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    Pre Operational Checklist

    Uploaded by

    Bryan Lascota
    This document is a pre-operational checklist for a worksite project. It outlines the project details, activities involved like electrical work or working at heights, required personal protective equipment like hard hats or gloves, other safety requirements, assigned workers, and sign off from managers to confirm safety precautions are in place. The checklist is used to plan and ensure all hazards are identified and proper protections are implemented before starting work.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Pre Operational Checklist

    Uploaded by

    Bryan Lascota
    27 views2 pages
    This document is a pre-operational checklist for a worksite project. It outlines the project details, activities involved like electrical work or working at heights, required personal protective equipment like hard hats or gloves, other safety requirements, assigned workers, and sign off from managers to confirm safety precautions are in place. The checklist is used to plan and ensure all hazards are identified and proper protections are implemented before starting work.

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    This document is a pre-operational checklist for a worksite project. It outlines the project details, activities involved like electrical work or working at heights, required personal protective equipment like hard hats or gloves, other safety requirements, assigned workers, and sign off from managers to confirm safety precautions are in place. The checklist is used to plan and ensure all hazards are identified and proper protections are implemented before starting work.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    27 views2 pages

    Pre Operational Checklist

    Uploaded by

    Bryan Lascota
    This document is a pre-operational checklist for a worksite project. It outlines the project details, activities involved like electrical work or working at heights, required personal protective equipment like hard hats or gloves, other safety requirements, assigned workers, and sign off from managers to confirm safety precautions are in place. The checklist is used to plan and ensure all hazards are identified and proper protections are implemented before starting work.

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    © All Rights Reserved
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    You are on page 1of 2

    Huawei Technologies Philippines, Inc.

    PRE-OPERATIONAL CHECKLIST

    Page 1/2

    Project Worksite Date POC No.

    Person-in-charge Contractor Sub-Contractor (if any)

    Work Description (include attachment such as approved plans, work orders, memo, e-mails, etc):

    Activities Involved
    Chemical/ Biohazard/ Flammable materials Fragile structure
    Cold Work Hot Work/ Welding/ Cutting
    Confined space Mechanical
    Demolition Pressurized system
    Electrical Working-At-Heights/ Elevated
    Excavation Others (please specify) : ________________________

    HIRAC available? Yes No


    (If HIRAC is not yet available, identify the Hazards associated with work)
    Hazards Associated With Work

    Equipment to be used under safe work conditions (Check if applicable):


    Barriers/ Signage Welding/ Cutting equipment
    Ladder Emergency Contact Numbers
    Lifting equipment Huawei Safety Rules
    Power Tools Others (please specify) : _______________

    Personal Protective Equipment


    Dust mask/ SCBA/ Respiratory protection
    Ear plug/ Hearing protection
    Face protection
    Fall arrester/Safety harness/guardrails
    Fire protection system
    Gloves-Rubber/Cotton
    Goggles/ Eye Protection
    Hard Hat
    High Visibility Clothing
    Safety Shoes
    Ventilation/ Exhaust Fan
    Others (please specify) : ________________________

    HTPI-OHSMS-F-036 Rev.00 06/30/2017


    Huawei Technologies Philippines, Inc.

    PRE-OPERATIONAL CHECKLIST
    Page 2/2

    Other requirements and precautions


    Communication equipment
    LOTO
    Overrides
    Supplies/waste storage area
    Removal/protection of combustible and flammable items
    Others (please specify) : _______________

    Workers assigned on-site


    1 16
    2 17
    3 18
    4 19
    5 20
    6 21
    7 22
    8 23
    9 24
    10 25
    11 26
    12 27
    13 28
    14 29
    15 30

    Worksite Responsibility

    Manager/ Supervisor, Contractor

    We confirm that the pre-work safe condition have been achieved, all safety precautions / actions required are in place
    and have been inspected by myself in accordance with the requirements of Occupational Health and Safety
    Management System.

    Site Engineer, HTPI Project Manager, HTPI

    Work Cancellation (State the reason if applicable):

    Project Manager, HTPI

    HTPI-OHSMS-F-036 Rev.00 06/30/2017

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