Daily Safety - Inspection Report Format
Daily Safety - Inspection Report Format
day:
Project: Multi Village Water Supply Scheme to Anjanapura & other 198 Habitations of Shikaripura, Taluka in Shivamogga District under DBOT mode under Jal Jeevan Mission.
Contractor KLSR Infratech Pvt Ltd Contract No. 757/2022-23, Dated: 24-3-2023 Completion date: 23-9-2024
DBOT Contract Section-7, Cl. 9.2, Environment and Social Management Plan
Safety measures followed
Sl No. Impacts Mitigation measures Remarks
Yes No
1 Cave-ins during excavation Ensure proper shoring and sloping to prevent cave-ins in excavation
Machinery Report
Yes No Yes No
REMARKS IF ANY:
REMARKS IF ANY:
Project: Multi Village Water Supply Scheme to Anjanapura & other 198 Habitations of Shikaripura, Taluka in Shivamogga District under DBOT mode under Jal Jeevan Mission.
Contractor KLSR Infratech Pvt Ltd Contract No. 757/2022-23, Dated: 24-3-2023 Completion date: 23-9-2024
2 Vehicle Accidents
Apply appropriate signage and pedestrian control
3 Existing utilities
Check relevant Authority (e.g. power, water, gas, council) records for location of services
Falling Hazard of men, material and equipment. Maintain a safe working area around moving vehicles,Keeping a safe distance from the edge of trench, Maintain
4
good housekeeping , All trenches have safety barricades when left open for a period of time, No load to be placed
or moved near the edge of trench where it is likely to cause collapse of the trench.
Machinery Report
Safety measures followed Safety measures followed
Sl No Equipment Name:JCB Sl No Equipment Name:Crane
Yes No Yes No
1 Leakage of oil in hydraulic systems observed. 1 Carrier frame, rotate base
8 Vehicle Insurance available (mention due date) 8 Emergency stops,Boom Angle/Radius Indicator
Battery,Lights,Clutch/Brake linings,Electric
10 Equipment Fitness Certificate / Road Tax available 10
motors and Fire extinguisher
REMARKS IF ANY:
REMARKS IF ANY:
Project: Multi Village Water Supply Scheme to Govindapura & 11 other Rural Habitations and 1 Urban Area of Gopishetty Koppa of Shivamogga Taluka in Shivamogga District under DBOT mode under Jal Jeevan Mission.
Contractor Arun Engineering Project Pvt Ltd Contract No. 225/2022-23, Dated: 08-9-2022 Completion date: 07-08-2023
Work Progress Cl. 9.2, Environment and Social Management Plan Labour
Remarks
RFI No Date Component Activity Impacts Total Qty Executed Qty Skilled Unskilled
Machinery Report
Sl No T & P at Site & Units Location Used for
REMARKS IF ANY: