Sl. No.

Name of the Checklist Frequency

1 Safety Subcommittee meeting minutes format Monthly

2 SIPP Group Observations Report Monthly

3 Ladder Checklist Monthly

4 Conveyors and Pullcord Inspection Checklist Monthly

5 Ceiling Fan Inspection check list Monthly

6 Confined space blower Monthly

7 Crane Inspection report Weekly

8 Electrical Panel Room Inspection check list Monthly

9 EOT Crane daily check list Daily

10 Eye and Body Wash Shower check list Monthly

11 Fall Arrest System check list Monthly

12 Forklift Truck check list Monthly

13 GUARDS INSPECTION REPORT Monthly

14 Hand Pallet Truck check list Monthly

15 Maintenance WorkShop check list Monthly

16 Mobile Crane check list Monthly

17 Oxy - Acetylene Flame Cutting Equipment Check list Monthly

18 Passenger Lifts check list Monthly

19 Pedestal Fan Inspection check list Monthly

20 Portable Power tools Check list Monthly

21 Safety Belt full harness check list Monthly

22 Slings Check list Monthly

23 Walking - Working Surfaces check list Monthly

24 Welding Transformers Check List Monthly

25 Abandoned Buildings Inspection Monthly

26 PPE CHECKLIST Monthly

27 Monthly
Canteen Inspection Check List
28 Monthly
Frontend Loader Checklist

29 Chemical Storage area Inspection Checklist Monthly

30 LOTO Program Inspection Check List Quaterly

31 Emergency STOP Inspection Check List Monthly

32 Scaffold Inspection Check List Monthly

33 Emergency Lighting Inspection Checklist Monthly

34 Noise Survey Checklist Quaterly

35 SCBA Check List Monthly

36 Dock leveller Inspection Checklist Monthly

37 Radiation Safety Checklist Monthly

38 Chain Pulley Inspection Check List Monthly

39 Chemical Storage tank Inspection Check List Monthly

40 Static Electricity Inspection Check List Monthly

Updated Check
list

Safety
Subcommittee
meeting minutes
format.doc

SIPP Group
Observations
Report.doc

Ladder
Checklist.doc

Conveyors Pull
cord inspection
checklist.doc

Ceiling Fan
Inspection check
list.doc

1 Confined space
blower checklist.doc

Document

Electrical Panel
Room Inspection
checklist.doc

Document

F-37 Eye and Body

Wash Shower
check list.docx

Fall Arrest System

check list.doc

Forklift inspection
check list.doc

GUARDS
Inspection
checklist.doc
 Hand Pallet Truck
check list.doc

Maintenance
WorkShop check
list. doc

Mobile Crane
check list.doc

F-45 Gas cutting

set inspection.docx

Passenger Lifts
check list.doc

Pedestal Fan
Inspection check
list.doc

Portable Power
tools Check list.doc

Document

Slings Check
list.doc

Walking - Working
Surfaces
checklist.doc

Welding Machine
Check list.doc

Abandoned
Buildings
Inspection.xls

PPE Audit
checklist.docx

Canteen safety
inspection
checklist.docx
 Frontend Loader
checklist.docx

Chemical storage
area Inspection
checklist.docx

Document

Document

Scaffold
Inspection
Checklist.docx

Emergency lighting
inspection
checklist.docx

Document

F-77 SCBA check

list.doc

Dockleveller
inspection.docx

Radiation Safety
checklist.docx

AAA\F-46 Chain
Pulley inspection
checklist.docx

Chemical storage
tank inspection
chcklist.docx

Static Electricity
inspection
checklist.docx
 Welfare(Ca
KA3 KA3 Mech Conv & Fin Paper KA1&2 KA1&2 and
OCC SP1&2 OCC SP1&2 Power Instrument Fire & Sec nteen &
Safety Checklists RMH DIP Process DIP Mech SP3 Process
Process -12&3 Godown PROCESS Mech Process Block
E cell Electrical Stores Civil
ation
Area
maintenan
P&D QC & C.Lab
ce)

Safety Subcommittee meeting minutes format

Apr-21
SIPP Group Observations Report

Apr-21
Ladder Checklist

Apr-21
Conveyors and Pullcord Inspection Checklist

Apr-21
Ceiling Fan Inspection check list

Apr-21
Confined space blower

Apr-21
Crane Inspection report

Apr-21
Electrical Panel Room Inspection check list

Apr-21
EOT Crane daily check list

Apr-21
Eye and Body Wash Shower check list

Apr-21
Fall Arrest System check list

Apr-21
Forklift Truck check list

Apr-21
GUARDS INSPECTION REPORT

Apr-21
Hand Pallet Truck check list

Apr-21
Maintenance WorkShop check list

Apr-21
Oxy - Acetylene Flame Cutting Equipment Check list

Apr-21
Passenger Lifts check list

Apr-21
Pedestal Fan Inspection check list

Apr-21
Portable Power tools Check list

Apr-21
Safety Belt full harness check list

Apr-21
Chain Pulley Inspection Check List

Apr-21
Slings Check list

Apr-21
Walking - Working Surfaces check list

Apr-21
Welding Transformers Check List

Apr-21
Abandoned Buildings Inspection

Apr-21
PPE CHECKLIST

Apr-21
Canteen Inspection Check List

Apr-21
Frontend Loader Checklist

Apr-21
Chemical Storage area Inspection Checklist

Apr-21
LOTO Program Inspection Check List

Apr-21
Emergency STOP Inspection Check List

Apr-21
Scaffold Inspection Check List

Apr-21
Emergency Lighting Inspection Checklist

Apr-21
Noise Survey Checklist

Apr-21
Dock leveller Inspection Checklist

Apr-21
Radiation Safety Checklist

Apr-21

Applicable
Not Applicable
Not Done
Done
 STATUS – INSPECTION & SUBMISSION OF CHECKLIST
Apr-21
Updated
insp to be NC Done Compliance for
done April-21

RMH 13 2 11 85%
DIP Process 17 0 17 100%
DIP Mech 17 0 17 100%
SP3 Process 17 1 16 94%
KA3 Process 15 2 13 87%
KA3 Mech 19 1 18 95%
Conv & Fin -12&3 14 1 13 93%
Paper Godown 13 0 13 100%
KA1&2 PROCESS 19 1 18 95%
KA1&2 and OCC SP1&2 Mech 20 0 20 100%
OCC SP1&2 Process 19 1 18 95%
Power Block 22 1 21 95%
E cell 15 0 15 100%
Electrical 21 0 21 100%
Stores 14 0 14 100%
Civil 8 0 8 100%
Instrumentation 10 0 10 100%
Fire & Sec 12 0 12 100%
Welfare 10 1 9 90%
P&D 3 0 3 100%
QC & C. Lab 10 0 10 100%
Departments S.NO Checklists Count Remarks-May-21

1 Safety Subcommittee meeting minutes format

2 SIPP Group Observations Report

3 Ladder Checklist
4 Eye and Body Wash Shower check list
5 Fall Arrest System check list
6 Forklift Truck check list
RMH 7 Pedestal Fan Inspection check list
13

8 Safety Belt full harness check list

9 Walking - Working Surfaces check list
10 Frontend Loader Checklist
11 PPE CHECKLIST
12 Chemical Storage area Inspection Checklist
13 Noise Survey Checklist

1 Safety Subcommittee meeting minutes format

2 SIPP Group Observations Report

3 Ladder Checklist
4 Conveyors and Pullcord Inspection Checklist
5 Ceiling Fan Inspection check list
6 Confined space blower
7 Eye and Body Wash Shower check list

DIP Process 8 Fall Arrest System check list 17

9 Forklift Truck check list
10 Pedestal Fan Inspection check list
11 Walking - Working Surfaces check list
12 PPE CHECKLIST
13 Frontend Loader Checklist
14 Chemical Storage area Inspection Checklist
15 LOTO Program Inspection Check List
16 Emergency STOP Inspection Check List
17 Noise Survey Checklist
1 Safety Subcommittee meeting minutes format
2 SIPP Group Observations Report
3 Ceiling Fan Inspection check list
4 Crane Inspection report
5 EOT Crane daily check list
6 GUARDS INSPECTION REPORT
7 Maintenance WorkShop check list
8 Oxy - Acetylene Flame Cutting Equipment Check list
DIP Mech 9 Portable Power tools Check list 17
10 Safety Belt full harness check list
11 Chain Pulley Inspection Check List
12 Slings Check list
13 Walking - Working Surfaces check list
14 Welding Transformers Check List
15 PPE CHECKLIST
16 LOTO Program Inspection Check List
17 Noise Survey Checklist
 1 Safety Subcommittee meeting minutes format
2 SIPP Group Observations Report
3 Ladder Checklist
4 Conveyors and Pullcord Inspection Checklist
5 Ceiling Fan Inspection check list
6 Confined space blower
7 EOT Crane daily check list
8 Eye and Body Wash Shower check list
SP3 Process 9 Fall Arrest System check list 17
10 Hand Pallet Truck check list
11 Pedestal Fan Inspection check list
12 Walking - Working Surfaces check list
13 PPE CHECKLIST
14 Chemical Storage area Inspection Checklist
15 LOTO Program Inspection Check List
16 Emergency STOP Inspection Check List
17 Noise Survey Checklist
1 Safety Subcommittee meeting minutes format
2 SIPP Group Observations Report
3 Ladder Checklist
4 Ceiling Fan Inspection check list
5 Confined space blower
6 EOT Crane daily check list
7 Pedestal Fan Inspection check list
KA3 Process 8 Safety Belt full harness check list 15
9 Slings Check list
10 Walking - Working Surfaces check list
11 PPE CHECKLIST
12 Chemical Storage area Inspection Checklist
13 LOTO Program Inspection Check List
14 Emergency STOP Inspection Check List
15 Noise Survey Checklist
1 Safety Subcommittee meeting minutes format

2 SIPP Group Observations Report

3 Ceiling Fan Inspection check list

4 Confined space blower
5 Crane Inspection report
6 EOT Crane daily check list
7 GUARDS INSPECTION REPORT
8 Maintenance WorkShop check list
9 Oxy - Acetylene Flame Cutting Equipment Check list
KA3 Mech 10 Pedestal Fan Inspection check list 19

11 Portable Power tools Check list

12 Safety Belt full harness check list
13 Chain Pulley Inspection Check List
14 Slings Check list
15 Walking - Working Surfaces check list
16 Welding Transformers Check List
17 PPE CHECKLIST
18 LOTO Program Inspection Check List
19 Noise Survey Checklist
1 Safety Subcommittee meeting minutes format
2 SIPP Group Observations Report
3 Ladder Checklist
4 Ceiling Fan Inspection check list
5 Crane Inspection report
6 EOT Crane daily check list
7 Forklift Truck check list
Conv & Fin -1,2&3 14
8 GUARDS INSPECTION REPORT
9 Hand Pallet Truck check list
10 Pedestal Fan Inspection check list
11 Slings Check list
12 Walking - Working Surfaces check list
13 PPE CHECKLIST
14 Emergency STOP Inspection Check List
1 Safety Subcommittee meeting minutes format
2 SIPP Group Observations Report
3 Ladder Checklist
4 Ceiling Fan Inspection check list
5 Fall Arrest System check list
6 Forklift Truck check list
Paper Godown 7 Hand Pallet Truck check list 13
8 Pedestal Fan Inspection check list
9 Safety Belt full harness check list
10 Walking - Working Surfaces check list
11 PPE CHECKLIST
12 Noise Survey Checklist
13 Dock leveller Inspection Checklist
 1 Safety Subcommittee meeting minutes format
2 SIPP Group Observations Report
3 Ladder Checklist
4 Ceiling Fan Inspection check list
5 Confined space blower
6 Crane Inspection report
7 EOT Crane daily check list
8 GUARDS INSPECTION REPORT
9 Pedestal Fan Inspection check list
KA1&2 PROCESS 10 Portable Power tools Check list 19
11 Safety Belt full harness check list
12 Slings Check list
13 Walking - Working Surfaces check list
14 Abandoned Buildings Inspection
15 PPE CHECKLIST
16 Chemical Storage area Inspection Checklist
17 LOTO Program Inspection Check List
18 Emergency STOP Inspection Check List
19 Noise Survey Checklist
1 Safety Subcommittee meeting minutes format
2 SIPP Group Observations Report
3 Ladder Checklist
4 Ceiling Fan Inspection check list
5 Crane Inspection report
6 EOT Crane daily check list
7 GUARDS INSPECTION REPORT
8 Maintenance WorkShop check list
9 Oxy - Acetylene Flame Cutting Equipment Check list
10 Pedestal Fan Inspection check list
KA1&2 Mech 20
11 Portable Power tools Check list
12 Safety Belt full harness check list
13 Chain Pulley Inspection Check List
14 Slings Check list
15 Walking - Working Surfaces check list
16 Welding Transformers Check List
17 PPE CHECKLIST
18 LOTO Program Inspection Check List
19 Emergency STOP Inspection Check List
20 Noise Survey Checklist

1 Safety Subcommittee meeting minutes format

2 SIPP Group Observations Report

3 Ladder Checklist
4 Conveyors and Pullcord Inspection Checklist
5 Ceiling Fan Inspection check list
6 Confined space blower
7 Crane Inspection report
8 EOT Crane daily check list
9 Eye and Body Wash Shower check list
OCC SP1&2 Process 19
10 GUARDS INSPECTION REPORT
11 Pedestal Fan Inspection check list
12 Safety Belt full harness check list
13 Walking - Working Surfaces check list
14 Abandoned Buildings Inspection
15 PPE CHECKLIST
16 Chemical Storage area Inspection Checklist
17 LOTO Program Inspection Check List
18 Emergency STOP Inspection Check List
19 Noise Survey Checklist
1 Safety Subcommittee meeting minutes format
2 SIPP Group Observations Report
3 Ceiling Fan Inspection check list
4 GUARDS INSPECTION REPORT
5 Maintenance WorkShop check list
6 Oxy - Acetylene Flame Cutting Equipment Check list
7 Pedestal Fan Inspection check list
8 Portable Power tools Check list
OCC SP1&2 Mech 9 Safety Belt full harness check list 17
10 Chain Pulley Inspection Check List
11 Slings Check list
12 Walking - Working Surfaces check list
13 Welding Transformers Check List
14 PPE CHECKLIST
15 LOTO Program Inspection Check List
16 Emergency STOP Inspection Check List
17 Noise Survey Checklist
 1 Safety Subcommittee meeting minutes format

2 SIPP Group Observations Report

3 Ladder Checklist
4 Conveyors and Pullcord Inspection Checklist
5 Ceiling Fan Inspection check list
6 Confined space blower
7 Crane Inspection report
8 GUARDS INSPECTION REPORT
9 Maintenance WorkShop check list
10 Oxy - Acetylene Flame Cutting Equipment Check list
Power Block 22
11 Pedestal Fan Inspection check list
12 Portable Power tools Check list
13 Safety Belt full harness check list
14 Chain Pulley Inspection Check List
15 Slings Check list
16 Walking - Working Surfaces check list
17 Welding Transformers Check List
18 Abandoned Buildings Inspection
19 PPE CHECKLIST
20 LOTO Program Inspection Check List
21 Emergency STOP Inspection Check List
22 Noise Survey Checklist
1 Safety Subcommittee meeting minutes format
2 SIPP Group Observations Report
3 Ladder Checklist
4 Conveyors and Pullcord Inspection Checklist
5 Ceiling Fan Inspection check list
6 Eye and Body Wash Shower check list
7 GUARDS INSPECTION REPORT
E cell 8 Pedestal Fan Inspection check list 15
9 Safety Belt full harness check list
10 Walking - Working Surfaces check list
11 PPE CHECKLIST
12 Chemical Storage area Inspection Checklist
13 LOTO Program Inspection Check List
14 Emergency STOP Inspection Check List
15 Noise Survey Checklist
1 Safety Subcommittee meeting minutes format

2 SIPP Group Observations Report

3 Ladder Checklist
4 Ceiling Fan Inspection check list
5 Crane Inspection report
6 Electrical Panel Room Inspection check list
7 Hand Pallet Truck check list
8 Maintenance WorkShop check list
9 Oxy - Acetylene Flame Cutting Equipment Check list
10 Passenger Lifts check list
Electrical 21
11 Pedestal Fan Inspection check list
12 Portable Power tools Check list
13 Safety Belt full harness check list
14 Chain Pulley Inspection Check List
15 Slings Check list
16 Walking - Working Surfaces check list
17 Welding Transformers Check List
18 PPE CHECKLIST
19 LOTO Program Inspection Check List
20 Emergency Lighting Inspection Checklist
21 Noise Survey Checklist
 1 Safety Subcommittee meeting minutes format
2 SIPP Group Observations Report
3 Ladder Checklist
4 Ceiling Fan Inspection check list
5 Eye and Body Wash Shower check list
6 Fall Arrest System check list
7 Hand Pallet Truck check list
Stores 14
8 Pedestal Fan Inspection check list
9 Safety Belt full harness check list
10 Chain Pulley Inspection Check List
11 Slings Check list
12 Walking - Working Surfaces check list
13 PPE CHECKLIST
14 Chemical Storage area Inspection Checklist
1 Safety Subcommittee meeting minutes format
2 SIPP Group Observations Report
3 Ceiling Fan Inspection check list
4 Portable Power tools Check list
Civil 8
5 Safety Belt full harness check list
6 Walking - Working Surfaces check list
7 PPE CHECKLIST
8 Scaffold Inspection Check List
1 Safety Subcommittee meeting minutes format
2 SIPP Group Observations Report
3 Ceiling Fan Inspection check list
4 Maintenance WorkShop check list
5 Portable Power tools Check list
Instrumentation 10
6 Safety Belt full harness check list
7 Walking - Working Surfaces check list
8 PPE CHECKLIST
9 LOTO Program Inspection Check List
10 Radiation Safety Checklist
1 Safety Subcommittee meeting minutes format
2 SIPP Group Observations Report
3 Ladder Checklist
4 Ceiling Fan Inspection check list
5 GUARDS INSPECTION REPORT
6 Pedestal Fan Inspection check list
Fire & Sec 12
7 Portable Power tools Check list
8 Safety Belt full harness check list
9 Walking - Working Surfaces check list
10 PPE CHECKLIST
11 LOTO Program Inspection Check List
12 Noise Survey Checklist
1 Safety Subcommittee meeting minutes format
2 SIPP Group Observations Report
3 Ladder Checklist
4 Ceiling Fan Inspection check list
5 Pedestal Fan Inspection check list
Welfare(Canteen & Area maintenance) 11
6 Safety Belt full harness check list
7 Walking - Working Surfaces check list
8 PPE CHECKLIST
9 Canteen Inspection Check List
10 Noise Survey Checklist
1 Safety Subcommittee meeting minutes format
P&D 2 SIPP Group Observations Report 3
3 PPE CHECKLIST
1 Safety Subcommittee meeting minutes format
2 SIPP Group Observations Report
3 Ceiling Fan Inspection check list
4 Eye and Body Wash Shower check list
5 GUARDS INSPECTION REPORT
QC & C.Lab 10
6 Pedestal Fan Inspection check list
7 Walking - Working Surfaces check list
8 PPE CHECKLIST
9 Chemical Storage area Inspection Checklist
10 Noise Survey Checklist
 Remarks-April-21

1.Frontend Loader checklist ask for applicable

2. Forklift checklist pending
 1.LOTO Program Inspection Check List

1.EOT Crane daily check list (maintainging daily checklist by internet

format)

2.LOTO Program Inspection Check List-need to be submit

3.Emergency STOP Inspection Check List--need to be submit

1.Maintenance WorkShop check list- need to be taken

1.Forklift Truck check list not submited

1. LOTO Program Inspection Check List

1.Abandoned Buildings Inspection - ask them to submit now once

check with gopi sir

Merge with KA1&2 mechanical

1. Crane Inspection report (monthly once they can check for
condition)

2. EOT Crane daily check list (only shutdown time they can use)

Crane Inspection report (need to submit)

EOT Crane daily check list (right now not applicable once check with
department)
1. Frontend loader ask for applicable or not

Safety Belt full harness check list- need to submit

 STATUS – INSPECTION & SUBMISSION OF CHECKLIST
Apr-21
Updated
Total Insp to insp to be Compliance for
Be Done NC Done March-21 Remarks
done
RMH 12 13 0 13 100% 1. Frontend loader added
DIP Process 18 17 0 17 100% 1. GUARDS INSPECTION REPORT removed due to same checklist submitted by dip mech
1.Forklift truck checklist
DIP Mech 19 17 3 14 82% 2.add 1 count wrong entry
1.Access Ladder
SP3 Process 19 17 0 17 100% 2.GUARDS INSPECTION REPORT removed due to same checklist submitted by KA3 mech

KA3 Process 20 19 0 19 100% 1.GUARDS INSPECTION REPORT removed due to same checklist submitted by KA3 mech

KA3 Mech 18 19 1 18 95% 1. Previously LOTO Programme not included

Conv & Fin -12&3 13 14 0 14 100% 1. Forklift checklist added
Paper Godown 14 13 0 13 100% 1.Emergency Stop Inspection
KA1&2 PROCESS 19 19 0 19 100%
KA1&2 Mech 21 20 4 16 80% 1.Access Ladder
OCC SP1&2 Process 19 18 0 18 100% 1.Access Ladder
OCC SP1&2 Mech 18 18 4 14 78%
Power Block 21 21 0 21 100%
E cell 16 15 0 15 100% 1.Access Ladder
Electrical 22 21 0 21 100% 1. Emergency stop removed
Stores 14 14 0 14 100%
Civil 9 8 0 8 100% 1. Loto Checklist removed
Instrumentation 9 10 0 10 100% 1. Added workshop checklist

1.Access Ladder
2.Emergency Stop
Fire & Sec 17 12 0 12 100% 3.Emergency lighting
4.add 1 count wrong entry
5.removed SCBA checklist

1.Access Ladder
Welfare 11 9 0 9 100% 2.Emergency lighting
1.Loto Program removed
P&D 5 3 0 3 100% 2.Emergency Lighting removed

1.Pedestal fan added

2.Chemial storage area inspection added
QC & C. Lab 10 10 0 10 100% 3.removed Emergency lighting
4.Emergnecy stop button checklists removed

August ref April Count

 Checklists submission Report May-2021
DEPARTMENT SUBMITTED DATE SIGNATURE

RMH

DIP Process

DIP Mech

SP3 Process

KA3 Process

KA3 Mech

Conv & Fin -12&3

Paper Godown

KA1&2 PROCESS

KA1&2 and OCC SP1&2 Mech

OCC SP1&2 Process

Power Block

E cell

Electrical

Stores

Civil

Instrumentation

Fire & Sec

Welfare

P&D

QC & C. Lab