STARRT CARD (Safety Task Analysis Risk Reduction Talk)

Document Reference F 57

Rev. No. Rev. Date

01 31-3-2013

CONTRACTOR NAME PROJECT

No.: 098-C58

WORK LOCATION / AREA:

DATE & TIME:

/ /2015 am

TASK DESCRIPTION:

Name of First Aider: Praveen K.P (0507338907) First Aid Room / Box Near Masjid Laydown area

Emergency Assembly Point: a. Near Masjid Laydown area. b. In front of Concrete Washout Construction Site.

HAZARD CONTROL CHECK LIST

PLANT N/A YES NO HAND TOOLS N/A YES NO

Plant Inspection – Check List Fit for Task & Good Condition

Reverse Beepers, Hooters & Rotating light Homemade tools removed

Traffic Controllers / Flagman / Banksman Hand tools tied down when working at height

Barricading - Jersey / Traffic cones ELECTRICAL TOOL/INSTALLATION N/A YES NO

Other? ______________________________ Electrical cords & power tools checked and safe for use

PERMIT TO WORK N/A YES NO Non Conducting Tools used

Hot work permit - Grinding. Welding, Oxy- Fire Extinguishers

Electrical Equipment Inspected?

Excavation Permit Qualified Electrician only

Confined Space Permit Live electr. System – Isolated (lock-out, Tag, Test)

NOC – Utility Services, etc. Residual Current Device (Trip Box)

Other? ______________________________ Equipment Earthed

BACKFILLING / EXCAVATIONS N/A YES NO HV Access Permit

Barricades – Flagging, Tape Equipment / electrical Supply disconnected

Batters / Shoring / sloping / benching Hand tools tied down when working at height

Dust Control GFCI Incorporated in Circuit

Haul Roads and Detour Electrical Shock Protected

Adequate access / egress ramps / stairs CIVIL N/A YES NO

Barricade 1.8 m from the edge of excavation. Concrete pouring – PPE for task (gumboots; PVC gloves, dust masks)

WORKING AT HEIGHTS N/A YES NO Re-bar fixing / Mat installation – Provide double scaffold walkways

Trained Scaffolders & Scaffold Inspectors Re-bar Caps

Scaffolds – Knee rail, Handrails & toe boards Shuttering – Secured and tied down

Safety Harnesses /LIFE LINE GENERAL N/A YES NO

Double Lanyards / Inertia Reels Risk Assessments – Reviewed and current

Scaffold Certified Safe for use– Scafftags Housekeeping – Work area clean and tidy / waste material removed

Tie-off Points Identified Manual Handling / Ergonomics

Wind speed Acceptable? Heat Stress – Hydration Program followed

Ladders – 1.0 m above landing Communication – All concerned are informed regarding this planned activity

Slip / trip hazards removed Stacking – material properly stacked

Routes sign posted ENVIRONMENTAL N/A YES NO

Electr. Cables / hoses tied up / elevated Spill control - Spills kits required and available

MOBILE PLANT N/A YES NO Drip Trays – available and used during fueling

Pre-start inspection conducted and completed Hazardous Chemicals – MSDS available

Air Compressors – Inspected and safe for use Waste Disposal – Hazardous

Generators – Inspected and safe for use – Fire Extinguishers in place

Waste Disposal – Non-Hazardous

Flash Back Arrestor Installed and inspected MANDATORY PPE N/A YES NO

LIFTING OPERATIONS N/A YES NO Safety Shoes, Hard Hat & Coverall,

Cranes / Heavy Lifts-Check List Eye & Hand protection,

Lift Plan/Lift Calculation? Hearing Protection

Crane – Inspected, Certificate valid TASK BASED PPE N/A YES NO

STARRT CARD (Safety Task Analysis Risk Reduction Talk)

Document Reference F 57

Rev. No. Rev. Date

01 31-3-2013

Crane Operator – Operator Certificate valid Safety Harness – Double lanyard

Rigger – Trained and Certified Respiratory protection / Dust Masks

Lifting Tackle – Inspected; Certificate valid Full Face Shield

Crane Positioning – Founding level and stable Welders Apron

Crane Outriggers – fully extended and locked Elbow Length Gloves – Leather / PVC

Lifting area barricaded Gum Boots

Taglines – available and in use Chemical

Underground Services/Adjacent Structure? WELDING WORK N/A YES NO

Overhead Power Line? Welding set earthed / grounded

SIGNAGE/BARICADES/FLAGMAN etc N/A YES NO Metal waste container for spent electrodes

WORK AREA SCREENED MSDS for electrode

WARNING SIGNAGE REQUIRED Gas cylinder trolley

WORK POSITIONED AT CORRECT HEIGHT Flashback arrestors

Flag man for Plant Vehicle Gas igniter

Scaffold Erection / Dismantling N/A YES NO Fire watch

Mobile Tower to be based on firm, level ground. Castors to be locked.

Proper PPE use

Rakers and outriggers Assistant Has Same PPE As Welder

Material Inspected from damage and rust Certified Supervisor

Scafftags and inspection checklist Fire Extinguisher

Structural Drawings (10 meter and above) Chemical Cleaning Piping/Tanks N/A YES NO

TUV of Competent Person Leakage of chemical and water controlled

Ground Level and Compaction Safety Shower / Hand & Eye Station

CONFINED SPACE WORK N/A YES NO Whip Lash between Hoses Joints and Connection

Confined Space Work Permit Available Third party of all pumps and pressurized equipment

Entry Attendant/Supervisor Disposal of Chemical and Contaminated Water

Emergency team MSDS & Risk Assessment Chemical Handling, PH etc

Entry Log Sheet Paint and Polishing Work N/A YES NO

Gas Tester and Record Keeping every 15 minute MSDS of Paint & Thinner

Competency of the Worker work. Tools are maintained and inspected

Proper Ventilation Arrangement GFCI or ELCB Installed

Entrance Egress Identified Dust Noise Controlled

Isolation of Confined Space Required Ergonomic hazards Controlled

HYDRO TESTING N/A YES NO Storage and Handling of Gas Cylinders N/A YES NO

Calibration of Pumps and Operators Pressure in control

Hoses Arrangement avoiding trip Hazards Spillage of Gas and leakage controlled

Noise and Vibration Control Flashback arrestor Installed

Protection of Electric Devices from Water Cylinder must be kept in trolley while in use and transporting.

Arrangement of Water Discharge Acceptance Storage of multi groups of gas cylinder should be parted100 ft.

No EMPLOYEE NAME No EMPLOYEES NAME No EMPLOYEE NAME

1. 7 13

2. 8 14

3. 9 15

4. 10

16

5. 11 17

6. 12 18

Name Signature Date

Supervisor

HSE Officer