SAFE VISIT REPORT

Date:
Area visited:
Report Author (Supervisor):
e-mail addres:
Safe visit Team:
Number of People involved:
Group responsible for the work/activity area:
Activities observed:
Are the workers are aware about PTW, LMRA, etc.
Are the workers inwolved aware of LMRA, Stop Work Authority, etc.
Are there suficient signs for work zones, communication routes etc.?
Is the site area properly fenced and protected? Are there warning signs at the entrance and outside the working area?
Are proper PPE in place? Are workers aware of the usage and assessment of the condition of PPE?
Are there excavation properly protected (entrance, guards and hard barricades are installed and fall protection is provided as required, etc.)?
Are ladders, scaffolds and their access ways comply with international standards? Staircases should be the first option for access. Where ladders are used, access ladders must extend at least 92cm (3 feet) over any landing or scaffold platform. Swing gates or other barrier means must be used at the entry points to prevent falls.
Is waste management is properly organized on the site? First Aid Kit is in place and signed? Is the site is organized in line with HASP? Are stairways, passageways, ladders, scaffold and gangways free of material, supplies and obstructions?
Are all risks included in PTW documentation? Are all controls in place? Is PH aware of all risks and controls
PTW
JHA
WCF