Denwacho Form

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Safety Audit Group

Safety and Health Section DENWACHO (Hourly Working Time Sheet) Work to be Completed
General Services Department

Work Details: _________________________ Date of Work: _________________________


Main Contractor: _________________________ Safety Officer: _____________________

Plant Name: _________________________ Date Prepared: _________________________


Working Contractor:_________________________ Project Owner: _____________________

Building Name: _________________________ Shop Area: _____________________________


Prepared (Job Controller): ___________________ Anzen Leader: _____________________
Anzen Number of Number of Basic Working Time Stop 6
Risk
No. General Work/Task Hazard
Workers units Unit
Schedule
Category Remarks
Leader 0600 0800 1000 1200 1400 1600 1800 2000 2200 2400 0200 0400 0600 Score Rank

PLAN

ACTUAL

PLAN

ACTUAL

PLAN

ACTUAL

PLAN

ACTUAL

PLAN

ACTUAL

PLAN

ACTUAL

PLAN

ACTUAL

PLAN

ACTUAL

PLAN

ACTUAL

PLAN

ACTUAL

PLAN

ACTUAL

Stop 6 Category:
A- Pinched/Caught by machine E- Electric shock
B- Contact with/caught in heavy objects F- Contact with hot objects
C- Contact with vehicles Alpha 1- Oxygen deficiency
D- Fall from height Alpha 2- Intoxication

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