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Safety Awareness Survey Format - Terminal-Depot - Lube-Lpg-Afs 01.04.09

This document summarizes the results of a safety awareness inspection at an LPG facility. It provides the following information: 1) Scores from a safety quiz given to different groups like officers, staff, truck crews, and contractors, with officers scoring the highest at 94% and contractors scoring 83.3%. 2) Weighted scores for personal protective equipment usage and a fire drill conducted on a specific date, with the fire drill receiving 30 points total. 3) The overall safety awareness score for the location was 89.7 points out of a possible 100 points.

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75 views2 pages

Safety Awareness Survey Format - Terminal-Depot - Lube-Lpg-Afs 01.04.09

This document summarizes the results of a safety awareness inspection at an LPG facility. It provides the following information: 1) Scores from a safety quiz given to different groups like officers, staff, truck crews, and contractors, with officers scoring the highest at 94% and contractors scoring 83.3%. 2) Weighted scores for personal protective equipment usage and a fire drill conducted on a specific date, with the fire drill receiving 30 points total. 3) The overall safety awareness score for the location was 89.7 points out of a possible 100 points.

Uploaded by

mitpgandhi
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as XLS, PDF, TXT or read online on Scribd
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Annex-I MDT Inspection of _________LPG BP/Terminal/ Depot/AFS/Lube Plant on ___________________

SAFETY AWARENESS LEVEL OF ___________LPG BP/TERMINAL /DEPOT/ AFS(MAJOR)/LUBE PLANT


I. Weightage for Quiz: 55 S. NO TARGET GROUP 1 OFFICERS (WRITTEN) 2 STAFF (ORAL) 3 TT/TRUCK CREW (ORAL) 4 SECURITY (ORAL) 5 CONTRACTORS' WORKER (ORAL) NO OF PERSON NO OF QUESTIONS COORECT 188 4 200 8 3 10 8 5 10 5 3 6 9 5 10 Sub-Total MARKS % 94.0 80 80.0 83.3 90 WEIGHTAGE 10 12 12 12 9 55 NET MARKS 9.40 9.60 9.60 10.00 8.10 46.70

II.

III.

Note: Quiz to be taken for 60% of total strength in each category. Weightage on Use of PPE( Safety Shoes, Helmet, Hand Gloves etc): 15 S.NO. WEIGHTAGE PERSONNEL By ALLCorp. Employees (Officers from Ops 1 Dept & BCW) 5 By ALL Contractors' Worker 5 2 By ALL TT/Truck Crew 5 3 Sub- Total 15 Weightage for Fire Drill conducted on ______________: 30 S. NO WEIGHTAGE PARAMETER 1 5 Response Time for activities 2 3 Communication & Co-ordination 3 5 Performance of Combat Team 4 3 Performance of Axillary Team 5 3 Performance of Rescue Team 3 FEs used in Fire Drill all functioned properly. 6 7 Knowledge & Handling of FF Equipment by Teams 5 8 All other equipment functioned properly when operated Sub-Total TOTAL 3 30 100

MARKS 5 5 5 15 MARKS 5 3 4 3 3 2 5 3 28 89.7

SAFETY AWARENESS OF LOCATION

89.7

SIGNATURE OF S&EP OFFICER Name: Designation : Date:

SIGNATURE OF LOCATION IN CHARGE Name: Designation : Date:

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