THE PETROLEUM PROJECTS & TECHNICAL

‫ﺷﺮﻛﺔ اﻟﻤﺸﺮوﻋﺎت اﻟﺒﺘﺮوﻟﻴﺔ و اﻹﺳﺘﺸﺎرات اﻟﻔﻨﻴﺔ‬

CONSULTATIONS CO.
HSE General Department ‫اﻹدارة اﻟﻌﺎﻣﺔ ﻟﻠﺴﻼﻣﺔ واﻟﺼﺤﺔ اﻟﻤﻬﻨﻴﺔ وﺣﻤﺎﻳﺔ اﻟﺒﻴﺌﺔ‬
‫ﺑﺘـــﺮوﺟــــــﺖ‬
/‫ﻋﺎم‬ / ‫ﻗﺎﺋﻤﺔ اﻟﺘﻔﺘﻴﺶ اﻟﻴﻮﻣﻰ ﻋﻠﻰ أﻧﺸﻄﺔ اﻟﺴﻼﻣﺔ ﺷﻬﺮ‬
Daily Inspection heck List11 10 9 8 7 6 5 4 ITEM
31 30 29 28 27 26 25 24 23 22 21 20 19 18 17 16 15 14 13 12 3 2 1 S.N
(..................../ ‫ﻋﺎم‬.........../ ‫اﻟﺘﺎرﻳﺦ)ﺷﻬﺮ‬ ........ /‫ﻣﻮﻗﻊ اﻟﻌﻤﻞ‬ ‫اﻟﺒـﻨـﺪ‬
Is the work area clean and orderly?
1
‫ھﻞ أﻣﺎﻛﻦ اﻟﻌﻤﻞ ﻧﻈﯿﻔﺔ وﻣﺮﺗﺒﺔ؟‬
-Adequacy and serviceability of lifting devices /
stacking aids / trolleys / handcarts etc
2
‫ ھﻞ ﻣﻌﺪات اﻟﺮﻓﻊ اﻟﯿﺪوي واﻟﺘﺮوﻟﻰ و ﻋﺮﺑﺎت اﻟﯿﺪ وﻣﺎ ﺷﺎﺑﮫ ﻣﻦ‬-
‫أدوات ﻣﻼﺋﻤﺔ؟ و ھﻞ ﯾﺘﻢ ﺻﯿﺎﻧﺘﮭﺎ؟‬
- Is hand tools in good conditions and good
serviceability? 3
‫ھﻞ اﻟﻌﺪد اﻟﯿﺪوﯾﺔ ﺑﺤﺎﻟﺔ ﻣﻨﺎﺳﺒﺔ؟ و ھﻞ ﯾﺘﻢ ﺻﯿﺎﻧﺘﮭﺎ دورﯾﺎ؟‬-
- Do your PPE suits the type of work?
4
‫ھﻞ ﺣﺎﻟﮫ ﻣﮭﻤﺎت اﻟﻮﻗﺎﯾﺔ ﻣﻨﺎﺳﺒﺔ و ﻣﻼﺋﻤﺔ ﻟﻄﺒﯿﻌﺔ اﻟﻌﻤﻞ؟‬
- Is all fire extinguishers fully charged and in
designated locations? 5
‫ ھﻞ ﺟﻤﯿﻊ اﻟﻄﻔﺎﯾﺎت ﻣﻤﻠﻮءة وﻓﻲ أﻣﺎﻛﻨﮭﺎ اﻟﻤﻨﺎﺳﺒﺔ ؟‬-
- Are the instructions and rules for welding and
cutting followed? 6
‫ ھﻞ ﯾﺘﻢ إﺗﺒﺎع ﻗﻮاﻋﺪ وﺗﻌﻠﯿﻤﺎت ﻋﻤﻠﯿﺎت اﻟﻘﻄﻊ و اﻟﻠﺤﺎم؟‬-
- Is there a system of locks and tags utilized at
isolation points? 7
‫ھﻞ ﻧﻈﺎم اﻟﻐﻠﻖ واﻟﻌﺰل ﯾﺘﻢ ﺗﻄﺒﯿﻘﮫ ؟‬
- Is waste segregation going well?
8
‫ ھﻞ ﯾﺘﻢ ﺗﻄﺒﯿﻖ ﻧﻈﺎم ﻓﺼﻞ اﻟﻤﺨﻠﻔﺎت؟‬-
- is the equipment and tools in good conditions?
9
‫ ھﻞ اﻟﻤﻌﺪات واﻷﻻت ﺑﺤﺎﻟﺔ ﺟﯿﺪة ؟‬-
- Is the storage operation is going well?
10
‫ ھﻞ ﻋﻤﻠﯿﺔ اﻟﺘﺨﺰﯾﻦ ﺗﺘﻢ ﺑﺼﻮرة ﻣﻨﺎﺳﺒﺔ؟‬-
- Are plant / vehicle operations (e.g. cranes)
supervised to ensure compliance with safe
working practices? 11
‫ھﻞ ﻋﻤﻠﯿﺎت اﻟﺮﻓﻊ ﺗﺘﻢ ﺗﺤﺖ إﺷﺮاف ﻣﺸﺮف ﻟﻀﻤﺎن اﻻﻣﺘﺜﺎل‬
‫ﻟﺘﻌﻠﯿﻤﺎت اﻟﻌﻤﻞ اﻵﻣﻦ ؟‬
Is there a Material Safety Data Sheet readily
available for each hazardous substance used?
‫ ھﻞ ﯾﻮﺟﺪ وﺛﯿﻘﺔ اﻟﺘﻌﺮف ﻋﻠﻰ اﻟﻤﺨﺎطﺮ ﻟﻠﻤﻮاد ﺟﺎھﺰ و ﻣﺘﺎح‬- 12
‫ﻟﻜﻞ ﻣﺎدة ﺧﻄﺮة ؟‬

Issue No. (4) Issue Date: Oct.2018 Revision No. (0) Page: 1/3 PJ-HSEMSF-9.1- 04
 THE PETROLEUM PROJECTS & TECHNICAL
‫ﺷﺮﻛﺔ اﻟﻤﺸﺮوﻋﺎت اﻟﺒﺘﺮوﻟﻴﺔ و اﻹﺳﺘﺸﺎرات اﻟﻔﻨﻴﺔ‬
CONSULTATIONS CO.
HSE General Department ‫اﻹدارة اﻟﻌﺎﻣﺔ ﻟﻠﺴﻼﻣﺔ واﻟﺼﺤﺔ اﻟﻤﻬﻨﻴﺔ وﺣﻤﺎﻳﺔ اﻟﺒﻴﺌﺔ‬
‫ﺑﺘـــﺮوﺟــــــﺖ‬
- do you carry out the scaffold inspection
regularly and scaff-tag used?
13
scaff tag ‫ ھﻞ ﯾﺘﻢ ﻓﺤﺺ اﻟﺴﻘﺎﻻت ﺑﺼﻔﺔ ﻣﻨﺘﻈﻤﺔ ووﺿﻊ اﻟـ‬-
‫ﻋﻠﯿﮭﺎ؟‬
Emergency Passageways - free from
obstructions, electrical cords and other trip
hazards? 14
‫ھﻞ اﻟﻤﻤﺮات ﺧﺎﻟﯿﺔ ﻣﻦ اﻟﻌﻮاﺋﻖ و اﻟﻜﺎﺑﻼت اﻟﻜﮭﺮﺑﺎﺋﯿﺔ و ﻣﺨﺎطﺮ‬
‫اﻟﺘﻌﺜﺮ اﻷﺧﺮى؟‬
- do you carry out lifting operations adequately?
15
‫ ھﻞ ﯾﺘﻢ ﺗﺄﻣﯿﻦ ﻋﻤﻠﯿﺎت اﻟﺮﻓﻊ ﺑﺸﻜﻞ ﻛﺎﻓﻰ وﻣﻨﺎﺳﺐ؟‬-
- do you carry out all radiation operations
adequately? 16
‫ ھﻞ إﺟﺮاءات اﻟﺘﻌﺎﻣﻞ ﻣﻊ اﻟﻤﺼﺎدر اﻟﻤﺸﻌﺔ ﻛﺎﻓﯿﺔ وﻣﻨﺎﺳﺒﺔ؟‬-
- Does the office fire warning system tested
regularly? 17
‫ ھﻞ ﯾﺘﻢ ﻓﺤﺺ ﻧﻈﻢ إﻧﺬار اﻟﻄﻮارىء دورﯾﺎ ً؟‬-
- Are rotating or moving parts of equipment
guarded to prevent physical contact? 18
‫ ھﻞ اﻷﺟﺰاء اﻟﺪوارة واﻟﻤﺘﺤﺮﻛﺔ ﺑﮭﺎ ﺣﻤﺎﯾﺔ ﻟﻌﺪم اﻟﺘﻼﻣﺲ؟‬-
Do you compliance with company roles for all
electrical work? 19
‫ ھﻞ ﯾﺘﻢ ﺗﻄﺒﯿﻖ ﻧﻈﻢ اﻟﺸﺮﻛﺔ ﻓﻰ اﻟﺘﻌﺎﻣﻞ ﻣﻊ اﻟﻜﮭﺮﺑﺎء؟‬-
- Is the office tidy?
20
‫ ھﻞ اﻟﻤﻜﺎﺗﺐ ﻣﺮﺗﺒﺔ؟‬-
- Is clinic under control?
21
‫ ھﻞ ﯾﺘﻢ اﻟﺘﺤﻜﻢ ﺑﺎﻟﻌﯿﺎدة اﻟﻄﺒﯿﺔ؟‬-
- good ventilation (s) in work place on going
22
- ‫ ﻋﻤﻠﯿﺔ اﻟﺘﮭﻮﯾﺔ ﻓﻰ ﻣﻨﺎطﻖ اﻟﻌﻤﻞ ﻣﻨﺎﺳﺒﺔ‬-
- Waste segregation on going.
23
‫ ﯾﺘﻢ ﻓﺼﻞ اﻟﻤﺨﻠﻔﺎت ﺑﺈﺳﺘﻤﺮار‬-
- Toilet and sanitary facilities
Defect(s) observed 24
‫ وﺟﻮد ﻋﯿﻮب ظﺎھﺮﯾﺔ ﺑﺪورات اﻟﻤﯿﺎة‬-
- Waste oil requires disposal
.‫ ﯾﺘﻢ اﻟﺘﺨﻠﺺ ﻣﻦ اﻟﺰﯾﻮت اﻟﻤﺮﺗﺠﻌﺔ‬25

Issue No. (4) Issue Date: Oct.2018 Revision No. (0) Page: 2/3 PJ-HSEMSF-9.1- 04
 THE PETROLEUM PROJECTS & TECHNICAL
‫ﺷﺮﻛﺔ اﻟﻤﺸﺮوﻋﺎت اﻟﺒﺘﺮوﻟﻴﺔ و اﻹﺳﺘﺸﺎرات اﻟﻔﻨﻴﺔ‬
CONSULTATIONS CO.
HSE General Department ‫اﻹدارة اﻟﻌﺎﻣﺔ ﻟﻠﺴﻼﻣﺔ واﻟﺼﺤﺔ اﻟﻤﻬﻨﻴﺔ وﺣﻤﺎﻳﺔ اﻟﺒﻴﺌﺔ‬
‫ﺑﺘـــﺮوﺟــــــﺖ‬
- Toilet and sanitary facilities Hygiene acceptable
26
‫ ﺻﻼﺣﯿﺔ دورات اﻟﻤﯿﺎة ﻟﻠﺼﺤﺔ اﻟﻌﺎﻣﺔ‬-
- Is radiation protection \ barrier used
27
‫ ھﻞ ﯾﺘﻢ إﺳﺘﺨﺪام ﺣﺎﺟﺰ اﻟﻮﻗﺎﯾﺔ)وﺳﺎﺋﻞ اﻟﺤﻤﺎﯾﺔ( ﻣﻦ اﻷﺷﻌﺔ؟‬-
- Waste oil and waste batteries Storage facility
adequately maintained 28
.‫ طﺮق ﺗﺨﺰﯾﻦ اﻟﺰﯾﻮت اﻟﻤﺮﺗﺠﻌﺔ واﻟﺒﻄﺎرﯾﺎت اﻟﻤﺴﺘﮭﻠﻜﺔ ﻣﻨﺎﺳﺒﺔ‬-
- Oil filters need to be disposed
29
.‫ ﻓﻼﺗﺮ اﻟﺰﯾﺖ ﺗﺤﺘﺎج ﻟﻠﺘﺨﻠﺺ‬-
- Chemicals stored in area that is covered & ventilated
30
‫ ﻣﻨﺎطﻖ ﺗﺨﺰﯾﻦ اﻟﻜﯿﻤﺎوﯾﺎت ﻣﻌﺰوﻟﺔ وﺟﯿﺪة اﻟﺘﮭﻮﯾﺔ‬-
- Solid waste need to be disposed
31
‫ اﻟﻤﺨﻠﻔﺎت اﻟﺼﻠﺒﺔ ﺗﺤﺘﺎج ﻟﻠﺘﺨﻠﺺ‬-
- Spraying program against insects carried
out 32
‫ ﻧﻈﺎم ﻣﻜﺎﻓﺤﺔ اﻟﺤﺸﺮات ﻣﻔﻌﻞ‬-
- usage and ability of PPE that control of
environmental impact
33
‫ ﻣﮭﻤﺎت اﻟﻮﻗﺎﯾﺔ اﻟﺸﺨﺼﯿﺔ ﻣﺴﺘﺨﺪﻣﺔ وﺻﺎﻟﺤﺔ ﻟﻠﺤﺪ ﻣﻦ‬-
‫اﻟﺘﺄﺛﯿﺮات اﻟﺒﯿﺌﯿﺔ‬

Conformity
Conformance Nonconformance

prepared by Safety responsible:- -:‫ ﻣﺴﺌﻮل اﻟﺴﻼﻣﺔ‬/ ‫ إﻋﺪاد‬-

signature:- :‫ اﻟﺘﻮﻗﻴﻊ‬-

Approved by HSE manager: -:‫ إﻋﺘﻤﺎد ﻣﺪﻳﺮ اﻟﺒﻴﺌﺔ واﻟﺴﻼﻣﺔ‬-

signature:- -:‫ اﻟﺘﻮﻗﻴﻊ‬-

Issue No. (4) Issue Date: Oct.2018 Revision No. (0) Page: 3/3 PJ-HSEMSF-9.1- 04