(BALCO)
SAFETY INSPECTION CHECKLIST FOR Port
TO BE DONE BY AREA IN CHARGE ON MO
Portable Ladder
Area: COMMON Checked BY-
Con
Rungs Conditions
SL. No. Ladders Location TYPE OF
MATERIAL
1 Single Type COMMON ALUMINIUM OK OK
2 Single Type COMMON ALUMINIUM OK OK
3 Single Type COMMON ALUMINIUM OK OK
4 Single Type COMMON ALUMINIUM OK OK
5 Single Type COMMON ALUMINIUM OK OK
6 Single Type COMMON ALUMINIUM OK OK
7 Single Type COMMON ALUMINIUM OK OK
8 Single Type COMMON ALUMINIUM OK OK
9 Single Type COMMON ALUMINIUM OK OK
10 Single Type COMMON ALUMINIUM OK OK
11 Single Type COMMON ALUMINIUM OK OK
(BALCO)
CHECKLIST FOR Portable LADDERS
A IN CHARGE ON MONTHLY BASIS
ortable Ladder
NAVNEET CHAUDHARY DATE:-10/03/2023
Condition Of
Indentification number Fitness Tagging Rubber grip
Remark
OK OK OK ACCEPTED
OK OK OK ACCEPTED
OK OK OK ACCEPTED
OK OK OK ACCEPTED
OK OK OK ACCEPTED
OK OK OK ACCEPTED
OK OK OK ACCEPTED
OK OK OK ACCEPTED
OK OK OK ACCEPTED
OK OK OK ACCEPTED
OK OK OK ACCEPTED
GENERAL
SAFETY INSPECTION CHECKLIST FOR FALL ARRESTOR
INSPECTION BY- Mr.NAVNEET Contractor- AKS
SLNO SAFETY DEVICE LOCAL ID NUMBER MAKE MFY TYPE
1 RETRACTABLE FALL ARRESTER BLOCK BALCO/AKS/RFA/01 KARAM Aug-21 RETRACTABLE
2 RETRACTABLE FALL ARRESTER BLOCK BALCO/AKS/RFA/02 KARAM Aug-21 RETRACTABLE
3 RETRACTABLE FALL ARRESTER BLOCK BALCO/AKS/RFA/03 KARAM Aug-21 RETRACTABLE
4 RETRACTABLE FALL ARRESTER BLOCK BALCO/AKS/RFA/04 KARAM Aug-21 RETRACTABLE
5 RETRACTABLE FALL ARRESTER BLOCK BALCO/AKS/RFA/05 KARAM Aug-21 RETRACTABLE
6 RETRACTABLE FALL ARRESTER BLOCK BALCO/AKS/RFA/06 KARAM Aug-21 RETRACTABLE
7 RETRACTABLE FALL ARRESTER BLOCK BALCO/AKS/RFA/07 KARAM Aug-21 RETRACTABLE
8 RETRACTABLE FALL ARRESTER BLOCK BALCO/AKS/RFA/08 KARAM Aug-21 RETRACTABLE
9 RETRACTABLE FALL ARRESTER BLOCK BALCO/AKS/RFA/09 KARAM Aug-21 RETRACTABLE
10 RETRACTABLE FALL ARRESTER BLOCK BALCO/AKS/RFA/10 KARAM Aug-21 RETRACTABLE
11 RETRACTABLE FALL ARRESTER BLOCK BALCO/AKS/RFA/11 KARAM Aug-21 RETRACTABLE
12 RETRACTABLE FALL ARRESTER BLOCK BALCO/AKS/RFA/12 KARAM Aug-21 RETRACTABLE
13 RETRACTABLE FALL ARRESTER BLOCK BALCO/AKS/RFA/13 KARAM Aug-21 RETRACTABLE
14 RETRACTABLE FALL ARRESTER BLOCK BALCO/AKS/RFA/14 KARAM Aug-21 RETRACTABLE
15 RETRACTABLE FALL ARRESTER BLOCK BALCO/AKS/RFA/15 KARAM Aug-21 RETRACTABLE
16 RETRACTABLE FALL ARRESTER BLOCK BALCO/AKS/RFA/16 KARAM Aug-21 RETRACTABLE
17 RETRACTABLE FALL ARRESTER BLOCK BALCO/AKS/RFA/17 KARAM Aug-21 RETRACTABLE
TOTAL RETRACTABLE FALL ARRESTER BLOCK - 17
L
FOR FALL ARRESTOR
Date-11.03.2023
WIRE ROPE ROPE CONDTION DATE:-11/03/2023 REMARK
LEAGTH
20 MTR GOOD OK ACCEPTABLE
20 MTR GOOD OK ACCEPTABLE
20 MTR GOOD OK ACCEPTABLE
20 MTR GOOD OK ACCEPTABLE
20 MTR GOOD OK ACCEPTABLE
20 MTR GOOD OK ACCEPTABLE
20 MTR GOOD OK ACCEPTABLE
20 MTR GOOD OK ACCEPTABLE
20 MTR GOOD OK ACCEPTABLE
20 MTR GOOD OK ACCEPTABLE
20 MTR GOOD OK ACCEPTABLE
20 MTR GOOD OK ACCEPTABLE
20 MTR GOOD OK ACCEPTABLE
20 MTR GOOD OK ACCEPTABLE
20 MTR GOOD OK ACCEPTABLE
20 MTR GOOD OK ACCEPTABLE
20 MTR GOOD OK ACCEPTABLE
COMMON (BALCO)
SAFETY INSPECTION CHECKLIST FOR LIFE LINE
TO BE DONE BY AREA IN CHARGE ON MONTHLY BASIS
Area: COMMON Date: 14/03/2023 Checked BY- NA
Visual Inspection Checklist Lifeline Material: - POLYAMIDE RO
LENGTH:-____100MTR/60MTR____ DIAMETER:-____14MM____
S.No. Points to be checked PASS FAIL
1 Hardware (Buckles & D‐Rings) √
2 Broken / Missing / Loose Stitching √
3 Cuts / Burns/ Holes √
4 Rope thread Separation or Bird‐Caging √
5 visual damage, rust or corrosion √
6 Lifeline anchored on angles √
7 Lifeline anchored on columns √
8 Two different lifeline used side by side √
9 Knots enough strong to hold the anchor points √
10 Distance between knots is 6 metres √
11 Any Other Point:-
Area In charge Signature:____________________
Name:_______________________________________
Date:_______________
LCO)
ST FOR LIFE LINE
ON MONTHLY BASIS
Checked BY- NAVNEET CHAUDHARY
al: - POLYAMIDE ROPE DATE:-10/03/2023
NOTE
Safety Officer Signature:_______________
Name:__________________
Date;__________________
DATE:-10/03/2023
Safety PPE's Distribution Details
Roof Sheeting Work(85000062/69)
SI.NO. WORKERS NAME
1 SHIV PRASAD
2 MANOJ CHOUHAN
3 SURAJ KUMAR GAUTAM
4 DEEPAK KUMAR VISHWAKARMA
5 VISHAL YADAV
6 JAGDISH YADAV
7 PAPPU KUMAR CHAUDHARY
8 RAM SINGH
9 HARISH KUMAR
10 ITWAR DAS
11 KADIR ALI
12 SHANI KUMAR CHOUHAN
13 SUNIL KUMAR SAHU
14 GAJENDRA KUMAR KASER
15
CHANDAN CHAUHAN
16 GHURAU SINGH KANWAR
17 VED PRAKASH RATHORE
18 LALIT KUMAR SAHU
19
SANJAY KUMAR LAHRE
20 BASANT KUMAR SAHU
21 MANOJ DEWAANGAN
22 PRAMOD CHAUDHARI
23 LAXMANPRASADPATEL
24 PREM CHAUDHARI
25
DILIP KUMAR AADILE
26 KRISHNA NAYAK
27 JANARDAN GIRI
28 VIJAY KUMAR
29 RAMESH VARMA
30 BHUNESHWAR KASHYAP
31 PRAVIN CHAUHAN
32
MANOJ KUMAR BARETH
33 ANIL KUMAR KANWAR
34
PANKAJ SAHU
35
SANDEEP SINGH
36 PRAYAG NARAYAN KANWAR
37
RAKESH KUMAR SHRIVAS
38
PRITAM DAS MAHANT
39
HASAN KHAN
40 VIRENDRA DHIWAR
41 RAJESHWAR KARSH
42
SUDESH MASIH
43 RAKHIRAM CHOUHAN
44
MAHESH KUMAR
45
NARENDRA KURREY
46
SANDEEP DAS MANIKPURI
47
SHATRUHAN SAHIS
48
OMKAR DAS
49
RAKESH KUMAR CHAUHAN
50
CHANDAN CHAUDHARY
51
ASHWARYA SAHU
52
NAVEEN SINGH
53
VIKASH SARTHI
54
NEELU PAIK
55
INDRAJIT SINGH
56
SAF AHMAD
57
NARENDRA KUMAR CHAUDHARY
58
KALIM KHAN
59
RAM CHAUHAN
60
MOHPAL SINGH
61
GHASIYA DAS
62
POONAM CHAND
63
SHATRUHAN LAL
64
KERU YADAV
80
81
82
83
84
85
86
87
88
89
90
Safety PPE's Distribution Details
Roof Sheeting Work(85000062/69)
SAFETY BELT
UI.ID MAKE REMARK
SERIAL NO
1562069 117802
UDYOGI OK
1562279 19
UDYOGI OK
1562377 44
UDYOGI OK
1562055 85
UDYOGI OK
1577999 74
UDYOGI OK
1562040 58
UDYOGI OK
1562058 92
UDYOGI OK
1562053 62
UDYOGI OK
1577997 54
UDYOGI OK
1577998 75
UDYOGI OK
1562286 13
UDYOGI OK
1562035 498
UDYOGI OK
1562059 1840
UDYOGI OK
1562054 80
UDYOGI OK
1578518 65 UDYOGI OK
1562039 90
UDYOGI OK
1562028 2882
UDYOGI OK
1562188 11
UDYOGI OK
1784
1562030 UDYOGI OK
1562029 1705
UDYOGI OK
1578094 1051
UDYOGI OK
1562275 363
UDYOGI OK
1562076 39
UDYOGI OK
1562049 1202
UDYOGI OK
1565209 1477 UDYOGI OK
1578003 2567
UDYOGI OK
1562046 307
UDYOGI OK
1578000 22
UDYOGI OK
1562194 2547
UDYOGI OK
1578394 91
UDYOGI OK
1562285 20
UDYOGI OK
1579756 117914 UDYOGI OK
1578004 489
UDYOGI OK
1579755
93 UDYOGI OK
1578553 82 UDYOGI OK
1578537 96
UDYOGI OK
1579835
1721 UDYOGI OK
1578546 2774 UDYOGI OK
1578578 117533 UDYOGI OK
1578532 79
UDYOGI OK
1578529 1745
UDYOGI OK
1578527 88 UDYOGI OK
1562314 1643
UDYOGI OK
1578550 98 UDYOGI OK
1578535 119819 UDYOGI OK
1578575 25 UDYOGI OK
1562366 1087 UDYOGI OK
1562295 117891 UDYOGI OK
1562033 53 UDYOGI OK
1562187 444 UDYOGI OK
1562075 117340 UDYOGI OK
1562047 117476 UDYOGI OK
1562220 50 UDYOGI OK
1562383 1272 UDYOGI OK
1565091 7938 UDYOGI OK
1565092 457 UDYOGI OK
1564865 1520 UDYOGI OK
1562061 40 UDYOGI OK
1578001 6 UDYOGI OK
1578526 1283 UDYOGI OK
1578005 117736 UDYOGI OK
1578549 49 UDYOGI OK
1578551 117714 UDYOGI OK
1578512 84 UDYOGI OK
AKS
NEW BELT
NO.
DATE:-10/03/2023