Pressmach Infrastructure Pvt Ltd

Electrical Distribution Board

Contractor: Location :

Doc. No : Date:

2 4
3
9
9
11
5
1 8
O/P cable
I/P cable
12 6

13

S No. Description Yes No Remarks

Firm Base with grouting & Easily accessable

1
panel (height of the leg is equal to 1m)
D.B set is weather proof and cover all around To
2
avoid water/ dust
Authorized Operator/Elec. Name/ Photo/ Contact
3
No.on DB panel are available
Visualization of voltage, current and type of tools
4
to be used in the socket & Panel.
I/P and O/P Cable are good in condition and no
5
exposed cable
Confirmation of LOTO(lock out/ tag out) are
6
available.
Double Earthing System of MDB / DB panel with
7
Std earthing pit has been provided.
Separate ELCB with tripping current of 30 mA & in
8
working condition.

Safety stickers/ signboards / isolate flammable

9
Fire Hazard are display in D.B,

Condition of Cable,Power Socket and Plug are

10
having any damage.
Color coding being followed (RYBWG) for all
11
cables/wires

12 Availibility of rubber mat infornt of the D.B .

13 Plug/ Socket are being used of Industrial type

Remarks

Contractor's P&M Contractor's HSE ALSTOM / HSE

Representative Representative Representative
Signature:

Name:
Date:
 Pressmach infrastructure Pvt Ltd

Diesel Generator
Contractor: Location :

Doc. No : Date:

9 6
7
5 4
2 1 1
3
11 0 8

Sr No. Description Yes No Remarks

1 Guard provided for any rotating parts.

2 Hot surface is provided with guard.

Rubber mat is provided in operator standing area.(

3
around the D.G)
No oil leakage from the oil tank & other parts of
4
the m/c.

5 Proper access to the D.G control panel

Exhaust smoke pipe faced upwards & outside of

6
D.G shelter.

7 Adequate ventilation in case of indoor generator

8 Presence of fire extinguisher (ABC type)

Presence of damage free operating

9 switch,Voltage and temperature meter,circuite
breaker,Oil level indicator, Emergency switch

10 Earthing is provided with standard earthing pit.

Proper foundation done, sagfety signage's &

11
authorized electrician details displayed.

Remarks

Contractor's P&M Contractor's HSE ALSTOM/ HSE

Representative Representative Representative

Signature:

Name:
Date:
 OLA Cell technologies private limited

Tractor
Contractor: Doc. No :

Operator Name & Licence no Date:

S No. Description Yes No Remarks

Protection (canopies, screens) is provided to
1
shield operator from falling objects.
Effective, working horn and reverse alarm.
2 Hydraulic system in working condition during
unloading of materials
Moving parts, shafts, sprockets, belts, etc.are
3
guarded.
Protection against contact with hot surfaces,
4
exhaust, etc.is provided.
Safe means of access (steps, grab bars, non-slip
5
surfaces) to the cab is provided
Damage in tyre(Crack, cut,& air has been checked
6
& tyre pressure is ok.
Leakage of oil from the vehicle parts and vehicle
7
oil tank has been checked & ok.
Vehicle rear view mirror is available & condition is
8
ok

Head light,Tail lamp are fitted & in working

9
condition (for night work)

Brake, accelerator, clutch are in good & in

10
working condition
Lock of the back door (traile) in good & in working
11
condition
Inter locking system between the tractor and the
12
trailer ok & in working condition..
Visualization of Check sheet and Operator details
13
with photo in the vehicle itslf.
Vehicle having valid insurance paper,Operator
14
having license & other necessary documents

Remarks

Contractor's P&M Contractor's HSE OLA/JLL HSE

Representative Representative Representative
Signature:

Name:
Date:
 OLA Cell technologies private limited

Back Hoe Loader

Contractor: Doc. No :

Operator Name & Licence no Date:

2 5 1
5
3

3 4
2
8 9 7
6

S No. Description Yes No Remarks

Front & reverse horn available & in working
1
condition

2 Head & tail lamps(for working at night)

Leakage of oil(in hydraulic & pneumatic systems

3
has been checked)
Loose bolts /connecting pins(In bucket,doser and
4
all innks) has been checked

5 Back view mirror is available & condition is ok.

Roller-crawler / tire condition (check for damaged /

6
missing idle rollers)
Structure beem condition(damage,cut,crack) has
7
been checked and ok

8 Diesel, oil and grease spillage.

9 Fire extinguisher in operator cabin is available.

Swinging horn is available and in working

10
condition

11 Equipment having proper & valid documents

Crawler Excavator having Safe access And

12
Egress for Operator
Operator having license and (heavy duty). With
13
valid date.
Vehicle having valid insurance paper,Operator
14
having license & other necessary documents

Remarks

Contractor's P&M Contractor's HSE OLA/JLL HSE

Representative Representative Representative
Signature:

Name:
Date:
 OLA Cell technologies private limited

Concrete Mixer
Contractor: Doc. No :

Operator Name: Date:

S No. Description Yes No Remarks

1 Condition of the base

2 Presence of the hoper stopper

3 Condition of the m/c stand with wheel

4 Presence of guard for rotating parts

Condition of the jack of the feeder/hopper (free from

5
damage, kinks, broken strings)

6 Cover of the starter

7 Hydraulic cylinder leakage

8 Condition of Drum

9 Diesel/Electric leakage from the machine

10 Condition of Roller

Note: Ensure barricading on both sides of the hooper when the machine is in operation

Remarks

Contractor's P&M Contractor's HSE OLA/JLL HSE

Representative Representative Representative
Signature:

Name:

Date:
 Pressmach Infrastructure Pvt Ltd

Gas Cutting Set

Contractor: Location :

Doc. No : Date:

4 5
2

6 7
1
8 3

S No. Description Yes No Remarks

Protective valve cap firmly fixed for both

1
cylinder(Check for damage/crack in the valve cap)

Pressure gauges two for each cylinder(in &

2 out)are in working condition(both Oxygen &
Acetylene gas)

Flash back arrestor (FBAs)has been provided for

3
acetylene & oxygen cylinders

Non return valves (NRVs) is provided for both

4 acetylene & oxygen cylinders hose fitted with
cutting torch to avoid back fire.
Tight Crimping of hoses with jubilee clamps are
5
fitted.
Hose free from damage(cut and crack / oil &
6
grease to avoid leakage/ fire.

7 Cylinder secured by chain to the trolley.

Trolley tyre are free from damage and in working

8
condition.
Availability of industrial type lighter(no match box /
9
commercial lighters) are allowed.
DCP/CO2 Fire extinguisher and fire bucket with
10
sand are available
Gas leak test has been done before starting the
11
job to avoid fire

Remarks

Contractor's P&M Contractor's HSE ALSTOM/ HSE

Representative Representative Representative
Signature:

Name:
Date:
 Pressmach Infrastructure Pvt Ltd

Welding Machine
Contractor: Location :

Doc. No : Date:

6 2
2
1

10

5
4 3
8

S No. Description Yes No Remarks

ON / OFF knob is provided(Check for damage and
1 uninsulated knob)

2 Regulator with indicator is provided

Welding cables connected to the welding machine with

3 lugs at the joints with proper insulation.

4 Any cuts/ damage in the insulation of welding cables

Electrode rod holder and earthing holder are having any

5 cuts/ damage/ broken and properly insulated.
Industrial type Plug / socket being used for power
6 tapping cable of welding machine.
Any internal live electrical parts of welding machine is
7 exposed
Trolley being used w/o damaged wheels. Double
8 earthing has been provided to machine.
DCP/CO2 Fire extinguisher and fire bucket with sand
9 are available near m/c.

10 The painting condition of machine is good

The terminal box of machine is in good condition and

11 rain protected

Remarks

Contractor's P&M Contractor's HSE ALSTOM/ HSE

Representative Representative Representative
Signature:

Name:
Date:
 OLA Cell technologies private limited

Grinding Machine
Contractor: Doc. No :

Equipment Number: Date:

2 1
1
4
4
5 5

7 6 8 7

2
3 8 6
3

S No. Description Yes No Remarks

1 Fibre handle without damage & condition is ok.

whether Wheel guard available & (covering 3/4th

2
area).
whether Grinding wheel having any crack/
damage.And Grinding wheels’ expiry date & its
3
RPM match with the machine RPM” has been
checked.
4 whether Rear handle is having any damage.

whether Presence of Cord strain reliever

5
(glands).are available & ok

6 whether Trigger switch is having any damage.

whethe Presence of Switch lock is ok. And in

7
working condition.
whether Electric wire having any cuts and joints.
8 Double earthing has been provided in m/c to avoid
shock.

Remarks

Contractor's P&M Contractor's HSE OLA/JLL HSE

Representative Representative Representative
Signature:

Name:

Date:
 OLA Cell technologies private limited

Flotter Mahine
Contractor: Doc. No :

Operator Name: Date:

S No. Description Yes No Remarks

1 Equipment is equipped with ELCB

2 Maintaince checklist is is available

3 Blade edged aren't burred and concaved

Check centrifugal safety switch on handle is

4
operational

5 Keep untrained people from using the machine

Never leave machine unattended while engine is

6
running

7 Maintain good footing while using the machine

Never allow rotating machine to hit foreign

8 obstacles as this maycause serious damage or
injury
Do not have throttle above 1/4 when starting
9
machine

Keep hands and machine away from the moving

10
parts

11 Mainting good footing while using the machine

12 All required PPE is in use

Remarks

Contractor's P&M Contractor's HSE OLA/JLL HSE

Representative Representative Representative
Signature:

Name:

Date:
 OLA Cell technologies private limited

Bar Bending Machine

Contractor: Doc. No :

Operator Name: Date:

1
5 9 0

9 1
0

6 5
Front
7 side of
1 the m/c
8 1 1
2
3

S No. Description Yes No Remarks

1 Erected in a firm base concrete platform.

Machine is grouted properly/ Base wheel stopper

2
provided

3 Body Earthing is provided

D.B box connected with the machine is equipped

4
with MCB and ELCB.
Emergency switch is available in working
5
condition ( Front side and back side of the m/c)
Power on & off switch with indicator light are
6
available in working condition.
Belt and other internal moving parts are
7
covered/Guarded.

8 No oil leakage

9 Both side hand guard is available.

Limit switch (Both Side,below the job plate) are in

10
working condition
Availability of standard limit switch pin.(Usage of
11
nail & other material is N.G)

Remarks

Contractor's P&M Contractor's HSE OLA/JLL HSE

Representative Representative Representative
Signature:

Name:

Date:
 Pressmach Infrastructure Pvt Ltd

Earth Rammer
Contractor: Doc. No :

Operator Name: Date:

S No. Description Yes No Remarks

1 Fuel tank is full ( Petrol or Diesel )

2 Engine oil is at correct level

3 No oil leakage

4 Fuel line are not damaged & leaked

5 Ramming show condition and retaining bolts

6 Handle for condition and security is OK

7 Stop controls are available for safe operation

8 Starting system and condition of pull cord are OK

9 Double Earthing Provided is OK.

10 Adequate Guards for all rotating parts.

12 All required PPE is in use

Remarks

Contractor's P&M Contractor's HSE ALSTOM/ HSE

Representative Representative Representative
Signature:

Name:

Date:
 OLA Cell technologies private limited

Batching Plant
Contractor: Doc. No :

Operator Name: Date:

S No. Description Yes No Remarks

Plant boundary are demarked to avoid hazards
1
arising out of unintended operations.
2 Plant supports are as per the design drawing
Demarcation of working area, vehicular
3
movements
4 All rotating parts are adequately guarded.
Emergency stoppers for moving conveyers & plant
5
are provided at accessible areas.

Doors of the moving parts are interlocked to avoid

6
unauthorized operation during plant running.

Adequate accesses are provided to reach all

7
working locations.
8 Safety of the Loading ramps
Protection against entrapping of people in the
9
loading hoppers.
10 Double Earthing is provided.

11 LOTO system implemented

Effective functioning of pressure relief
12
arrangement in silos.

13 Maintenance register system is followed regularly.

14 Maintenance permit system is followed regularly.

Fire Protection & Fire Fighting arrangement are
15
adequate

Remarks

Contractor's P&M Contractor's HSE OLA/JLL HSE

Representative Representative Representative
Signature:

Name:
Date:
 OLA Cell technologies private limited

Chopsaw Cutting Machine

Contractor: Location :

Doc. No : Date:

S No. Description Yes No Remarks

Cutting wheel having any crack/ damage. And
1 cutting wheels’ expiry date & its RPM match with
the machine RPM” has been checked.
Presence of Cutting plate guard. Double earthing
2
has been provided in m/c to avoid shock.
Presence of locking system for the plate & Guard
3
is available

4 Presence of job clamp and its conditions ok

Presence of fibre body handle and its condition is

5
ok
Cable condition(Any cut, wear etc.) and presence
6
of wire 03Pin Industrial top plug is ok

7 Presence of cutting dust guard is available

Remarks

Contractor's P&M Contractor's HSE OLA/JLL HSE

Representative Representative Representative
Signature:

Name:

Date:
 OLA Cell technologies private limited

EARTH LEAKAGE CIRCUIT BREAKER ( ELCB )

Name of Contractor: Doc.No

Rating(mA) /
Location of ELCB Defects/
S.No ELCB S.No Type( 2pole/ Sensitivity Test Date of Test Status Corrective Action Taken
Installed Welds
4pole )

R Y B N

Comments

Contractor's P&M Representative

Contractor's HSE Representative OLA/JLL HSE Representative

Signature:

Name:

Date:
 Pressmach Infrastructure Pvt Ltd

Register for Fire Extinguisher

Name of Contractor: Location :

Doc. No : Date:
Year of Annual Pressure Date of Due for Monthly
S No. Type Capacity Location Refilled on Remarks
Manfacture Insp. Dt. tested on Discharge Refilling Inspection Dt.

Remarks

Contractor's P&M
Representative
Contractor's HSE Representative ALSTOM Representative

Signature:

Name:

Date:
 OLA Cell technologies private limited

SCAFFOLDING & LADDER

Name of Contractor: Location :

Doc. No : Date:

The following points shall be checked before starting the work

S.No POINT OBSERVATION YES NO N/A Remarks
Is the ground level firm, or have proper support been placed under
1
the structure?
2 Is the base away from all excavation, drain covers, manholes etc.

3 Whether area below the work place barricaded.

Whether proper base plate provided to S/F for maintaining equally
4
balance.
Are all the scaffold pipes and clamps in good condition, i.e. No
5
bends or cuts, etc?
6 Are adequate bracings provided?

7 Whether proper hand rail, mid rail and toe board provided in S/F.
Whether all work platforms ensured to be of adequate strength
8
and suitable for work.
Whether all the metallic planks, gratings tightened with binding
9
wires.
10 Whether proper supporting has been fixed to avoid S/F topple.
Whether common lifeline provided in critical work place to secure
11
safety belt/ harness
Whether Scaffolding has been inspected by S/F supervisor/safety
12
officer and Scaff Tag provided.
LADDER CHECKLIST:
Whether ladders are provided at the working site & in good
1
condition.
Whether ladders are properly secured to prevent slipping, sliding
2
and falling
Whether Aluminum ladder has been used to avoid electrical
3
hazards.
4 Whether ladder placed at right angle(65 to 75 degree)

5 Whether 1 meter landing has been provided for landing on S/F.

6 Are existing access ways (Stair, walkway, ladders) etc. left clear?

Contractor's HSE
Scaffold Contractor's OLA/JLL HSE
Representative
Supervisor Representative Representative

Signature:

Name:

Date:
 OLA Cell technologies private limited

Tough Rider
Contractor: Doc. No :

Operator Name & Licence no Date:

S No. Description Yes No Remarks

Physical damage in body of the vehicle and in the
1
bucket

Working condition of the vehicle forward, reverse

2
gears & horns.

Working condition of the hydraulic brakes (4

3
wheels)
Oil leakage from the hydraulic cylinder and from
4
the diesel tank.

5 Starter shaft covered by guard

6 No Damage in Tire ( Crack, cut, air pressure etc).

Driver seat belt & hood is available and no

7
damage

8 Head and tail lamps (for night working).

Exhaust pipe is bended outside(Not faced on

9
operator)

10 Operator & Vehicle with license and valid docs.

Remarks

Contractor's P&M Contractor's HSE OLA/JLL HSE

Representative Representative Representative
Signature:

Name:

Date:
 OLA Cell technologies private limited

First Aid Box

Contractor: Location :

Doc. No : Date:

S No. Description Yes No Remarks

A sufficient number of but not less than 12, sterile, small-size finger
1
dressings
A sufficient number of but not less than 6 sterile medium-size hand
2
dressings?
A sufficient number of but not less than 6 sterile large-size hand
3
dressings?
A sufficient supply of absorbent cotton wool for packing and firming
4
up splints.
A sufficient number of but not less than 12 gauze bandages 7 cm.
5
In width.
A sufficient number of but not less than 12 gauze bandages 11 cm.
6
In width.
Greaseless Ointment for burns containing a disinfectant and an
7
analgesic.
100 grams of aromatic ammonia solution in a glass bottle with a
8
glass stopper.
9 Not less than 4 yards of adhesive tape in rolls, 1 cm. In width.
10 Not less than 100 grams of Mercurochrome in aqueous solution
11 Two 10-gram shakers of sulfa powder for sterilization of wounds.
12 A medium-sized Thomas Thigh Splint,
13 a wooden posterior leg splint,
14 a wooden elbow splint,.
15 a wooden Carr splint for the forearm,
16 a wooden palm splint, and other types of ready-to-use splints
17 A minimum of 6 triangle bandages
18 A quantity of safety pins
19 An assortment of elastic bandages, 2” to 6” in width.
20 A minimum of ten 70 x 70 sterile bandages for burns.
21 A pair of scissors with blunt ends.
22 Sterile water for irrigation and burn treatment.
23 A sufficient number of stretchers for moving injured persons.

Remarks

Contractor's Contractor's HSE ALSTOM HSE

Representative Representative Representative
Signature:

Name:
Date:
 OLA Cell technologies private limited

Full body Harness.

Name of Contractor: Date:

Type of Harness Doc. No :

Identification No. of full body Harness
Description Of Check Points Remark.
S.No 1 2 3 4 5 6 7
Hard wares - (D-Rings, Buckles, Back Pad) Any damage, distortion, sharp
1 edges, burrs, cracks and corrosion
Webbings – Any cuts, burns, tears, abrasion, frays, excessive soiling and
2 discoloration.

3 Stitching – Any pulled or cut stitches.

Lanyards (Double)
a) Hard wares - (D-Rings) Any damage, distortion, sharp edges, burrs, cracks
1 and corrosion
2 c) Stitching – Any pulled or cut stitches
d) Synthetic rope – Any pulled or cut yarns, burns, abrasion, knots, excessive
3 soiling and discoloration
Anchoring Hook
a) Hard wares – (D-Rings) Any damage, distortion, sharp edges, burrs,
1 cracks and corrosion
b) Physical damage – Any cracks, sharp edges, deformities and locking
2 operation
3 c) Excessive corrosion – Any corrosion which effects the operation
4 d) Fasteners – Any corrosion, tightness, damage or distortion.
5 RESULT (A: ACCEPTED ,R : REJECTED )
Contractor's
Contractor's HSE Representative OLA/JLL HSE Representative
Representative

Signature:

Name:

Date:
 OLA Cell technologies private limited

Road Compactor
Contractor: Doc. No :

Operator Name: Date:

S No. Description Yes No Remarks

Protection (Canopie) is provided to Shield
1
Operator from falling objects

Effective working front horn and reverse horn /

2
signal man

Moving parts, shafts, sprockets, belts, etc.., are

3
gaurded
Protection against contact with hot surfaces,
4
exhaust, etc.., is provided
Safe means of access (steps, grab bars, non-slip
5
surfaces) to the cap is provided
No damage in tyre and roller (crack, cut, air
6
pressure, etc..,)
No leakage of oil from the vehicle parts and
7
vehicle oil tank

Vehicle rear view mirror is available and in good

8
condition

Head light, Tail lamp are in working condition (For

9
night work)

Brake, Accelerator, Clutch are in good working

10
condition

11 Condition of the hydraulic tank and pipes

12 Operator having proper Valid license & I.D. card

Vehicle having Valid Insurance, R.C, PUC and

13
Road Tax Certificate
Whether Check Sheet (Vehicle Information Sheet)
14
is displayed in Vehicle itself

Remarks

Contractor's P&M Contractor's HSE OLA/JLL HSE

Representative Representative Representative
Signature:

Name:
Date:
 OLA Cell technologies private limited

Ambulance
Contractor: Doc. No :

Driver Name: Date:

S No. Description Yes No Remarks

1 Licensed driver deployed
2 Contact number displayed on the vehicle
3 Oxygen Cylinder available
4 Mask In Good Condition
5 Stretcher With Belt
6 Function Test
7 Folding Stretcher
8 Basic First Aid Kit
9 Torniquet
10 Splints
11 Neck Brace
12 Back Door Opens Easily From Inside
13 Back & Side Doors Locking System Good Condition
14 Good Mechanical Condition/Tires
15 Revolving Lights/Headlights/Signal Lights
16 Service Horn/Siren

Remarks

Contractor's P&M Contractor's HSE OLA/JLL HSE

Representative Representative Representative
Signature:

Name:

Date:
 OLA Cell technologies private limited

Motor Vehicle( Car )

Contractor: Doc. No :

Driver Name: Date:

S No. Description Yes No Remarks

1 Tyre condition
2 Wiper
3 Left indicator
4 Right indicator
5 Headlight
6 Brake light
7 Parking light
8 Brake condition
9 Reverse horn
10 Rear view mirrors
11 Speedometer
12 Self starting
13 First aid box
14 Fire extinguisher
15 Spare bulbs
16 Stepney
17 Tools kit / lifting jack
18 Cleanliness
19 Oil leakage
20 Periodic Vehicle Servicing
21 Driver licence
22 First aid training
23 Fire Training
24 Pneumatic Door condition
25 Other Points

Remarks

Contractor's P&M Contractor's HSE OLA/JLL HSE

Representative Representative Representative
Signature:

Name:
Date:
 OLA Cell technologies private limited

Doc No Bar Cutting Machine

Contractor: Doc. No :

Job No: Location :

Work Description Date:

S No. Description Yes No Remarks

1 Condition of the machine base (Floor levelled )

2 Presence of the cutting machine emergency stopper

Provided body earthing (System earthing and body

3
earthing)

4 Machine weather protection (Shed)

Condition of machine operating lever and cutting

5
blade.
Presence of all rotating guards (Belt, pulley and
6
motor)

7 Condition of terminal box and doors.

8 Condition of the warning devices &gauges.

9 Condition of the Limit cut off switch.

10 Any oil leakage from the oil tank & pipes

11 Display the SOP (safe Operating Procedure).

12 Operator fitness with trained

13 Machine base rest *(provided solid foundation)

NOTE:- Ensure barricading on both sides of the when the machine is in operation

Remarks

Contractor's P&M Contractor's HSE ALSTOM / HSE

Representative Representative Representative
Signature:

Name:
Date:
 Pressmach Infrastructutre Pvt Ltd

Doc No Vibrator Soil Compactor

Contractor: Report No

Doc. No : Location :

Work Description Date:

S No. Description Yes No Remarks

From the ground:

1 Tires, Wheels, Lug Nuts, Stem CapsInflation, Leaks, Damage, Wear

2 Leveling BladeExcessive Wear, Damage, Leaks

3 Cutting Edges (Leveling Blade)Excessive Wear, Damage
4 Drum ScrapersExcessive Wear, Damage
5 Drum Cooling OilLeaks
6 Vibratory SupportLeaks
7 Eccentric Weight HousingLeaks
8 Isolation MountsDamage, Cracking, Splitting
9 Steering Cylinders / EndsDamage, Wear / Leaks
10 Steps and HandholdsCondition, Cleanliness
11 Underneath MachineLeaks, Damage
12 Axles – Final Drives (Axle / Drum)Leaks, Damage, Wear
13 Hydraulic Tank & FiltersFluid Level, Damage, Leaks
14 Fuel TankFuel Level, Damage, Leaks
15 All Covers and GuardsDamage, Securely Attached
Lights, Front and Rear, BeaconFunction, Damage to Lens, Housing,
16
or Wiring
17 Battery CompartmentCleanliness, Loose Nuts & Bolts
Engine Compartment:
18 Engine Oil (Fluid level)
19 Engine Coolant (Fluid level)
20 Radiator /AC Condenser/Oil Cooler ( Fin, Blockage, Leaks)
21 All Hoses (Cracks, wear spots, Leaks)
22 Fuel Filters / Water Separator ( Leaks, Drain water)
23 All Belts (Tension, Wear, Cracks)
24 Air Filter ( Service Indicator)
25 Overall Engine Compartment ( Trashor dirt build up leaks)
On the Machine outside the Cab:
26 Handholds (Condition and Cleanliness)
27 ROPS (Damage, Loose Mounting Bolts)
28 Fire Extinguisher (Charge, Damage)
29 Windshield, Windows (Broken Glass, Cleanliness)
30 Windshield Wipers / Washers (Wear, Damage / Fluid Level)
31 Doors (Open properly, broken glass)
Inside the Cab:
32 Seat (Adjustment-Height, Weight, Able to Reach Pedals)
33 Seat Belt & Mounting (Damage, Wear, Adjustment, Age)
34 Horn, Backup Alarm, Lights (Proper Function)
35 Mirrors (Damage, Adjust for Best Visibility)
36 Gauges, Indicators, Switches, Controls (Damage, function)
37 Overall Cab Interior (Cleanliness)
Contractor's P&M Contractor's HSE ALSTOM HSE
Representative Representative Representative
Signature:

Name:

Date:
 OLA Cell technologies private limited

TITLE : Vehicle Inspection Tag

Name of Contractor: Report No:

Doc. No : Date:

Work Description: Location :

S.N.
Vehicle Type
Registration No
Operator Name
Training date
Company
License No
Contractor's P&M OLA/JLL Safety Manager Security
Authorised by

Date

Do not use
mobile while
driving

SPEED LIMIT AT SITE

15KM/H
 <Project Name>
< CLIENT LOGO >

Safety Checklist for Cyclone

Contractor: Doc. No :

Date:

S No. Description Yes No Remarks

Action In Advance:
1 Does any temporary shed or building exist in/near your plant area?
2 Does the shed have any loosely hanging sheets?
3 Are electrical connections safe in the temporary shed?
Do chimneys, tanks and columns under construction have adequate
4
strength to withstand high winds?
5 Are gratings of the columns/chimneys adequately secured?

6 Are Electrical cables properly secured and safely terminated?

Are fins of cooling water tower strong and secured adequately to

7
with stand high winds?
8 Have the tanks been properly grounded?
9 Is the drain pitching properly maintained?
Are the materials like Chemicals, catalyst bags, and Used oil drums
10
stacked properly?
11 Are High light mast adequately secured?
12 Are porta cabins adequately secured?
Are security guard watch posts adequately secured? Are they strong
13
enough to withstand high winds?
14 Is adequate stock of Personal Protective equipment available?
( Safety Helmets, Safety goggles, Chemical splash proof goggles,
15
leather/PVC/asbestos gloves, PVC aprons etc.,)
16 Are the monitoring equipment kept in good condition?
17 (LEL meters, Oxygen meters, H2S meters etc.,)
Has adequate stock of emergency medicines at various medical
18
centers available?
Action after Cyclone Warning:
Is there any scaffolding in the plant area which has not been
19
removed?
Is the plant floor area clear from any loose sheets, empty drums,
20
earth strips etc.,?
21 Are the mobile cranes parked in safe place?
22 Are the crane booms kept down?
23 Are the floating roof tank drain valves kept open?
Are the roofs of the tanks/ buildings/structures free from loose
24 material like, used gaskets, bolt and nuts, loose cables, tin sheets
etc.,
25 Are the manholes covered safely in the plant area?
26 Are the porta cabins secured and doors in good condition?
27 Are the plant drains clear from debris, clogging material etc.?
28 Are the storm water channels clear from debris, clogging material?
29 Is Emergency equipment in good condition? ( Generators etc., )
Is the Personal Protective equipment kept in good working
30 condition? ( BA sets, respiratory equipment and other Personnel
Protective Equipment )
31 Is adequate stock of Safety torches, batteries available?
Are the radio sets (communication) charged and in working
32
condition?
33 Are the First aid boxes adequately replenished?
Have adequate measures been taken to protect important plant
34
documents?
 Have the computers installed in temporary offices/sheds/ porta
35
cabins properly secured/ protected?
 Is the cyclone emergency handling committee formed? Has the
committee discussed a plan of action, responsibilities and special
36
precautions to be taken including sequence of shutting
plants/facilities if required?
37 Is the communication in plant area adequate?

38 Has the communication with emergency control center established?

39 Have the safety precautions communicated to the staff/ contractors?

40 Are ships de-berthed?

41 Are ships taken to high seas and anchored?
42 Are the tugs and boats secured?
43 Are the divers know about cyclone emergency?
Have the adequate stocks of petrol/diesel ensured for vehicles and
44
emergency equipment?
45 Adequate packed food/drinking water is ensured?
46 Adequate nos. of emergency vehicles arranged?
Actions during Cyclone:
47 Activate the main emergency control Centre.
48 Stop all jobs and with draw the permits.
Personnel working at height to be warned to stop the job and come
49
down.
50 Shutdown all tank mixers and blenders.
51 Head count to be made to assess all personnel in the plant
Stop loading/ unloading activities at Road/Rail gantries. Secure
52
loading arms.

53 Follow the Emergency shutdown procedures as per agreed program.

Stay indoors and take shelter in the strongest part of the

54
building/structure.
Do not seal the office completely. Keep open some windows to avoid
55 difference in atmospheric pressure inside and outside the
room/building.
56 Remain Calm. Do not go out doors.
Actions After Cyclone:
Confirm/Obtain all clear instructions from Major Emergency Control
57
Centre.
Plant emergency teams shall visit the area and take stock of the
58
situation/damages etc.,
59 Do head count.
60 Under take rescue operations and evacuate causalities if any.
61 Put rehabilitation plan into action.
62 Do not touch electric lines.
Take special precautions in driving. Watch road/floor area while
63
driving.
Give high priority to House keeping. Ensure plant area is free from
64 debris, oily floor, hoses are in position, all support structure are intact
and satisfactory to start the normal jobs.
65 Follow safe start-up procedure.
Chemical drums labeled/stored properly & separate storage for in
66 compatible chemicals/Material
Contractor's JLL Client's
Representative Representative Representative
Signature:

Name:

Date:
 OLA Cell technologies private limited

Mobile Crane ( Farana)

Contractor: Doc. No :

Operator Name: Date:

S No. Description Yes No Remarks

1 SWL marked on crane.

Safety limit switch (Hoist limit switch, Over load indicator /

2
SLI unit)

3 Safety latch in hook and hook condition

4 Check there is no groove in hook

5 Load chart available in crane

Wire rope and slings free from tolerable damage ( No

6
kinks, broken wires more than 10% )

7 No oil leak in (Hydraulic parts, Engine and fuel tank)

8 No Damage in Tyre (Crack, cut, air pressure etc)

9 Head and tail lamps

10 10 Front and reverse horn

Boom structure condition while full expansion (damage,

11
crack and jamming while extending)

12 Fire Extinguisher in operator cabin

13 Seat belt of operator

14 Availability of signal person

15 Emergency contact numbers displayed on crane

Appropriate PPEs available with Operator and Signal

16
person

17 DOCUMENTS

17.a Third party certificate

17.b Vehicle valid insurance

17.c Operator license (heavy duty)

17.d Vehicle registration

Remarks

Contractor's P&M Contractor's HSE OLA/JLL HSE

Representative Representative Representative
Signature:

Name:
Date:
 Check sheet For Scissor Lifter

10

6
Contractor Name - DATE OF CECK-
Identification No:-
SL NO CHECK ITEM PHOTOS Y/N SL NO CHECK ITEMS
Scissor lifter
working Availability of limit
platform is provided switch
1 6
with for the platform
hand rail and extension
midrail

Availability of four
Mechanical stoper
outrigger in four
for the platform
2 sides 7
lifter is in
(Depends on type of
working condition.
lifter)

Operator and
scissor
All wheels are in
lifter capacity
3 good working 8
details
condition
displayed in the
liftefr.

All hazards signs

Level adjustment is and
4 in good working 9 operating
condition instruction
displayed .

Access lader to the

platform is with out Fire extinguisher in
5 10
any defects,missing operator cabin.
rungs.

11 DOCUMENTS 11 DOCUMENTS
11.A Third party certificate(Form 10 ) 11.C Operator license (heavy duty).
 11.B Vehicle valid insurance 11.D PUC
Chkd by contractor Safety in charge NAME SIGNATURE
Contractor's P&M Contractor's HSE
Representative Representative
Signature:
Name:

Date:
 4

ATE OF CECK- 1

PHOTOS Y/N

DOCUMENTS
icense (heavy duty).
SIGNATURE DATE
OLA/JLL HSE
Representative
 OLA Cell technologies private limited

Mobile Crane-vehicle mounted

Contractor: Doc. No :

Operator Name: Date:

S No. Description Yes No Remarks

1 SWL marked on crane.

Safety limit switch (Hoist limit switch, Over load

2
indicator / SLI unit)

3 Safety latch in hook and hook condition

4 Boom angle indicator in working condition

5 Load chart available in crane

Wire rope and slings free from tolerable damage

6
( No kinks, broken wires more than 10% )
No oil leak in (Hydraulic parts, Engine and fuel
7
tank)

8 No Damage in Tyre (Crack, cut, air pressure etc)

9 Head and tail lamps

10 10 Front and reverse horn

Boom structure condition while full expansion

11
(damage, crack and jamming while extending)

12 Fire Extinguisher in operator cabin

13 Seat belt of operator

14 Availability of signal person

Appropriate PPEs available with Operator and

15
Signal person

16 DOCUMENTS

16.a Third party certificate

16.b Vehicle valid insurance

16.c Operator license (heavy duty)

16.d Vehicle registration

Remarks

Contractor's P&M Contractor's HSE OLA/JLL HSE

Representative Representative Representative
Signature:

Name:
Date:
 CHECK LIST(PRE ENTRY) FOR TRUCK

11

6
10

5
7

1
2

1
CONTR NAME- CHECK ITEMS DATE OF CECK-
SL NO CHECK ITEM PHOTOS Y/N SL NO CHECK ITEMS PHOTOS

No Damage in
Number plate in
Tire ( Crack, cut,
1 front and back 2
air pressure
side
etc).

No air leak in Front and

3 4
the air tank. reverse horn.

Fire
No oil leak from
5 6 extinguisher in
the diesal tank.
driver cabin.

Breck,Clutch
and accelator
8
are in working
condition
Head and tail
7 lamps (for night
working).
Truck is Not
9
overloaded

Rear view Wind shield

10 11
mirror with wiper

11 DOCUMENTS 11 DOCUMENTS

12.B Operator license (heavy duty).

12.A Vehicle valid insurance
 12.A Vehicle valid insurance
12.C Road tax

Contractor's P&M Contractor's HSE OLA/JLL HSE

Representative Representative Representative
Signature:
Name:
Date:
 10

OF CECK-
Y/N
LA/JLL HSE
presentative
 Check Sheet For Fire Extinguisher

3
3

4
5

1
1
2
5 2

4 Co2Type
DCP Type Water Type

Sl No : Date :

SL NO DESCRIPTION Day ok Not Ok N/P

Condition of the extinguisher
1
(Clean and Tidy)
2 Physical appearance for corrosion.

3 Safety pin in position

Condition of discharge nozzole(any

4
blockage/damage)

Condition of hose(any
5
leakage/broken)

Weight of the extinguisher(Should

6 be match with actual weight written
in the body)

7 Availability of visual board.

All the indicator gages(where

8 fitted)in green segment(not to be
red)
 Extinguisher is not expired or
9
refilled before refilled date

Contractor's P&M Contractor's HSE ALSTOM Represent

Representative Representative

Signature:
Name:
Date:
 3

Co2Type

Remark
ALSTOM Representive
 CHECK(PRE ENTRY)LIST FOR EXCAVATOR

Doc No.:

7
5

1
10

4
7
5

8
6

CONTR NAME- CHECK ITEMS DATE OF CHECK-

SL NO CHECK ITEM PHOTOS Y/N SL NO CHECK ITEM

Front & reverse whether Head & tail

1 horn available & in 2 lamps(for working
working condition at night)

whether Loose
whether Leakage of bolts /connecting
oil(in hydraulic & pins(In
3 4
pneumatic systems bucket,doser and all
has been checked) innks) has been
checked

Roller-crawler / tire
whether Back view
condition (check for
5 mirror is available & 6
damaged / missing
condition is ok.
idle rollers)

whether Structure
beem
Diesel, oil and
7 condition(damage,c 8
grease spillage.
ut,crack) has been
checked and ok

whether Fire whether swinging

extinguisher in horn is available
9 9
operator cabin is and in working
available. condition
 10 Whether Equipment having proper & valid documents

DOCUMEN

whether Crawler whether Operator

Excavator having having license and
10.A 10.B
Safe access And (heavy duty). With
Egress for Operator valid date.

Contractor's P&M
Contractor's HSE Representative
Representative
Signature:
Name:
Date:
XCAVATOR

5 1
2

2
9 7
6

DATE OF CHECK-
PHOTOS Y/N
DOCUMENTS

OLA/JLL HSE Representative

 SITE OFFICE INSPECTION CHECK LIST
SL NO. Activities to be ensured during inspection YES NO
1 Check whether the incoming DB is clean or not
2 Check whether incoming DB has ELCB
3 Check the test switch of ELCB is working or not
4 Check whether earthing is provided to ELCB
5 Check whether MCBs are of proper rating

6 Check whether earthing is provided in earthing

strip of DB & body of DB
7 Check the termination of earthings at terminals

8
Check for earthing cable size
9 Check for any lose contacts
10 Check for any cable joints in the circuit

11 Check for proper illumination in containers is

present or not

12 Check for the no. of fire extinguishers In the

office

13 Check whether fire extinguishers are hydro

tested and date of testing
Check whether the fire extinguishers are
14
pressurised or NOT
15 Check for the pin of fire extinguishers
16
Check for the presence of hose
Check for the hanging arrangement of fire
17
extinguishers

18 Check whether fire Extinguishers are accessible

or not
19
Display Emergency Contact Number
Remarks

Signature:

Name:
Date:
T
Action taken
 OLA Cell technologies private limited

Hammer mechine
Contractor: Doc. No :

Equipment Number: Date:

S No. Description Yes No Remarks

Fibre handle without damage & condition is ok.
1

Machine should be physically sound and in

2 working condition.

whether Electric wire having any cuts and joints.

Double earthing has been provided in m/c to avoid
3
shock.

whether Rear handle is having any damage.

4

whether Trigger switch is having any damage.

5

Drill bit should be in good condition without any

6 damage.
ELCB & the presence of industrial plug/three pin
7 plug available and has been checked.
All required PPE is in use
8

Machine should be operated by experienced and

9 competent person only

Remarks

Contractor's P&M Contractor's HSE OLA/JLL HSE

Representative Representative Representative
Signature:

Name:

Date:
 OLA Cell technologies private limited

Soil Grader
Contractor: Doc. No :

Operator Name: Date:

S No. Description Yes No Remarks

1 Grader should be physically in good condition, free from defects and

should have valid TPI or fitness

2 Tyres should be free from damage (Air pressure, cuts, cracks, etc.).

3 Head lights, tail lights and indicators are in working condition.

4 Windscreen should be in good condition.

5 Side Mirror should be in good condition.

Wire rope and slings free from tolerable damage ( No kinks, broken
6
wires more than 10% )

7 Wipers should be in working condition.

Hydraulic cylinders and hoses are in good condition and there should not
8
be any leakage.

9 Operator`s cabin and driver seat should be in good condition.

10 Front, Reverse horn should be in working condition.

11 Fire Extinguisher available (in good condition, pressure within range)

12 Reflective tape, Red Triangle should be fixed at proper places.

13 Seat belt of operator

14 Availability of signal person

15 Appropriate PPEs available with Operator and Signal person

16 DOCUMENTS

16.a Third party certificate

16.b Vehicle valid insurance

16.c Operator license (heavy duty)

16.d Vehicle registration

Remarks

Contractor's P&M Contractor's HSE OLA/JLL HSE

Representative Representative Representative
Signature:

Name:

Date:
 FULL BODY HARNESS INSPECTION

FULL BODY HARNESS INSPECTION

FULL BODY HARNESS Name of the Contractor: MFG. /Model:
Year of product: Serial no.
Last Inspection: Maximum load:
Inspection report/certificate: Inspection date:
DETAILS OF INSPECTION
Check List OK NOK N/A
1. Full body is in a good condition
do not have cut, tear, swollen
or crack.
2. Clip lock at the chest and leg
are in a good condition.
3. D-RING do not have rust or
bend.
4. Lanyard do not damage or
tear.
5. Shock absorber is in a good
condition and covered.
6. Snap hook are in a good
condition such as bending,
twisting, increased throat
opening, crack, nick and
inoperative latches.
7. Full Body Harness should be ISI
marked
8. Locking arrangement of hooks
9. Rope condition

Contractor's P&M _________________ Date ________

Contractor's HSE __________________ Date: ________

JLL Safety Representative: _____________________ Date: ________

Remark
 ELECTRICAL DRILL / GRINDING / PEDISTRAIL DRILL / BARBENDING / BARCUTTING
ELECTRICAL
DRILL/Chipping ELECTRICAL DRILL / GRINDING / PEDISTRAIL DRILL
Owner name: MFG. /Model:
Year of product: Serial no.
Latest inception: Maximum load:
Inspection report: Inspection date:
DETAILS OF INSPECTION
PEDISTRAIL DRILL Check List OK NOK N/A
1. Body structure is in good
condition
2. Cable has double insulation
3. Cable and plug are in good
condition
4. Remove speed lock
control out
GRINDING 5. Minimum size of cable is
3 x 1.5 Sqm.
6. Moving part have guard
cover.(nip point, motor , driven belt)
7. Industrial plug top available
CHOPSAW 8. Body earthing provided
9. Emergency Stopper
10. Hyudrolic Lekage
11. RPM of wheel is greater than Machine RPM
12. Machine properly grouted
13. All nut bolts are properly tighten
14. ELCB / RCCB available (30mA)

Contractor's P&M _________________ Date ________

Contractor's HSE __________________ Date: ________

JLL Safety Representative: _____________________ Date: ________

DING / BARCUTTING

DRILL

Remark