use ass
isting ro
pe to m
inimize
jolting
EN
Falling
of lifte
d loads
104
405
Ensure
to fix
lifted lo
ads tig
htly an
d use a
ppropr
iate lift
ing too
ls such
aswir
e-net s
ack etc
.EN
Crane
operato
r10
110
3
Use a c
rane o
f appro
priate s
tandar
d acco
rding to
the we
ight of
loads
ENThi
rd pers
ons' br
eak-in
to cran
eope
ration
area
62
123
Set an
off lim
its rule
at work
ing are
asA
Person
in cha
rge for
crane
operati
onsOv
erturn o
f a cra
ne6
212
3Usi
ng cra
nes wi
th prop
er capa
cities
ENPer
son in
charge
61
62
Check
the gro
und firs
t and fu
lly exte
nd out
riggers
ENOp
erators
Comply
strictly
with lo
ad rati
ngs (cr
ane ca
rrying
type)
ACon
tinuous
measu
rement
of lifte
d loads
by me
asuring
gauge
s throu
gh the
operati
onA
Opera
tors
Always
check
the wa
rning lig
ht and
stop ope
ration
when
its color
chang
esfrom
blue to
yellow
A
Check
the leng
th and
angle o
f the jib
and d
ecide th
e weigh
t of lift
ed load
sacc
ordingl
yEN
Check
on liftin
g weigh
t prope
rly (cra
ne car
rying ty
pe)A
Follow
the pro
per op
eration
suitab
le for t
he mach
ine per
formanc
e,esp
ecially f
or the
safe w
orking
load etc
.A
Collisio
n with a
crane
104
405
Set an
off-lim
it rule f
or the
crane
operati
on spac
eA
Chief w
orker
101
103
Prohibi
t movin
g back
ward
AOp
erators
Follow
the dir
ection
guided
by site
condu
ctors
AIns
tall a sa
fety mo
tion sen
sor ex
cept sm
all rota
ting typ
e cran
esEN
Equipm
ent fal
ling fro
m rear
deck
andhitt
ing wo
rkers d
uring c
onveya
nce6
212
3Con
firmatio
n of sl
ings ins
tallment
AFor
eman
Collaps
e of sh
ort stru
ts and
false
work b
y mal-a
ssemb
ly10
220
4Ap
point an
d alloc
ate ch
ief wo
rkers
AFor
eman
101
103
Falling
down
of sho
rt strut
s and
waling
s10
220
4Fix
short s
truts an
d walin
gs with
wedge
s etc.
ENWo
rkers
101
103
Falling
from a
short s
trut10
220
4Usi
ng a sa
fety be
lt prop
erly wi
th a ma
in rope
AChi
ef work
er10
110
3
15Gas
weldin
g and
meltdo
wn op
eration
Gas we
lding m
achines
,oxy
gen, ac
etylene
Eye inju
ry by sp
ark du
ring cu
tting
operati
on6
212
3We
aring pr
otectiv
e equip
ment (
glasses
)P
Protec
tive gla
sses,
masks
, gloves
forwe
lding o
peratio
n,saf
ety be
lts
Worke
rs
Gas cy
linder c
atching
fire10
220
4Set
backf
ire pre
ventive
measu
re to a
gas cy
linder
ENWo
rkers
101
103
Fire bre
akout
102
204
Refrain
from p
lacing
combus
tible ma
terials
around
AWo
rkers
101
103
Detec
ting ga
s leaka
ge by
using so
ap wa
terEN
Avoidi
ng sunli
ght usi
ng cov
erings e
tc.EN
LAW No.1 Year 1970 regarding Work Safety
2. Operating Instructions
27
2 Operating Instructions
2.1 Case Example 2-1
1) OutlineCase Example 2-1-1 is one of the corporate documents which informs persons
concerned with the project to suspend the operation until project recommencement approval by the relevant division after taking proper countermeasures.
In relation to the above, this document is used as notification in the case a sort of hazard had been identified through corporate inspection but no countermeasure hasbeen taken yet. This is a final notification to urge whoever in concern to take immediate actions for safety countermeasures within a given deadline (Case Example 2-1-2).
2) Case ExampleThe Case Examples 2-1-1 and 2-1-2 are on the following pages.
2. Operating Instructions
30
2.2 Case Example 2-2
1) OutlineThese two case examples show a checklist targeting for cranes operated under
mechanized construction (Case Example 2-2-1) and a defect notification form on them(Case Example 2-2-2). The former consists of 12 check items and each check item is supposed to be filled out by a crane operator. Should one fault be found on a crane truck, the latter will be noticed and the crane truck cannot be in operation according to the site regulations. In the latter format, a crane operator should describe a fault found on a crane, for which a manager of lifting operation needs to take countermeasures and describes them in details (such as when, where and what).
2) Case ExampleThe Case Examples 2-2-1 and 2-2-2 are on the following pages.
2. Operating Instructions
33
2.3 Case Example 2-3
1) OutlineThis form is a sample of work permission based on the statistics that there have
been lots of accidents in which many newly-employed workers have been involved(Case Example 2-3-1). The types of dangerous work (such as working in confined space, in high temperature, in excavation, under high-voltage cables, and near public facilities), details of work, risk mitigation measures etc. are listed. A newly-employedconstruction worker is to sign this document agreeing to work under aforementioned conditions and cancellation of permit.
Similar to the above is a permission of loading operation after temporary construction work (Case Example 2-3-2). It is important as the possibility of accidents under temporary construction work is higher. Listed in this document are check items such as formwork, falsework, strutting, excavation and others. It can be recognized it is a good example in that a number of inspectors simultaneously check the temporaryconstruction works in order to secure the safety.
2) Case ExampleThe Case Examples 2-3-1 and 2-3-2 are on the following pages.
2. Operating Instructions
34
Operating Instructions Case Example 2-3-1
Project Name:
OCCUPATIONAL, HEALTH, SAFETY and REHABILITATION PLAN
PACKAGE C
PERMIT TO WORK – PF48
WEIP/PKG / /48REF*
SITE PERMIT NO. DATE PERMIT VALIDITY( )DAYS: Max 7 days
PERMIT REQUIRED FOR: PART 1□ □ □ □ □ □CONFINED SPACE HOTWORK TO DIG CLOSE PROXIMITY CLOSE TO OTHER(pls-state) TO OVERHEAD POWER LINES UTILITIES
DETAILS OF WORK TO BE CARRIED OUT:
RISK CONTROL MEASURES TO BE APPLIED: (REFER TO RISK ASSESSMENT IF NECESSARY)
SPECIFIC ATMOSPHERE MONITORING:
□O2(19% min)□CH4(air-5% LEL/0.25 volume)□CO(50 ppm)□H2S(10 ppm)□NO2(3 ppm)□OTHER
AUTHORIZATION:I certify that the location specified and detailed above has been inspected and all the precautions detailed have been taken. Subject to the said precautions being taken, the work detailed can proceed.
Signed: Date: Time: Print Name:
RECEIPT: I certify that I have read and understood this permit and I shall ensure that the precautions detailed in PART ONE are taken:
Signed: Date: Time: Print Name:
CLEARANCE:The work detailed in PART ONE has been/not been completed and all the equipment and personnel have been withdrawn from the area.
Signed: Date: Time: Print Name:
CANCELLATION:This permit is hereby cancelled.
Signed: Date: Time: Print Name:
2. Operating Instructions
35
Operating Instructions Case Example 2-3-2
Project Name
PROCEDURE NO.16-SAFETY MANAGEMENT
1. TEMPORARY WORKS ITEM (PLEASE TICK)
□ FORMWORK □ FALSEWORK □ STRUTTING □ EXCAVATION
□ OTHER (PLEASE STATE)
2. INSPECTION DETAILSA JOINT INSPECTION IS REQUESTED FOR THE ABOVE TEMPORARY WORKS TO ALLOW THE FOLLOWING ACTIVITY OF:
TO PROCEED
DATE OF INSPECTION: REQUESTED BY:
3. CONFIRMATIONI , CONFIRM THAT THE ABOVE TEMPORARY WORKS HAVE BEEN INSPECTED AND THAT THE FOLLOWING ACTIVITY MAY/MAY NOT PROCEED. (PLEASE REFER TO DETAILS BELOW.)
SIGNED
POSITION DATE :
4. COMMEMTS/DETAILS
PERMIT TO LOAD/CONTINUE – PF 83
WORKS SECTION/LOCATION: DATE:WEIP/PKG / REF:
2. Operating Instructions
36
2.4 Case Example 2-4
1) OutlineThese are illustrations (for operations of soil extraction, slope cutting, masonry
work, spraying, retaining walls installation, pavement, placing grid concrete and culverts installation etc.), which visually explain traffic control and safety plan for the site. As the sample is a road construction under severe geological features and weather condition, which leads to a higher possibility of landslides, this document is anoutcome of efforts for safety assurance of the project.
One of well-devised points of Case Example 2-4-1 is that the alignment of causewayis changed in rainy and in dry seasons. Case Example 2-4-2 is an easy to understand illustration which depicts expected danger of shotcrete which involves a number of construction machinery. In addition, accidents caused by a third party are common during construction, excavation and banking on current roads. Case Example 2-4-3 thoroughly expresses method of construction and traffic safety measures as well as arrangement of construction machinery in both a ground plan-map and a longitudinal plan-map (Case Example 2-4-3).
2) Case ExampleThe Case Examples 2-4-1, 2-4-2 and 2-4-3 are on the following pages.
2. Operating Instructions
41
2.5 Case Example 2-5
1) OutlineHaving already mentioned that newly-employed construction workers are more
likely to encounter accidents, this document (Case Example 2-5-1) is a questionnaire for them, which intends to raise safety awareness. A newly-employed construction worker is requested to fill in ID number, company’s name, qualifications and licenses obtained, contact address in emergency case, etc. and sign an oath of safety cooperation such as attending entry education course and wearing PPE etc.
Moreover, Case Example 2-5-2 is a notification form of dangerous material and harmful substances to use, which includes person in charge of handling of hazardous materials, names of hazardous materials, purposes of use, places of use, places of custody, period of use and ventilation. By signing these documents themselves, it is expected that new construction workers will be more aware for securing safety.
2) Case ExampleThe Case Examples 2-5-1 and 2-5-2 are on the following pages.
2. Operating Instructions
42
Operating Instructions Case Example 2-5-1
DATE of new Entry No.Year month day
① This questionnaire is used as basic material of where to make contact confirmation when the emergency such as the injuries is generated and main contractor’s management for safety and sanitations. ②Main contractor’s person in keeping properly manages and keeps ut.
Project ID - ExplanatoryNotes
Ly–A001(Ly Chhung),CK-A001(Comin khmere)
The
pers
on in
que
stio
n fil
ls it
in w
ithou
t fai
l
First subcontractor company’s name Affiliated company’s nameCompany
nameFirst Name Given Name Occupation Years of
experienceDate of birth Age
years
/ /Alphabet Alphabet
address TEL ・ ・
Con
tact
in
emer
genc
y ca
se
address
TELName Relationship
Your
qua
lific
atio
n an
d lic
ense
Qualification and license name Acquired year Qualification and license number
Mak
e an
oat
h I attended the new entry education of this project according to the attached instruction material, I
swear to work safety by observing the rule of the this project (Especially, I wear the helmet, the
safety shoes, and the reflection vest without fail.), and cooperating each other.
date year month day Signature
(opinion) Project Manager
Deputy Project
Manager
Person in
Charge
2. Operating Instructions
43
Operating Instructions Case Example 2-5-2
No.6 Sign
(Day) (Month) (Year)
Notification of pit dangerous material and harmful matter to use
Project office name
Project manager name
Company name(Subcontractor)
Person in charge Sign
description
Material
Name of Material Specification Quantity Description
Purpose and
using location
Stock location
Period of service (Day) (Month) (Year) to (Day) (Month) (Year)
Person in chargeControl dangerous materials
the person in charge
Ventilation a way and classify
Remarks
(Note)
1 This dangerous material is diesel oil, lamp oil, propane gas, acetylene gas.
2 This harmful matter is organic solvent, specified chemical substance (using coating and waterproof).
2. Operating Instructions
44
2.6 Case Example 2-6
1) OutlineWhile there are quite many checklists on safety patrol, checklists on safety
instructions such as this Case Example 2-6 is rare and thus valuable. Case Example 2-6 is a very stringent checklist which consists of description and drawing of safety problems, delay from limited date, reasons of delay, instructions for improvement, andlimit for improvement date etc.
2) Case ExampleThe Case Example 2-6 is on the following page.
2. Operating Instructions
45
Operating Instructions Case Example 2-6FR
: SIR
-01
Appe
ndix
9
SAFE
TY IN
STRU
CTIO
N RE
PORT
Proje
ct Na
me
Date
Date
Mon
thYe
ar
Plac
eRe
porte
d by
Subc
ontra
ctor’s
Nam
eW
ork k
ind
Ditto
inch
arge
d Per
son’s
Nam
eIn
char
ged P
erso
n’s N
ame
Safet
y Pro
blem
with
Eas
y Dra
wing
In
struc
tion
for Im
prov
emen
t
Tim
e Li
mit
for I
mpr
ovem
ent
Date
Conf
irmat
ion w
hen
Instr
ucte
d
Actu
al Im
prov
ed D
ate
Proje
ct M
anag
erSa
fety O
ffice
rSa
fety A
ssist
ant
In ch
arge
d Eng
ineer
Subc
ontra
ctor
inch
arge
d Per
son
Dela
y fro
m L
imite
d Dat
e
Reas
on of
Dela
y
Conf
irmat
ion w
hen
Com
plet
edPr
oject
Man
ager
Safet
y Offi
cer
Safet
y Ass
istan
tIn
char
ged E
ngine
erSu
bcon
tracto
rIn
char
ged P
erso
n
Pena
lty of
Dela
y
3. Record of Meetings
47
3 Record of Meetings
3.1 Case Example 3-1
1) OutlineThis document is similar to a daily report format. Each worker of working groups
should fill in the plan and the actual result of the daily work so that a comparison between the plan and the actual work done is clearly shown. Additionally, a number of construction machinery and its types should also be added. Attached is a ground map of work site, on which workers mark the sections they have worked. Moreover, instructions on safety, quality and environment and other notes can be added to the last column. If construction workers change day to day, the comparison between the plan and the result may be unclear.
2) Case ExampleThe Case Example 3-1 is on the following page.
3. Record of Meetings
48
Record of Meeting Case Example 3-1B
rack
:Pla
n, R
ed:A
ctua
l
Nam
eIt
emQ
ty
Pla
nA
ctua
l
wor
ker
FM
SW
OP
DR
CW
FM
SW
OP
DR
CW
wea
ther
(cl
ear
・ c
loud
y
・ ra
iny
・ w
ith
inte
rmitte
nt r
ain)
Wor
king
dat
e
y
m
d
wee
k
Site
map
(P
leas
e fil
l in t
he p
ositio
n of
the
Gan
g.)
note
Use
maj
or m
achi
ne
mat
eria
ls, e
tc,.
Item
Saf
ety,
qua
lity,
env
iron
men
tal
inst
ruct
ion,
and
not
es
tem
pera
ture
℃
w
ind
spee
d
m/s
Des
crip
tion
of
wor
ks
Location
Gan
g's
nam
e
Par
son
in c
harg
e
(meet
ing
date
)
Y
M
D
Wee
k
h
our)
5 da
ily m
eet
ing
reco
s
Sig
nat
ure
Pro
ject
Man
ager
Dep
uty
Pro
ject
Man
eger
Daily
Con
stru
ctio
n Mee
ting R
ecor
d(
)
4. Weekly & Monthly Report
49
4 Weekly & Monthly Report
4.1 Case Example 4-1
1) OutlineThis case example is a simple and basic monthly report format, which includes
total manpower, a number of safety meetings organized at site, a number of occupational safety awareness programs conducted at site, a number of fatal accidents, a number of other accidents and total working hours spent etc. There are two columns for each item, one for total number of the month, another for cumulative total number. It is also possible to add comments on the format. However, when considering safety management on an individual basis, there is a need to look at other documents such as patrol checklists.
2) Case ExampleThe Case Example 4-1 is on the following page.
4. Weekly & Monthly Report
50
Monthly Report Case Example 4-1
MONTHLY SAFETY REPORT
Actual Work start Date: For the Month of:Project:_________________________________________________ Report No:Name of the sub-Contractor: Status as on:Name of work: ___________________________ Name of Designated Safety Officer:ITEM THIS MONTH CUMULATIVE
Total Strength (Staff + Workmen)No of Safety Meetings organized at siteNo of HSE awareness programs conducted at siteWhether Workmen health Policy takenWhether Workmen health Policy is validWhether workmen registered under Number of Fatal accidentsNumber of Reportable Accidents (Non Fatal)Other accidents (Non Reportable)Total no of AccidentsTotal Man Hrs worked_______________________________________________ ___________________________________________________________________________________________________________________________________________________________________________________________________
Incidence Rate_____________________________________________________________________No of Fire Incidents ________________________________________________________________No of First Aid Cases _______________________________________________________________No of Near Miss Incidents ___________________________________________________________Compensation Cases _______________________________________________________________________________________________________________________________________________
No of Violations of Health and Safety provisions ________________________________________Remarks, if anyDate:Safety Officer
(Signature and Name)
4. Weekly & Monthly Report
51
4.2 Case Example 4-2
1) OutlineThis case example is a weekly and monthly report format regarding safety
management, which consists of name of item, location, inspection result, date of action and signature (Case Example 4-2-1). It can be said that this format is more systematized than the earlier Case Example 4-2-1 as it allows the inspectors to checkwhether any action of countermeasures are taken on the same page. Case Example 4-2-2 is a weekly safety check sheet, thus there are less items to check. Moreover, Case Example 4-2-3 is a record of issuance of PPE in which types of PPE, name of the worker and his/her signature are to be filled. It is easy to grasp a general view.
2) Case ExampleThe Case Examples 4-2-1, 4-2-2 and 4-2-3 are on the following pages.
4. Weekly & Monthly Report
52
Weekly & Monthly Report Case Example 4-2-1 ①
PROJECT NAMEPROJECT HEALTH & SAFETY PLAN
4. Weekly & Monthly Report
53
Weekly & Monthly Report Case Example 4-2-1 ②
PROJECT NAMEPROJECT HEALTH & SAFETY PLAN
4. Weekly & Monthly Report
54
Weekly & Monthly Report Case Example 4-2-1 ③
PROJECT NAMEPROJECT HEALTH & SAFETY PLAN
4. Weekly & Monthly Report
55
Weekly & Monthly Report Case Example 4-2-1 ④
PROJECT NAMEPROJECT HEALTH & SAFETY PLAN
4. Weekly & Monthly Report
56
Weekly & Monthly Report Case Example 4-2-1 ⑤
PROJECT NAMEPROJECT HEALTH & SAFETY PLAN
4. Weekly & Monthly Report
57
Weekly & Monthly Report Case Example 4-2-1 ⑥
PROJECT NAMEPROJECT HEALTH & SAFETY PLAN
4. Weekly & Monthly Report
58
Weekly & Monthly Report Case Example 4-2-2 ①
PROJECT NAMEPROJECT HEALTH & SAFETY PLAN
4. Weekly & Monthly Report
59
Weekly & Monthly Report Case Example 4-2-2 ②
PROJECT NAMEPROJECT HEALTH & SAFETY PLAN
4. Weekly & Monthly Report
60
Weekly & Monthly Report Case Example 4-2-3
PROJECT NAMEPROJECT HEALTH & SAFETY PLAN
4. Weekly & Monthly Report
61
4.3 Case Example 4-3
1) OutlineThis is a monthly safety report. It is a simple meeting record format for monthly
meetings organized by Safety Management Committee. In the format, major events, casualty reports and safety activities (meetings and safety trainings) are to be reported.
2) Case ExampleThe Case Example 4-3 is on the following page.
4. Weekly & Monthly Report
62
Monthly Report Case Example 4-3
Date of PreparationPrepared byApproved by
MONTHLY SAFETY REPORT1. Major Event
2. Casualty ReportNo. Description Subcontractor Total
1 Number of person This Month
Cumulative This Month Cumulative This Month Cumulative
2 Man hours worked H3 No lost time
accident b
4 Loss time accident<3days and less
c
5 Loss time accident>4days and more
d
6 Fatal accident e7 Man days lost L8 Frequency rate F9 Severity rate G
Note: F=((d+e)/H)×1,000,000 G=(L/H)×1,0003. Safety Activity3.1 Safety Meeting
No. DescriptionThis Month
RemarksDate No. of attendees
Hours of Meeting
1 General Safety Meeting for Workers2 Monthly Progress Meeting
3 Weekly Meeting
3.2 Safety TrainingNo. Description This Month
Remarks1 Safety orientation to new worker Date No. of attendees
Hours of Meeting
2 Tool box meeting
3 Specific safety traininga)Traffic Accidentb)Discuss accident happen from
other projectc)Safety Motivation for workers
prior to safety promotiond)Others
5. Site Inspection Check Sheet
63
5 Site Inspection Check Sheet
5.1 Case Example 5-1
1) OutlineCase Example 5-1-1 is a daily checklist for cranes. The inspection items are for
engine, hydraulic system, brake system, driving system, electronic system, and safety devices. Case Example 5-1-2 is scaffold inspection list, which consists of location & description of scaffold, dates & result of inspection and a short checklist for inspection (including baseplates, ground condition, joint condition, bracing, platform, ladder, andguard rail etc.).
2) Case ExampleThe Case Examples 5-1-1 and 5-1-2 are on the following pages.
5. Site Inspection Check Sheet
64
Inspection by Patrol Case Example 5-1-1
CRANE DAILY CHECKLIST – PF 95
WORKS SECTION/LOCATION DATE:WEIP/PKG / REF:
EQUIPMENT/PLANT MACHINERY NUMBER
CHECKED BY NAME DESIGNATION SIGNATURE
No. ITEM CHECK DONE & DATE COMMENTS
1 ENGINE
WATER LEVEL
OIL LEVEL & CONDITION
2 HYDRAULIC SYSTEM
HYDRAULIC OIL & CONDITIONHYDRAULIC PUMP, MOTORS & CYLINDERSCONTROL VALVE, ROTATING JOINT
3 BRAKING SYSTEM
SWING BRAKE CONDITION
BOOM HOIST BRAKE CONDITION
BRKE FLUID AND CONDITION
4 TRAVELLING SYSTEM
TRACK AND CRAWLER ROLLERS
5 ELECTRICAL SYSTEM
FLUID LEVEL IN BATTERY
ELECTRICAL DISPLAY PANEL
6 SAFETY DEVICES
BOOM OVER HOIST
OVERLOAD ALARM IF ANY
KEY: X: NOT ACCEPTABLE – REPAIRS TO BE DONE, CRANE NOTO TO BE USED : ACCEPTABLE
N/A NOT APPLICABLE TO THE CRANE
5. Site Inspection Check Sheet
65
Inspection by Patrol Case Example 5-1-2PR
OJEC
T N
AME
PROC
EDU
RE N
O.16
–SA
FETY
MAN
AGEM
ENT
SCAF
FOLD
INSP
ECTI
ON L
IST
–PF
52
WOR
KS S
ECTI
ON/L
OCAT
ION
:W
EIP/
PKG
/
REF:
DATE
1.
WOR
K CO
MM
ENCE
MEN
T –
DATE
LOCA
TION
AN
D DE
SCRI
PTIO
N O
F SC
AFFO
LDDA
TE O
F IN
SPEC
TION
RESU
LT
OF
INSP
ECTI
ON
STAT
E W
HET
HER
IN G
OOD
ORDE
R OR
NOT
ADDI
TION
ALN
OTES
SIGN
ATU
RE O
F PE
ERSO
N W
HO
CARR
IED
OUR
INSP
ECTI
ON
2.
SH
ORT
CHEC
K LI
ST –
THIS
CH
ECKL
IST
MU
ST B
E AT
TACH
ED T
O TH
E SC
AFFO
LDIN
G BE
ING
INSP
ECTE
D AN
D CE
RTIF
IED
AS S
AFE
OR N
OT S
AFE
TO
USE
.
SIGN
ATU
RE:
N
AME:
DAT
E
/
/
BASE
PLAT
ESAC
CEPT
ABLE
(Y/N
)
GROU
ND
CON
DITI
ON
STAN
DARS
ACCE
PTAB
LE(Y
/N)
JOIN
T
CON
NEC
TION
SPAC
ING
BRAC
ING
ACCE
SSAC
CEPT
ABLE
(Y/N
)
PROV
IDED
PLAT
FORM
LADD
ER
GUAR
D RA
IL
TOE
BOAR
D
COU
PLIN
GSAC
CEPT
ABLE
(Y/N
)
OTH
ER M
EMBE
RSAC
CEPT
ABLE
(Y/N
)
5. Site Inspection Check Sheet
66
5.2 Case Example 5-2
1) OutlineIn order to thoroughly manage safety at construction site overseas, a safety
inspection checklist which is a basic format of safety management system based on the head office’s basic principles is prepared by the head office of contractors. Workers at construction sites are requested to select and use applicable items depending on the characteristics of work and conditions. Case Example 5-2 is a checklist prepared for common type of construction which includes items of inspection such as PPE, excavation, scaffold timbering, cleaning, dismantling, traffic safety, crane, andelectricity etc. In addition, there are other specific formats for construction which deals with concrete casting, construction which involves electrical work or welding.
2) Case ExampleThe Case Example 5-2 is on the following page.
5. Site Inspection Check Sheet
67
Inspection by Patrol Case Example 5-2 ①
OHS OCECD OPERATIONAL CONTROL PROCEDURE Section 2
Safety Inspection5 Feb 09 Rev 2
Page 1 of 9
SAFETY INSPECTION
1 PURPOSE
To identify hazardous situations and to implement remedial action before
things can develop to a point where injury or other losses can occur.
2 SCOPE
Applicable to all project operations identified as hazards.
3 REFERENCE
SP-01_EHS Aspects and Hazards analysis
OCP-08_OHS Maintenance of Machinery
4 RECORDS
Relevant safety inspection records such as;
Scaffold inspection checklist, equipment inspection checklist, General safe
work checklist, etc.
5 PROCEDURE
5.1 Responsibility5.1.1 Operators are to carry out inspection of equipments or plants before work.
5.1.2 M&E engineer is to carry out periodical inspections for M&E equipments and
plants.
5.1.3 Site Supervisor or foreman are to carry out site work inspections and safety reports periodically.
5.1.4 Safety officer and his assistants are to carry out site work inspections and
safety reports periodically.
5.1.5 The Project Manager or his representative and Construction Managers are to
carry out safety inspections monthly.
5.2 General5.2.1 In addition to the safety maintenance and equipment-inspection program,
5. Site Inspection Check Sheet
68
Inspection by Patrol Case Example 5-2 ②
OHSOCECD OPERATIONAL CONTROL
PROCEDURE Section 2
Safety Inspection5 Feb 09 Rev 2
Page 2 of 9
which is an essential operating practice on every site, regular inspection of the workplace must take place.(refer to OCP-08_OHS Maintenance of Machinery)
5.2.2 All inspections, regardless of type, shall be taken place at intervals, as dictated by need.
5.2.3 Middle and senior management shall involve themselves in theseinspections by taking part in nominated inspections or conducting their own.
5.3 Safety Inspections
5.3.1 Where required by contract, the Safety Officer shall on monthly basis prepare and submit the mandatory safety report to the clientwith endorsement of Project Manager.
5.3.2 The Safety Officer, Site Supervisor, designated personnel shall conduct various safety inspections with respective subcontractors/sitepersonnel via various inspections checklists.
5.3.3 Further inspection program shall be developed to specify the check items, frequency, checklists, person in charge, etc.
5.3.4 Such program shall comprise but not limited to the followings;
• General safe work
• Scaffolding
• Temporary electrical installation• Excavation
• Concreting and formwork
• Hot work
• Housekeeping, etc.
5.3.5 Appendix-1 shows the typical checklist for general safe work inspections.
5.3.6 The Safety Officer, Site Supervisor or designated personnel shall keep the inspection records.
5.4 Remedial Action
5.4.1 Inspections conducted are to be properly documented in order to specify the corrective actions required, timeframe and responsible person for the actions.
5.4.2 Follow-up is necessary to ensure that remedial works are completed on schedule as committed by the parties concerned.
5. Site Inspection Check Sheet
69
Inspection by Patrol Case Example 5-2 ③
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PROCEDURE Section 2
Safety Inspection5 Feb 09 Rev 2
Page 3 of 9
6 ATTACHMENT
Appendix 1 Sample forsafe work inspection checklist
5. Site Inspection Check Sheet
70
Inspection by Patrol Case Example 5-2 ④
OHSOCECD OPERATIONAL CONTROL
PROCEDURE Section 2
Safety Inspection5 Feb 09 Rev 2
Page 4 of 9
Appendix 1 Sample for GeneralSafe Work Inspection Checklist
OHSCHECKLISTFORPROJECT SITE
NO DESCRIPTION
Report of visit(tick if observed
or NA if notapplicable)
Location &other remarks
1 Personal Protective Equipment
1a. Use of Safety helmets.
1b. Provision and use of eye protection.
1c. Use of safety belt.
1d. Provision of ear protection.2 Excavation
2a. Excavation depth > 5m to providewarning sign.
2b. Timber plank used for piling at least50mm thick.
2c. Excavation depth > 1.2m provide accessladder.
2d. Excavation depth > 4m to provide PEdesign for shoring.
2e. Excavation depth > 1.5m withmechanical digger used, to provide PEdesign for shoring.
2f. Positioning of machinery in dangerousmanner.
2g. Storage of material 610mm away fromthe edge of trenches.
2h. Failure to protect open cut slope inaccordance with approved method statement or design.
3 Scaffolding
3a. No wire ties.
3b. Proper maintenance of scaffold.
3c. Minimum width of working platform is
5. Site Inspection Check Sheet
71
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OHSOCECD OPERATIONAL CONTROL
PROCEDURE Section 2
Safety Inspection5 Feb 09 Rev 2
Page 5 of 9
NO DESCRIPTION
Report of visit(tick if observed
or NA if notapplicable)
Location &other remarks
635mm.
3d. Sign show maximum load & maximumno. of workers to be placed.
3e. Platform projection shall not be less than50mm or greater than 4 times of thickness of plank used.
3f. Plank used shall be flushed andsecured.
3g. Removal of construction debris fromplatform.
3h. Provision of access ladder to platform.
3i. Provision of guard rail for workingplatform exceeds 3m in height.
3j. Provision of bracing from top to base of scaffolding.
3k. Erection on solid foundation or wellconsolidated soil.
4 Housekeeping
4a. Cause tripping and cutting hazards.
4b. Storage of material cause obstruction topassage way or place of work.
4c. Material to stored or stacked in safemanner.
4d. Material storage shall not cause dangerto persons below or close to edge of platform.
4e. Debris shall not accumulated andconstitute hazard.
4f. Provision of hoarding.
4g. Removal of oil, greese, water etc., inwhich may causes slipping hazard.
5 Demolition
5. Site Inspection Check Sheet
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OHSOCECD OPERATIONAL CONTROL
PROCEDURE Section 2
Safety Inspection5 Feb 09 Rev 2
Page 6 of 9
NO DESCRIPTION
Report of visit(tick if observed
or NA if notapplicable)
Location &other remarks
5a. Proper method of removal of debris.
5b. Provision of catch platform for demolitionof exterior wall or roof from a point more than 12m height if persons below are exposed to falling objects.
5c. Erection of barricade to preventunauthorised person(s) entering the demolition project site with warning sign display.
5d. Swinging weight method to provide 1.5times height of structure demolition zone with barricade.
5e. Clamshell bucket used to maintain 8mdemolition zone with barricade.
6 Traffic Control & Road Safety
6a. Failure to provide alternative footpathand directional sign for pedestrians.
6b. Closing of any road or lanes leading to traffic jam of 100m or more.
6c. Failure to display any or adequatetemporary sign, cone, rotating lamp or other indication for temporary road-lanes closure.
6d. Failure to maintain barricades, blinkers,rotating lamps in good working condition.
6e. Failure to display adequate warning signat strategic location.
6f. Failure to provide barrication withsuitable warning sign and light when works carry out near any roads / highways.
6g. Placing of equipment / machineries, debris, material or thing in such amanner as to cause obstruction to
5. Site Inspection Check Sheet
73
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OHSOCECD OPERATIONAL CONTROL
PROCEDURE Section 2
Safety Inspection5 Feb 09 Rev 2
Page 7 of 9
NO DESCRIPTION
Report of visit(tick if observed
or NA if notapplicable)
Location &other remarks
persons using the public street andpedestrian footway.
6h. Failure to rectify road depression orpotholes immediately.
6i. Failure to provide collision attenuator /truck mounted attenuator ( TMA ) for works on road with speed limit 70kph and above.
7 Cranes
7a. Sound underlying material for footing.
7b. Provide capacity chart.
7c. Indicator for safe working loadcorrespond to radius of jib and warning sign when radius is unsafe.
7d. No travel of crane with suspended load.
7e. Provision of lifting the Site Supervisor and signal man.
8 Electrical
8a. Provision of proper warning sign in 4official languages where electrical circuit exists.
8b. Protective measures taken to preventdamages.
8c. Wiring supported on proper insulator and not looped over rails or brackets.
8d. No wiring shall be left on ground or floorand shall be protected.
9 Safe Means of Access
9a. Safe means of access to be provide to working levels above or below ground.
9b. Provision of hand hold to ladder.
9c. Ladder shall not stand on loose bricks or
5. Site Inspection Check Sheet
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PROCEDURE Section 2
Safety Inspection5 Feb 09 Rev 2
Page 8 of 9
NO DESCRIPTION
Report of visit(tick if observed
or NA if notapplicable)
Location &other remarks
loose packing.
9d. Ladder shall be securely fixed.
9e. No undue swaying of ladder.10 Piling
10a. Piling hammer shall be lowered toground if is not in use.
10b. Provision of permanent ladders.
10c. Warning sign provided at 50m away fromtest pile area.
10d. Sound footing for advancing of pile driver.
11 Falling Hazard
11a. Open side or opening shall be guardedor covered.
12 Prevention of Fire
12a. Provision of fire extinguishers.13 First-Aid
13a. Provide and maintain First-Aid boxes.
13b. Employment of first aider for factorymore than 25 persons.
14 Safe Place of Employment
14a. All places of work, floors, steps, stairs, passages, gangways, must be properlymaintained and free from obstruction.
14b. Secure foothold & handhold shall be provided if a person is liable to fall frommore than 3m; provision of safety belt, fencing, net and secured anchorage.
15 Health Requirements
15a. Cleanliness – Work place to be keptclean and free from effluents.
6. Occupational Safety & Health Management System
77
6 Occupational Safety & Health Management System
6.1 Case Example 6-1(see also Case Example 1-4)
1) OutlineThis is a copy of a certificate of approval given to a corporation whose Occupational
Health & Safety Management System has been certified as International Standard OHSAS 18001. In a similar case, a head office, which has obtained ISO 9000, conducts quality and safety management on construction sites.
2) Case ExampleThe Case Example 6-1 is on the following page.
6. Occupational Safety & Health Management System
78
Occupational Safety & Health Management System Case Example 6-1
Company Name
Address etc.
6. Occupational Safety & Health Management System
79
6.2 Case Example 6-2(see also Case Example 5-2)
1) OutlineThis is a case where a head office, which has not obtained the international
standard, establishes its own standard and conducts PDCA (Plan-Do-Check-Action) cycle based on their own policy.
2) Case ExampleThe Case Example 6-2 is on the following page.
6. Occupational Safety & Health Management System
80
Occupational Safety & Health Management System Case Example 6-2 ①
OHS OCECD OPERATIONAL CONTROL PROCEDURE Section 2
Safety Inspection5 Feb 09 Rev 2
Page 1 of 9
SAFETY INSPECTION
1 PURPOSE
To identify hazardous situations and to implement remedial action before
things can develop to a point where injury or other losses can occur.
2 SCOPE
Applicable to all project operations identified as hazards.
3 REFERENCE
SP-01_EHS Aspects and Hazards analysis
OCP-08_OHS Maintenance of Machinery
4 RECORDS
Relevant safety inspection records such as;
Scaffold inspection checklist, equipment inspection checklist, General safe
work checklist, etc.
5 PROCEDURE
5.1 Responsibility5.1.1 Operators are to carry out inspection of equipments or plants before work.
5.1.2 M&E engineer is to carry out periodical inspections for M&E equipments and
plants.
5.1.3 Site Supervisor or foreman are to carry out site work inspections and safety reports periodically.
5.1.4 Safety officer and his assistants are to carry out site work inspections and
safety reports periodically.
5.1.5 The Project Manager or his representative and Construction Managers are to
carry out safety inspections monthly.
5.2 General5.2.1 In addition to the safety maintenance and equipment-inspection program,
6. Occupational Safety & Health Management System
81
Occupational Safety & Health Management System Case Example 6-2 ②
OHSOCECD OPERATIONAL CONTROL
PROCEDURE Section 2
Safety Inspection5 Feb 09 Rev 2
Page 2 of 9
which is an essential operating practice on every site, regular inspection of the workplace must take place.(refer to OCP-08_OHS Maintenance of Machinery)
5.2.2 All inspections, regardless of type, shall be taken place at intervals, as dictated by need.
5.2.3 Middle and senior management shall involve themselves in theseinspections by taking part in nominated inspections or conducting their own.
5.3 Safety Inspections
5.3.1 Where required by contract, the Safety Officer shall on monthly basis prepare and submit the mandatory safety report to the clientwith endorsement of Project Manager.
5.3.2 The Safety Officer, Site Supervisor, designated personnel shall conduct various safety inspections with respective subcontractors/sitepersonnel via various inspections checklists.
5.3.3 Further inspection program shall be developed to specify the check items, frequency, checklists, person in charge, etc.
5.3.4 Such program shall comprise but not limited to the followings;
• General safe work
• Scaffolding
• Temporary electrical installation
• Excavation
• Concreting and formwork
• Hot work
• Housekeeping, etc.
5.3.5 Appendix-1 shows the typical checklist for general safe work inspections.
5.3.6 The Safety Officer, Site Supervisor or designated personnel shall keep the inspection records.
5.4 Remedial Action
5.4.1 Inspections conducted are to be properly documented in order to specify the corrective actions required, timeframe and responsible person for the actions.
5.4.2 Follow-up is necessary to ensure that remedial works are completed on schedule as committed by the parties concerned.
6. Occupational Safety & Health Management System
82
Occupational Safety & Health Management System Case Example 6-2 ③
OHSOCECD OPERATIONAL CONTROL
PROCEDURE Section 2
Safety Inspection5 Feb 09 Rev 2
Page 3 of 9
6 ATTACHMENT
Appendix 1 Sample forsafe work inspection checklist
6. Occupational Safety & Health Management System
83
Occupational Safety & Health Management System Case Example 6-2 ④
OHSOCECD OPERATIONAL CONTROL
PROCEDURE Section 2
Safety Inspection5 Feb 09 Rev 2
Page 4 of 9
Appendix 1 Sample for GeneralSafe Work Inspection Checklist
OHSCHECKLISTFORPROJECT SITE
NO DESCRIPTION
Report of visit(tick if observed
or NA if notapplicable)
Location &other remarks
1 Personal Protective Equipment
1a. Use of Safety helmets.
1b. Provision and use of eye protection.
1c. Use of safety belt.
1d. Provision of ear protection.2 Excavation
2a. Excavation depth > 5m to providewarning sign.
2b. Timber plank used for piling at least50mm thick.
2c. Excavation depth > 1.2m provide accessladder.
2d. Excavation depth > 4m to provide PEdesign for shoring.
2e. Excavation depth > 1.5m withmechanical digger used, to provide PEdesign for shoring.
2f. Positioning of machinery in dangerousmanner.
2g. Storage of material 610mm away fromthe edge of trenches.
2h. Failure to protect open cut slope inaccordance with approved method statement or design.
3 Scaffolding
3a. No wire ties.
3b. Proper maintenance of scaffold.
3c. Minimum width of working platform is
6. Occupational Safety & Health Management System
84
Occupational Safety & Health Management System Case Example 6-2 ⑤
OHSOCECD OPERATIONAL CONTROL
PROCEDURE Section 2
Safety Inspection5 Feb 09 Rev 2
Page 5 of 9
NO DESCRIPTION
Report of visit(tick if observed
or NA if notapplicable)
Location &other remarks
635mm.
3d. Sign show maximum load & maximumno. of workers to be placed.
3e. Platform projection shall not be less than50mm or greater than 4 times of thickness of plank used.
3f. Plank used shall be flushed andsecured.
3g. Removal of construction debris fromplatform.
3h. Provision of access ladder to platform.
3i. Provision of guard rail for workingplatform exceeds 3m in height.
3j. Provision of bracing from top to base of scaffolding.
3k. Erection on solid foundation or wellconsolidated soil.
4 Housekeeping
4a. Cause tripping and cutting hazards.
4b. Storage of material cause obstruction topassage way or place of work.
4c. Material to stored or stacked in safemanner.
4d. Material storage shall not cause dangerto persons below or close to edge of platform.
4e. Debris shall not accumulated andconstitute hazard.
4f. Provision of hoarding.
4g. Removal of oil, greese, water etc., inwhich may causes slipping hazard.
5 Demolition
6. Occupational Safety & Health Management System
85
Occupational Safety & Health Management System Case Example 6-2 ⑥
OHSOCECD OPERATIONAL CONTROL
PROCEDURE Section 2
Safety Inspection5 Feb 09 Rev 2
Page 6 of 9
NO DESCRIPTION
Report of visit(tick if observed
or NA if notapplicable)
Location &other remarks
5a. Proper method of removal of debris.
5b. Provision of catch platform for demolitionof exterior wall or roof from a point more than 12m height if persons below are exposed to falling objects.
5c. Erection of barricade to preventunauthorised person(s) entering the demolition project site with warning sign display.
5d. Swinging weight method to provide 1.5times height of structure demolition zone with barricade.
5e. Clamshell bucket used to maintain 8mdemolition zone with barricade.
6 Traffic Control & Road Safety
6a. Failure to provide alternative footpathand directional sign for pedestrians.
6b. Closing of any road or lanes leading to traffic jam of 100m or more.
6c. Failure to display any or adequatetemporary sign, cone, rotating lamp or other indication for temporary road-lanes closure.
6d. Failure to maintain barricades, blinkers,rotating lamps in good working condition.
6e. Failure to display adequate warning signat strategic location.
6f. Failure to provide barrication withsuitable warning sign and light when works carry out near any roads / highways.
6g. Placing of equipment / machineries, debris, material or thing in such amanner as to cause obstruction to
6. Occupational Safety & Health Management System
86
Occupational Safety & Health Management System Case Example 6-2 ⑦
OHSOCECD OPERATIONAL CONTROL
PROCEDURE Section 2
Safety Inspection5 Feb 09 Rev 2
Page 7 of 9
NO DESCRIPTION
Report of visit(tick if observed
or NA if notapplicable)
Location &other remarks
persons using the public street andpedestrian footway.
6h. Failure to rectify road depression orpotholes immediately.
6i. Failure to provide collision attenuator /truck mounted attenuator ( TMA ) for works on road with speed limit 70kph and above.
7 Cranes
7a. Sound underlying material for footing.
7b. Provide capacity chart.
7c. Indicator for safe working loadcorrespond to radius of jib and warning sign when radius is unsafe.
7d. No travel of crane with suspended load.
7e. Provision of lifting the Site Supervisor and signal man.
8 Electrical
8a. Provision of proper warning sign in 4official languages where electrical circuit exists.
8b. Protective measures taken to preventdamages.
8c. Wiring supported on proper insulator and not looped over rails or brackets.
8d. No wiring shall be left on ground or floorand shall be protected.
9 Safe Means of Access
9a. Safe means of access to be provide to working levels above or below ground.
9b. Provision of hand hold to ladder.
9c. Ladder shall not stand on loose bricks or
6. Occupational Safety & Health Management System
87
Occupational Safety & Health Management System Case Example 6-2 ⑧
OHSOCECD OPERATIONAL CONTROL
PROCEDURE Section 2
Safety Inspection5 Feb 09 Rev 2
Page 8 of 9
NO DESCRIPTION
Report of visit(tick if observed
or NA if notapplicable)
Location &other remarks
loose packing.
9d. Ladder shall be securely fixed.
9e. No undue swaying of ladder.10 Piling
10a. Piling hammer shall be lowered toground if is not in use.
10b. Provision of permanent ladders.
10c. Warning sign provided at 50m away fromtest pile area.
10d. Sound footing for advancing of pile driver.
11 Falling Hazard
11a. Open side or opening shall be guardedor covered.
12 Prevention of Fire
12a. Provision of fire extinguishers.13 First-Aid
13a. Provide and maintain First-Aid boxes.
13b. Employment of first aider for factorymore than 25 persons.
14 Safe Place of Employment
14a. All places of work, floors, steps, stairs, passages, gangways, must be properlymaintained and free from obstruction.
14b. Secure foothold & handhold shall be provided if a person is liable to fall frommore than 3m; provision of safety belt, fencing, net and secured anchorage.
15 Health Requirements
15a. Cleanliness – Work place to be keptclean and free from effluents.
6. Occupational Safety & Health Management System
88
Occupational Safety & Health Management System Case Example 6-2 ⑨
6. Occupational Safety & Health Management System
89
6.3 Case Example 6-3
1) OutlineThis format is a record for toolbox meeting in which contents of works for the day,
attentions on safety, health and hygiene, methodologies for work and signatures of all attendees are to be filled. (Case Example 6-3).
Likewise toolbox meetings, ”Three Five-Minute Activity Campaigns”: 1) five-minute safety talks before starting work, 2) five-minute safety confirmation at the start of work and 3) five-minute cleaning before ending work, are practiced by this corporation. Samples of documents are omitted in this case.
2) Case ExampleThe Case Example 6-3 is on the following page.
6. Occupational Safety & Health Management System
90
Occupational Safety & Health Management System Case Example 6-3
6. Occupational Safety & Health Management System
91
6.4 Case Example 6-4
1) OutlineThis is another toolbox meeting format which differs slightly from the earlier
example, Case Example 6-3-1. It consists of fill-out forms of the work, quality and safety attentions and safety instructions posed by contractors. It also works as risk assessment sheet as it requires each worker to check by him/herself on potential risks,hazards and preventive measures that should be taken on the day.
2) Case ExampleThe Case Example 6-4 is on the following page.
6. Occupational Safety & Health Management System
92
Occupational Safety & Health Management System Case Example 6-4
Tool
Box
Mee
ting
Reco
rdDate
Year
Month
Day
Hour
Com
pany
na
me
Pers
on in
ch
arge
Pers
on's
nam
e (I
n ow
n ha
ndw
ritin
g an
d th
e fu
ll na
me)
.ID
. No.
Nam
eID
. No.
Nam
eID
. No.
Nam
eID
. No.
Nam
eID
. No.
Nam
e1
611
1621
27
1217
22
38
1318
23
49
1419
24
510
1520
25
(1) C
onte
nt o
f mee
ting
Des
crip
tion
of w
orks
Safe
ty in
stru
ctio
n an
d no
tes
Qua
lity,
envi
ronm
enta
l ins
truc
tion,
and
not
es
(2) T
oday
’s ri
sk a
sses
smen
t1.
Pot
entia
l Ris
k/H
azar
d(W
hat’s
the
risk
toda
y?)
2. P
reve
ntiv
e M
easu
re(H
ow a
re y
ou p
reve
nt?)
Whe
re
ther
e an
in
jury
or
ne
ither
si
ckne
ss
nor
leav
ing
wor
k be
fore
fini
sh ti
me,
etc
.N
oYe
sPe
rson
in c
harg
ePr
ojec
t MD
uty
Safe
ty
Not
e
Tool
Box
Mee
ting
6. Occupational Safety & Health Management System
93
6.5 Case Example 6-5
1) OutlineThis is a sample of reviewed Safety Plan Document. This extract of Safety Plan
Document is shown as Case Example 6-5.
2) Case ExampleThe Case Example 6-5 is on the following page.
6. Occupational Safety & Health Management System
94
Occupational Safety & Health Management System Case Example 6-5
6. Occupational Safety & Health Management System
95
6.6 Case Example 6-6
1) OutlineThis document shows the amendment process of Safety Plans submitted by a
corporation which controls PDCA cycle based on its own standard of safety management.
2) Case ExampleThe Case Example 6-6 is on the following page.
6. Occupational Safety & Health Management System
96
Occupational Safety & Health Management System Case Example 6-6
SECTION 1:SAFETY POLICY STATEMENT
SAFETY AND HEALTH POLICY
Safe construction is a social commitment that all companies should fulfill. We strive for the
consolidation and the improvement of the safety and health environment so that all workfolk
can feel secure, and also being accepted from society with the confidence and empathty as
the basis of corporate activities of “Thorough Pursuit of Safety First”.
1. ELIMINATION OF ACCIDENT AND INJURY
We not only comply with the provisions of Occupational Safety and Health Regulations and
Health Regulations and Our Construction Safety and Health Control, but also aim to
eliminate all accidents and injuries with responding to the variety situations and managing
the adequate safety and health.
Especially to the specified works as “Priority Measures” and “Priority Dangerous Work and
Dangerous Work”, we attempt to prevent any accident with concentrated efforts.
2. ACCIDENT PREVENTION TO THIRD PARTIES
Accidents to the community must be definitely avoided with every maginable means.
Particularly for the construction at urban districts, the construction plan that includes the
measures of accident prevention to the third parties as the most important aspect should be
drawn up and implemented thoroughly.
3. IMPROVEMENT OF SAFETY AND HEALTH STANDARDS
We strive for the education of safety and health to the project office persons involved and
enhance the standard level of safety and health continuously with managing the cycle of
“Plan- Do - Check- Act“ (=Improvement)approproately Based on “Occupational Health and
Safety Management System” that specifies in reducing any risk at the job site steadily.
Under these policies, all employees of ○○ and subcontractors should bring together their
own management skills and enthusiasm for safety, and strongly develop the compulsory
activies of safety and health managemant.
7. Partnership with Locals etc.
97
7 Partnership with Locals etc.
7.1 Case Example 7-1
1) OutlineThis is an emergency flow chart which shows contact addresses of person(s) in
charge of the project and relevant agencies (the Engineer and the Employer). It also includes contact addresses of the police station, the fire station, and the major hospitals.
2) Case Example
The Case Example 7-1 is on the following page.
7. Partnership with Locals etc.
98
Partnership with Locals etc. Case Example 7-1
TEL: XXXX-XXXXXX
TEL: XXXX-XXXXXX
TEL: XXXX-XXXXXX
TEL: XXXX-XXXXXX
TEL: XXXX-XXXXXX
TEL: XXXX-XXXXXX
TEL: XXXX-XXXXXX
TEL: XXXX-XXXXXX
TEL: XXXX-XXXXXX
TEL: XXXX-XXXXXX
TEL: XXXX-XXXXXX
TEL: XXXX-XXXXXX
TEL: XXXX-XXXXXX
TEL: XXXX-XXXXXX
TEL: XXXX-XXXXXX
TEL: XXXX-XXXXXXTEL: XXXX-XXXXXX
ATEL: XXXX-XXXXXX
BTEL: XXXX-XXXXXX
CTEL: XXXX-XXXXXX
DTEL: XXXX-XXXXXX
ETEL: XXXX-XXXXXX
7. Partnership with Locals etc.
99
7.2 Case Example 7-2
1) OutlineIn addition to the emergency flow chart, this document is elaborated to use a route
map for obtaining easy understanding of conveyance of the injured (the route whichshould be taken to send injured workers to the hospital) (Case Example 7-2). The mainpriority and focus of safety management are placed on the workers at construction site. This corporation conducts monthly safety meetings, suggest initiatives and review safety management activities, in order to further develop safety awareness and improve measures of safety management.
2) Case Example
The Case Example 7-2 is on the following page.
7. Partnership with Locals etc.
101
Partnership with Locals etc. Case Example 7-2 ②
PROJECT NAME
PROJECT SAFETY PLAN
appropriate measures to be taken;
・ Review of sub-contractors safety performance.
Monthly Project ManagerConstruction ManagersChief managerThe EngineerThe EmployerSubcontractors Project Manager
・ Present overall safety performance and statistics of the Project;
・ Identify good practice and bad practices;
・ Identify the following months training program;
・ Appraise the participants of the training carried out to date;
・ Proposal of incentives;
・ Open discussion;
・ Contained in the Monthly Report and presentation material;
3.04Safety Information and Training
With reference to the OHSRP Section 7, the training and briefing are in principle the same:
Safety Inductions
All persons that are and shall be engaged on this Project shall be required to undergo an initial Safety Induction. The Safety Induction shall be conducted in English and Vietnamese. The Safety Manager and/or delegates shall conduct the Safety Induction. The Safety Induction is mandatory to any person wishing to visit/enter/work on or within the Project site. The induction shall include but not limited to:
7. Partnership with Locals etc.
102
7.3 Case Example 7-3
1) OutlineThis shows an example of safety management plan at the construction site where
there is a high possibility of influence from active volcanoes. The plan states own evacuation policy and the monitoring system specified this volcanic environment, which are both mentioned in Safety Plan Document.
2) Case Example
The Case Example 7-3 is on the following page.
7. Partnership with Locals etc.
105
Partnership with Locals etc. Case Example 7-3 ③
From 12 – Working Safety Plan
13.4.7.3 Emergency Network Following figure shows the JO’s emergency network. The JO will evacuate all
workers, the JO’s staff and equipment including the Employer’s properties following this procedure.
Temporary MonitoringObservatory
Information:1. Rain Fall2. Volcanic Debris/Lava3. Hot Cloud
Information:1. Rain Fall2. Volcanic Debris/Lava
Site Office(at construction site)
The JO’s MainSite Office
(at construction
HEAD OFFICEJAKARTA
WORKER EQUIPMENT
EvacuationBy Truck and Pick Up
EvacuateRiver Bank
Move to River Bank
ENGINEER OFFICEThe Employer ’s OfficeThe Engineer ’s Office
Volcanology Office
Monitoring Post
Figure 2. Evacuation NetworkFigure 2. Evacuation Network
FloodVolcanic Mud Flood
Instruction by HT/ Direct Instruction by HT/ Direct
Report
7. Partnership with Locals etc.
106
7.4 Case Example 7-4(see also Case Example 2-4)
1) OutlineThis is a document (traffic control and safety plan for causeway) which shows
safety management in an area where there is a high possibility of landslides due to its geographical features and traffic accidents caused by external automobiles.
2) Case Example
The Case Examples 7-4-1, 7-4-2 and 7-4-3 are on the following pages.