Ijm Corporation Berhad: No Location Scope of Work Unsafe Act/Condition/ Sub-Contractor Environmental Negligence

IJM CORPORATION BERHAD
(104131-A)
HSE DAILY / WEEKLY OBSERVATION REPORT
No
Location
General Remarks
HSEF-MM-018
Rev 3
Scope of Work
Unsafe Act/Condition/
Environmental Negligence
Date of Observation
Sub-Contractor
Inspection Conducted By:

(104131-A)
CAR
HSEF-MM-018
Rev 3
Reminder/Penalty

(104131-A)
MONTHLY INSPECTION CHECKLIST ON HEALTH, SAFETY AND ENVIRONMENT

Section 1 - HEALTH & SAFETY
Workplace :
Location :
Date :
Time :
No
Item
Machinery - FMA 1967, Part III & V

Valid certificate of fitness (PMA/PMT)
Competent operator (Crane)
Signalman
Machinery guarding
Lifting/hoisting appliances
Warning signs
Supervision on lifting operation
Maintenance and inspection schedule
Working/loading platform - FMA (BOWEC), Reg. 1986

Calculation and design by PE
Safe working load
Barricade
Platform cleanliness
Suitable working/loading platform
Safe access to working platform
Scaffolding - FMA (BOWEC), Reg. 1986

Schedule inspection
Maintenance/scafftag
Stable/firm foundation
Cross brace
Competent scaffolder
Floor opening (Safety, Health & Welfare, Reg. 1970)

Barricade or cover provided
Barricade or cover are firm
Warning signs
Exposed floor edges (Safety, Health & Welfare, Reg. 1970)

Barricade provided
Barricade are firm
Working at height (Safety, Health & Welfare, Reg. 1970)

Suitable personal protective equipment (PPE)
Safe working platform
Supervision
Permit to work system
Provision of safety anchorage
Access to workplace (Safety, Health & Welfare, Reg. 1970)

Safe access and egress
Overhead protection cover
Adequate lighting
HSEF-MM-019
Rev 5

(104131-A)
Safe ladders
Traffic control at the site
No
Item
Public safety - FMA (BOWEC) Reg. 1986

Warning signs
Hoarding
Security guard at the main entrance
Traffic controller
Traffic control at site
Safe handling of building material
Electrical safety - FMA (BOWEC) Reg. 1986

Warning signs
Proper electrical installation
Responsible person
Electrical wiring
10 Workers Quarters/Kongsi - FMA (Safety, Health & Welfare, Reg. 1970)

Exclusion from work area
Cleanliness
Separate access and egress
Fire fighting equipment
Comfortable living quarters
Ventilation system
Only authorised person stay in the quarters
Approval from the Authority
11 Cleanliness and tidiness FMA (Safety, Health & Welfare, Reg. 1970)
Housekeeping programme
Appropriate and suitable refuse system
Material arrangement
Ample gangway provided
Drainage system
12 Storage of material - FMA (Safety, Health & Welfare, Reg. 1970)
Proper storage area
Material storage in stable/proper condition
Storage area for hazardous material/chemical
Warning signs/labelling for hazardous material/chemical
Cleanliness and tidiness of storage yard
13 Health and Welfare - FMA (Safety, Health & Welfare, Reg. 1970)
Canteen/food/water
First aid box
Accommodation/toilet
Personnel protective equipment (PPE)
14
Formwork - FMA (BOWEC) Reg. 1986

Installation in accordance with the design specification
Responsible person
Access
15 Personal Protective Equipment - FMA (Safety, Health & Welfare, Reg. 1970)
PPE adequately provided and used
Maintenance of PPE
HSEF-MM-019
Rev 5

(104131-A)
No
Item
16 Excavation and shoring - FMA (BOWEC) Reg. 1986

Suitable warning signs
Appointment of responsible personnel
Safe and adequate access
PPE
Barricade
Supervision and monitoring
Shoring
Safe position of machinery
Permit To Work system
Machinery in good operating condirion
17 Piling - FMA (BOWEC) Reg. 1986
Competent machine operator
Valid PMA/PMT
Material storage and arrangement
Supervision and monitoring
Bole hole covered
Signalman
Pile driving rigs properly erected
Ladder fixed at frames
Adequate numbers of pumps provided
Safe lifting operation
Cofferdams
PPE
Sling and air hose
18 Demolition - FMA (BOWEC) Reg. 1986
Warning signages
Approval from Authority
Competent person
Safe access
Procedure on material disposal
Public safety protection
19 Confined Space (Code of Practice for Safe Working In A Confined Space)
Warning signages
Approval from person in charge
Competent person
PPE
Test for presence of oxygen and other fumes
Stand-by man
Means of entry and exit
Emergency apparatus
Communication aid
Supervision by competent person
HSEF-MM-019
Rev 5

(104131-A)
HSEF-MM-019
Rev 5

(104131-A)
Inspection Team Members:
Overall summary at the workplace (HSE Personnel)
Signature :
Name
Date
Summary by Person In Charge :
Signature :
Name :
Date :
HSEF-MM-019
Rev 5

(104131-A)
ON HEALTH, SAFETY AND ENVIRONMENT
HEALTH & SAFETY
Results
HSEF-MM-019
Rev 5
Remarks

(104131-A)
Results
Remarks
Reg. 1970)
g. 1970)
70)
70)
are, Reg. 1970)
HSEF-MM-019
Rev 5

(104131-A)
Results
Remarks
nfined Space)
HSEF-MM-019
Rev 5
10

(104131-A)
HSEF-MM-019
Rev 5
11

(104131-A)
HSEF-MM-019
Rev 5
12

PLANT AND MACHINERY OPERATOR CARD
Operator Details
Name
I.C / Passport No
Phone No
Age
Experience
Employer Name
Qualification
Plant and Machinery Detail

Company
Type of Plant/Machine
Model
Capacity
Year made
Plant/Machinery Code
Entry Inspected Date
Inspected by
Assessor
Competency Assessment Detail

Date of Assessment
Approval
Name
Position
Date
Instructions:
1.This card is issued to register operator for plant and machinery not requiring DOSH certificate of competency.
2.This card is solely for this plant and machinery and not transferable to other plant and machinery.
Signature

3.Registered operator shall not allow any person other than him/her to operate this machine.
4.This card shall be displayed on the plant or machine at all times.
CARD
ompetency.
Signature

(104131-A)
CHECKLIST FOR SCAFFOLDING

(MOBILE SCAFFOLD)
Workplace :
Location :
Grid Line :
Scaffold Tag No :
No
1
Item of Inspection
Ensure the mobile scaffold height to be base
ratio does not exceed 3:1
Are the castor wheel locked when in use
Ensure there is no passenger when moving

the mobile scaffold
Ensure working platform are fully locked,
Results
with toeboard and handrail provided

5
Is scaffold erected on firm ground
Are proper soleplate used
Are scaffold component connection fitted

correctly and levelled
Are the frames connected end with either

sleeve coupler or joint pin
Are all cross braces properly locked in and not tied
10
Has the scaffold tag been displayed
Checked by : _____________________
Date / Time of Insp : ___________
Name :
Name of Erectors : ____________
HSEF-MM-027
Rev 3
_____________________

(104131-A)
Remarks
: ___________
____________
HSEF-MM-027
Rev 3

(104131-A)
SLING WIRE MONTHLY INSPECTION REPORT

WORKPLACE:
CONTRACTOR:
NAME
SUBCON
REPORT DATE
INSPECTOR
POINTS TO BE CHECKED
Yes
1. Reduction in wire diameter
More than 7%
2. Damages in wire strands
More than 10%
No
3. Cut or broken ?
4. Extreme wear or fatigue?
5. Kinking or twisted ?
6. Nonlubricated or corroded ?
If you find any of the above mentioned defects, you must immediately inform your Superior/Safety Dept.
COLOUR CODING
JANUARY
GREEN
FEBRUARY
ORANGE
MARCH
BLUE
APRIL
WHITE
MAY
GREEN
JUNE
ORANGE
JULY
BLUE
AUGUST
WHITE
SEPTEMBER
GREEN
OCTOBER
ORANGE
NOVEMBER
BLUE
DECEMBER
WHITE
RED - For Defective Sling

Inspected slings shall be marked with the spray paint of which colour shall be changed in
accordance to the above table
Inspected By
Endorsed By
Signature :
Signature :
Name
Date
HSEF-MM-026
Rev 3
:
:
Name
Date

(104131-A)
HSEF-MM-026
Rev 3

(104131-A)
E MONTHLY INSPECTION REPORT
COLOUR CODING
Remarks
HSEF-MM-026
Rev 3

(104131-A)
HSEF-MM-026
Rev 3

(104131-A)
MOBILE / CRAWLER CRANE INSPECTION CHECKLIST (DAILY)
Workplace:
PMA No.:
Registration No. :
No
Model :
Crane Operator :
Company :
Items
10
11
12
13
14
15
16
17
18
19
20
21
22
1 Periksa penggera lebih muatan

Check overload warning device
2 Periksa load indicator
Check load indicator
3 Periksa petunjuk boom angle
Check boom angle indicator
4 Periksa hoist brek
Check hoist brake
5 Periksa keadaan wire rope:
Pengurangan diameter <7%, kerosakan pada
tali pintalan < 10%, tidak bersimpul, terhakis dsb.
Check wire rope condition: diameter reduction
less than 7%, breakage of strands less than 10%
no kinks, corrosion etc.
Inspection Date:
Inspected by (Crane Operator) - Initial:
Reviewed by (Supervisor) :
/ Good Condition
X Not Good
Note: Inspection must be carried out before start work. Crane Operator shall ensure the abovementioned items are in good / safe working condition.
The original copy of this checklist shall be make available in the crane's cabin, and a copy of the checklist to be kept by the Safety personnel.
HSEF-MM-028
Rev 2
Page 1

(104131-A)
23
24
HSEF-MM-028
Rev 2
25
26
27
28
29
30
31
Page 1

(104131-A)
TOWER CRANE CHECKLIST (DAILY)

Workplace :
PMA No:
Registration No. :
No
1
2
3
4
5
Model :
Crane Operator:
Company :
Items
10
11
12
13
14
15
16
17
18
19
20
21
22
Periksa semua sambungan, bolt dan nat

Check all joints, bolt and nut
Periksa hoist wire rope di sistem pengangkat
dan trolley
Check hoist wire rope condition at hoisting
system and trolley system
Periksa hoisting motor dan brek
Check hoisting motor and brake
Periksa slewing motor dan brek
Check slewing motor and brake
Periksa limit switch, kabel dan pengendali
kawalan
Check limit switches, cable and control panel
Periksa sistem hidraulik (valve, silinder, hos,
dan meter tekanan)
Check hydraulic system (valve, cylinder, hose,
and pressure meter)
Inspection Date:
Inspected by (Crane Operator) - Initial:
Reviewed by (Supervisor):
/
Good
X Not Good
Note: Inspection must be carried out before start work. Crane Operator shall ensure the abovementioned items are in good / safe working condition
The original copy of this checklist shall be make available in the crane's cabin, and a copy of the checklist to be kept by the Safety personnel.
HSEF-MM-020
Rev 3
Page 1

(104131-A)
23
24
HSEF-MM-020
Rev 3
25
26
27
28
29
30
31
Page 1
WEEKLY BACKHOE INSPECTION CHECKLIST

Contact Information
Company name
Inspectors name
Phone no.
Inspectors signature
Inspection date
Work location
Backhoe model/code
Verified by
Position
Equipment
Item
Inspected area / parts
Tires condition and pressure
Moving parts guarded / no guards removed
Overhead guard and operator seat. (check for damage and cleanliness)
Side mirror condition
No fluid leaks (check for any sign of leakage including pneumatic / hydraulic)
Operating mechanisms functional (such as controls, gauges, etc.)
Brakes functional (inspected and tested)
Horn functional
Reverse alarm and warning lights functional.
10
Battery condition and fluid level (oil, radiator, fuel)
11
Fire extinguisher available (fully charged and inspected)
N/A
Others
Item
1
N/A
Operator registered with IJM (operator card)
Instructions:
1.Subcontractors authorized personnel shall conduct inspection and submit inspection record to respective IJM engineer / supervisor for
verification.
2.Authorized machine operator shall conduct inspection for IJM machine and submit inspection record to respective IJM engineer / superv
verification.
3.Inspection shall cover all items listed in this form.
4.Item(s) that fail inspection: subcontractor must bring the equipment into passing condition before use at workplace.
5.Completed inspection record shall be submitted to HSE personnel for further verification and safekeeping.
Pass
Fail
Pass
Fail
ve IJM engineer / supervisor for

respective IJM engineer / supervisor for
t workplace.
ng.
WEEKLY FORKLIFT INSPECTION CHECKLIST

Contact Information
Company name
Inspectors name
Phone no.
Inspection date
Work location
Forklift model/code
Verified by
Position
Equipment
Item
Mast and lift chain condition (check for damage and wear)
Forks and load apron/bracket condition (check for damage, missing lock pin, etc)
Operating mechanisms functional (such as controls, gauges, etc)
10
11
12
N/A
Others
Item
1
N/A
Instructions:
1.Subcontractors authorized personnel shall conduct inspection and submit inspection record to respective IJM engineer / supervisor fo
verification.
2.Authorized machine operator shall conduct inspection for IJM machine and submit inspection record to respective IJM engineer / sup
for verification.

Pass
Fail
Pass
Fail
ective IJM engineer / supervisor for
d to respective IJM engineer / supervisor
se at workplace.
eeping.
WEEKLY FRONT END LOADER INSPECTION CHECKLIST

Contact Information
Company name
Inspectors name
Phone no.
Inspection date
Work location
Front End Loader model/code :
Verified by
Position
Equipment
Item
Horn functional
10
11
N/A
Others
Item
1
N/A
Instructions:
verification.
for verification.
KLIST
Pass
Fail
Pass
Fail
se at workplace.
eeping.
WEEKLY GENERATOR SET INSPECTION CHECKLIST

Contact Information
Company name
Inspectors name
Phone no.
Inspection date
Work location
Generator model/code
Verified by
Position
Equipment
Item
1
2
3
4
5
6
7
8
9
10
11
N/A
Protective guard for rotating parts condition

Control gauges condition voltmeter, ammeter, etc. (check for damage, malfunction, etc)
Indicators conditions oil pressure, temperature meter, tachometer, lamp, etc. (check for
damage, malfunction, etc)
Generator body/canopy (check for damage, cleanliness, etc)
Fuel supply system condition (check for leakage and damage)
Cooling system (check water/coolant level)
Output terminal condition (check for loose connection and damage)
Proper body earth provided?
Quality of smoke emitted?
Any excessive noise emitted?
Others
Item
1
N/A
Instructions:
verification.
for verification.
LIST
Pass
Fail
Pass
Fail
se at workplace.
eeping.
WEEKLY HYDRAULIC EXCAVATOR INSPECTION CHECKLIST

Contact Information
Company name
Inspectors name
Phone no.
Inspection date
Work location
Excavator model/code
Verified by
Position
Equipment
Item
Track condition (check for any damage)
Side mirror condition (check for any damage)
Horn functional
Warning lights functional.
10
N/A
Others
Item
1
N/A
Instructions:
verification.
for verification.
CKLIST
Pass
Fail
Pass
Fail
se at workplace.
eeping.
WEEKLY PASSENGER HOIST INSPECTION CHECKLIST

Contact Information
Company name
Inspectors name
Phone no.
Inspection date
Work location
Excavator model/code
Verified by
Position
Equipment
Item
Limit switches
Operating mechanism functional (such as control panel)
Hoist car condition (check for damage, overhead cover and cleanliness)
Mast condition (check for damage, loose bolt, foreign material, etc)
Rack and pinion condition (check for damage, wear and lubrication)
Inspect gearbox for leaks
Guide roller condition (check for damage and wear)
Brakes functional (check for brakes effectiveness)
Cable condition (check for damage, no jointing, cable grip, etc)
10
Wall ties and anchorage (check for damage, loose bolt, etc)
11
Electrical supply condition (check for RCD, wires, D.B box, etc)
12
Travel limit switch and equipment (check for damaged and correct position)
13
N/A
Others
Item
N/A
Instructions:
verification.
2.Authorized machine operator shall conduct inspection for IJM machine and submit inspection record to respective IJM engineer / supervis
for verification.
LIST
Pass
Fail
Pass
Fail
se at workplace.
eeping.
WEEKLY SKID STEER LOADER INSPECTION CHECKLIST

Contact Information
Company name
Inspectors name
Phone no.
Inspection date
Work location
Front End Loader model/code :
Verified by
Position
Equipment
Item
Horn functional
10
11
N/A
Others
Item
N/A
Instructions:
verification.
for verification.
KLIST
Pass
Fail
Pass
Fail
se at workplace.
eeping.
WEEKLY ARC WELDING GENERATOR INSPECTION CHECKLIST

Contact Information
Company name
Inspectors name
Phone no.
Inspection date
Work location
Generator model/code
Verified by
Position
Equipment
Item
Protective guard for rotating parts condition
Control gauges condition voltmeter, ammeter, etc. (check for damage, malfunction, etc)
Indicators conditions oil pressure, temperature meter, tachometer, lamp, etc. (check for
damage, malfunction, etc)
Generator body/canopy (check for damage, cleanliness, etc)
Fuel supply system condition (check for leakage and damage)
Cooling system (check water/coolant level)
Proper body earth provided?
All electrical connections are well insulated
Cables and joint of proper type and condition
10
Electrode holder in good condition
11
N/A
Others
Item
N/A
Instructions:
verification.
verification.
ECKLIST
Pass
Fail
Pass
Fail
to respective IJM engineer / supervisor for
e at workplace.
eping.

Ijm Corporation Berhad: No Location Scope of Work Unsafe Act/Condition/ Sub-Contractor Environmental Negligence

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Ijm Corporation Berhad: No Location Scope of Work Unsafe Act/Condition/ Sub-Contractor Environmental Negligence

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IJM CORPORATION BERHAD

HSE DAILY / WEEKLY OBSERVATION REPORT

Inspection Conducted By: