#VALUE!
LIST OF FIRE FIGHTERS
Sl.No. Emp No. NAME OF EMPLOYEES Designation
10
Ref No.: HYT/FRM/S/03
Issue Date: 01/02/2025
Rev Date:
DEPARTMENT Mob. No.
#VALUE! LIST OF FIRST AIDERS
Sl.No. Emp No. NAME OF EMPLOYEES Designation
10
Ref No.: HYT/FRM/S/04
Issue Date: 01/02/2025
Rev Date:
DEPARTMENT Mob. No.
#VALUE!
MOCK DRILL 2025-26
S No. Month Type of Drill Scenario Description
1 April Fire Evacuation Fire in warehouse
2 July Chemical Spill Acid spill in storage area
3 October Medical Emergency Worker collapse on shopfloor
4 Jan Earthquake Earthquake during work hours
Ref No.: HYT/FRM/S/05
Issue Date: 01/02/2025
Rev Date:
MOCK DRILL 2025-26
Location/Area Responsible Person Departments Involved Status/Remarks
Warehouse Safety Officer All Planned
Chemical Storage EHS Manager Maintenance, EHS Planned
Shop Floor HR Manager Production, HR Planned
Entire Facility Facility Manager All Planned
#VALUE! MOCK DRILL REPORT
Date of Drill Type of Drill Location of Drill Facilities Operated
3/18/2025 Fire Evacuation Warehouse N/A
Time Alarm Raised: 16:30 Hours Response Time: 07 Min Observers: Mr. Amandeep / Mr.
Name of Persons Participating Drill:
Overall Plant
Discrepancies and defects observed during the drill and Remarks:
1. Maintenance Activities going on the Gate obstructing smooth movement in the area.
2. Emergecny Siren not audible in the CMM Room.
Improvement Suggestions (Include Document Changes, Training Need etc.)
1. Make the area clear at all times.
2. People of Quality informed to inform the CMM Room in case of Emergency.
Signature of Safety In-charge Signature of Management Re
Date: Date:
Latest Revision Details
Rev No. Detail
Ref. No.: HYT/FRM/S/06
Issue Date: 01/02/2025
Rev Date: NA
ities Operated Duration of Drill
N/A 16:30 - 16:45 Hours
Observers: Mr. Amandeep / Mr. Anand Kushwa
ea.
Signature of Management Representative
Date
#VALUE! MOCK DRILL REPORT
Date of Drill Type of Drill Location of Drill Facilities Operated
Shop Floor - Powder
7/3/2025 Chemical Spill N/A
Coating
Time Alarm Raised: 10:15 Hours Response Time: 05 Min Observers: Mr. Amandeep / Mr.
Name of Persons Participating Drill:
Production Plant Machine CNC Operation
Discrepancies and defects observed during the drill and Remarks:
1. Warning signs and physical barriers were either missing or insufficient.
2. There was a noticeable delay in raising the alarm and informing all relevant personnel.
Improvement Suggestions (Include Document Changes, Training Need etc.)
1. Place clear, highly visible warning signs at all potential spill-prone areas and ensure they are compliant with saf
2. Provide training sessions and refresher courses on emergency response
Signature of Safety In-charge Signature of Management Re
Date: Date:
Latest Revision Details
Rev No. Detail
Ref. No.: HYT/FRM/S/06
Issue Date: 01/02/2025
Rev Date: NA
ities Operated Duration of Drill
N/A 10:15 - 10:30 Hours
Observers: Mr. Amandeep / Mr. Anand Kushwa
nnel.
re they are compliant with safety standards.
Signature of Management Representative
Date
#VALUE! INCIDENT REPORT
(To inform Safety deptt immediately report to be submitted by section head after every Accident/Incident w
Report No.: Date:
Type of Incident:
Near Miss Minor/First Aid LTI
Name of Employee:
Age:
Employee No.:
(In case of Contractor, mention
Contractor Name)
Designation
Deapartment:
Location:
Nature of Work:
Date Time
Incident
Brief Description of Accient/Incident:
Causative Factors
(a) Unsafe Conditions:
(b) Unsafe Acts:
Nature of Injury/Damage:
Action to be taken to prevent reoccurrence:
Signature of Department Head Signature of Safety In-
Date: Date:
Latest Revision Details
Rev No. Detail
REF. NO: HYT/FRM/S/07
Issue Date:
Rev Date:
er every Accident/Incident within 12 hours)
Health Issue
Shift
A G B C
Signature of Safety In-charge
Date
#VALUE! WORK PERMIT
Date:
Permit is hereby granted to Mr.
M/s
a. Welding & Gas cutting f. Others (Specify)
b. Working at Height & Roof
c. Heavy Rigging & Slinging
d. Civil Works
e. Electrical works
At the location:
for the expected time period from: to
(Mention the job in brief to be done):
Following precautions as mentioned below for the job have been complied with to ensure safe working.
Safe Working Checklist
S No. Precaution/ Requirement
A Welding & Gas Cutting
Electric Welding
1 Welding Unit input and output cable free from defect/splice/ cut joints.
2 Welding set power cable provided with 3 pin plug top.
3 Current adjuster holder with proper insulation.
4 Welding set properly earthed.
5 Welding screen / gloves available and used.
6 Welding set equipped with MCB/ELCB.
7 Welding input / output terminals must be guarded.
Gas Cutting & Welding
1 Gas cylinder provided with dual gauges and gauges not broken.
2 Welding/gas cutting set mounted on trolley.
3 Non Return Valve available on Blow pipe.
4 Hose not cut at bend. Hose not cracked.
5 Welding goggles/gloves provided and used.
6 Torch lighter available.
General Precautions
Area within 15 feet is free of combustible materials.
1 (If the flammable material cannot be removed it should be covered with fire proof cloth or
metal sheets and flammable floor covered with damp sand or metal or fire proof sheets.)
2 Confine the welding sparks by arresting them.
3 Equipment exposed to welding should be free from combustible material & purged.
B Working at Height
Is approach provided for reaching at height. Ensure TPI if boom lifter are used.
1
(Use of building structure for reaching height is not allowed.)
2 Use safety belt and helmet in good Condition and of ISI Mark. Ensure TPI of safety belt
Lifeline tied firmly to the structure.
3 (1. Life line to be tied after reaching height.
2. Length of lifeline not to be increased.)
4 Barricade the area to prevent hazard of falling objects.
Proper ladder for reaching at height. Hold at base. (For safety it should be ¼ from the
5 wall of the ladder height).
Second person should be stationed to hold the ladder. Ensure wheel lock of ladder.
6 Use roof ladders wherever possible.
7 Ensure Health check up for employees workong at height.
C Work involving Rigging & Sliging
1 Is the crane approved from competent person
Is Wheeled ladder provided and used for reaching at height. Is the condition of ladder
2
sound
3 Is the ladder wheel securely locked
4 Is the area for work barricaded
Chain pulley block / Lifting machine required for raising / Lowering available. Is Sling,
5 Chain, Hook condition ok. Are these certified and approved by the competent person.
Check test certificate.
6 Is ladder required to be used. Is it in sound condition.
7 Is it ensured that the Ladder has been secured to prevent its fall.
8 Any other work activity. Pls mention:
D Work involving construction / civil works
Is area barricaded properly
Are tools are in good condition with guarding.
Use Required PPE's of ISI mark.
Other:
E Electrical Works
Is person trained to execute electrical job.
Is power is in off condition while working.
Use Required PPE's of ISI mark.
Are tools are in good condition with guarding and are right tool to do the jobs.
Sign (Project Engineer Initiator) Sign (Area Incharge)
Date: Date:
Note:
• This work permit form is to be filled and initiated by the Engineer assigning the job.
• Area Engineer/ Incharge will give permission in Work Permit that the necessary project work can be done in his area
• This permit is valid only for the date it is issued.
• This permit should be available at site with the supervisor and produced at the time of audit.
• Permit should not signed by Contractors.
Latest Revison Details
Rev No. Details
Ref No.: HYT/FRM/S/08
Issue Date: 01/02/2025
Rev Date:
for
s (Specify)
for
orking.
Yes No Remarks
Yes No Remarks
Yes No Remarks
Yes No Remarks
Yes No Remarks
Sign (EHS)
Date:
an be done in his area.
Date
#VALUE! Water Cooler Maintenance Checklist
Date Time Cleaned By Checked By / Supervisor
Latest Revision Details
Rev No. Details
Ref No.: HYT/FRM/S/09
Issue Date: 01/02/2025
Rev No.: NA
Remark
Date
#VALUE!
5 6 7
Plant
4 X 8
Section/Zone : 1 2 3 27 9
24 25 26 29 28
23 22 21 30 15
20 31 16
19 18 17
Date Details of Accident Reason of accident
Rev No.
SAFETY
Month -
5 6 7 SUMMARY
4 X 8 1 2
3 27 9 10 11 JAN
FEB
26 29 28 X 12
MAR
21 30 15 14 13
APR
20 31 16 MAY
Accident occurred - Red
19 18 17 No Accident - Green JUN
JUL
AUG
SEP
OCT
NOV
DEC
of accident Countermeasures taken S.No. Near Miss
Latest Revision Details
Details
Ref No.: HYT/FRM/S/10
Issue Date: 01/02/2025
Rev Date:
SUMMARY
3 4 5
Near Miss Unsafe condition
Date
#VALUE!
Zone
S.N Checkpoint 1 2 3 4 5 6
1 Is Zone layout available & displayed.
2 Are there unwanted items within Zone/ Sub Zone
3 Is Rejection /Rework rules clearly displayed & understood?
4 Are Dust Bins containing only prescribed Items?
5 Are all the machine / equipment /Item positioned as per layout .
6
Gangways are marked & clearly visible and no material is in
gangway.
Do the necessary materials have labels, configured homes and
7 min/max indicators /Are material storage for Incoming material
working properly .
8
Are all items inside the racks/ drawer / Almirahs stored properly and
item list displayed.
9
Is place for keeping rejection & rework fixed and rejection & rework
placed in defined place.
10 Floor cleanliness - free from dust , oil etc.
11
Dust free machines, equipments, tools gauges, Jigs, pallets, bins,
etc.
12 No part/ Item/ component on floor.
13 No dust above machines, panels, Almirahs,racks.
14 Is Display board properly organized and list of Displays visible?
15
Are all work instructions & quality documents correct, accessible &
appropriate?
16 Is 5S Audit - Sheet displayed and action on gaps/ pending evident.
17
All employees are in defined dress code (i.e. Uniform Apron ,Cap,
Shoes etc.).
18 All employees are wearing Safety devices/PPE.
19 All employees are wearing neat & clean Uniform.
% AGE
Sign:
Late
Rev
5S Daily Checksheet
Month :
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
Latest Revision Detail
Details
Ref No.: HYT/FRM/S/11
Issue Date: 01/02/2025
Rev No.: NA
24 25 26 27 28 29 30 31
Date
#VALUE! Daily Machine Checklist
Line No.: Machine No.:
S.No. Sub components Checkpoint Standard 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Check and Clean Fast Bend Clean
2 Check Fast Bend holder, connectors and condition Tight
3 Safety Devices Check Side Safety Door Functionality Working
4 Check Rear Safety Door Functionality and safety switch. Working
5 Check Reset Push-Button / E-Stop Functionality Working
400V AC
6 Check Mains Supply voltage 400 V AC and control voltage 24 V DC
24V DC
400V AC
7 Electrical Cabinet Check UPS supply 400 V and earth connection.
0-3ohm
8 Check and clean electric panel with dry air blower. clean
Switch ON the machine, check proper boot of software and RESET
9 Operating panel
and indexation working.
Working
10 Oil Cooler Check oil cooler working and clean it. Clean
11 Check oil level (Grade: ISO 46)Top up if necessary top up
No damage and
12 Hydraulic System Check hoses / connectors for leakages / damage and arrest leakages
leaks
13 Check Main System Pressure 50 & 250 bar
14 Check Motor mounting bolts and pulley Tight
15 Inspection of belt tension and belt condition Tight
16 Check motor temperature and clean motor clean
Backgauge
Check Guide Rails are clean(X & R axis) and toothed racks (Z axis)
17 lubricate with grease
lubricated
18 Check indexing plate are clean Clean
19 Check Punch locating , clean guides and lubricate lubricated
Upper Beam Guides
20 Check surface and clean Clean
21 Check tool loader Functionality Working
Tool Loader
22 Check the tool magzines and tools are clean Clean
Check that the LEDs are clean and clearly visible, clean them with a Clean and working
23 LEDs
mild solvent-free cleaning product if necessary. properly
TL Sign:
Latest Revision Details
Rev No. Details
Ref No.: HYT/FRM/S/12
Issue Date: 01/02/2025
Rev No.: NA
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Date
Ref No.: HYT/FRM/S/13
#VALUE! KAIZEN Issue Date: 01/02/2025
Rev No.: NA
DEPARTMENT - Area:
KaizenTitle :-
Name of Members Dept. Emp No.
Operation Kaizen No. :
DATE :
Waste Eliminated
Correction Over Production Material Movement Motion Waiting Inventory Processing
Description / Sketch
Situation before Kaizen: Situation after Kaizen :
ASSOCIATED WITH: Benefits.
QUALITY COST MATERIAL
SAFETY ENERGY WPO
MANPOWER SAVING SYSTEM PRODUCT
Have the standards been updated ? Yes No Not Applicable
Status: Verified & approved by :
Under Implementation Implemented
Target Date
Latest Revision Details
Rev No. Details Date
Ref No.: HYT/FRM/S/14
#VALUE! One Point Lesson (OPL) Issue Date: 01/02/2025
Rev No.: NA
Before After
English
Hindi
Latest Revision Details
Rev No. Details Date
#VALUE! EMERGENCY NUMBERS
Sl.No. LOCATION
1 HOSPITAL
2 POLICE CONTROL ROOM
3 FIRE BRIGADE
4 AMBULANCE CONTROL ROOM
5 EMERGECNY & MANAGEMENT DISASTER SERVICES
6 ROAD ACCIDENT ON EMERGENCY SERVICE ON HIGHWAY
7 PLANT HEAD
8 SECURITY ROOM
10
Ref No.: HYT/FRM/S/15
Issue Date: 01/02/2025
Rev Date: NA
TELEPHIONE NUMBERS
100
101
102
108
1073
