Project Name:

Date Inspection :

Item Safety and Health Issues and Concerns

The combined painting and hot work

activities in the area could result in the
accumulation of fumes, potentially posing a
health risk to workers.
1 Performing painting activities without
wearing a respirator and eye googles
Hotwork activity without fire fighting
equipment

2 lifting of heavy load

3

4
 5

Prepared by:

Acknowledge by:

Approved by:
 Daily Safety and Health

Attach Photo reference

PICTURE

PICTURE
Daily Safety and Health Observation Report

Hazards Associated Potential Risk Who migth be harm

Could lead to serious

ill health (vision loss
Chemicals and lung problems).
Fire hazards Fire due to lack of fire Personnel on workstatio
fighting equipment in
the area.

Could lead to serious

to major injury
safety and health hazard (falling load), ill Personnel doing manual
health (back injury,
muscle pain)
Action Required/Control Measures Resolution Date

1. Firefighting equipment should be

provided for hotwork activities.

2.A system of isolation (separation of

hot work from painting work)
September 8, 2023
3. Air circulation (in and out) to
remove fumes

4. Issuance of Permit to work

1. Used of engineering control such as

push cart.
September 8, 2023
2.correct method of lifting and weight
limit to be lifted (23 kg)
3. training for manual handling
Responsible for corrective Action

Worker, job performer, supervisor

Worker and job performer

Scope of Risk Assessment:

No. Steps in Activity / Hazards Indentification

SAFETY HAZARD
 Lifting Works using Heavy Equipment

Falling objects (crushing due to

impact of moving objects or loads
falling from vehicles because they
Group 1
are not slinged properly or the
wrong type of slings were
installed.
 HEALTH HAZARD
Lifting Works Heavy Equipment

Smoke emissions from crane,

Group 1
environmental factors (visibility)
 Operation
Project Operation Manager S&H Department Management Head

Risk Control Measure

Status of work
L C RRR
operation
Engineering Controls Administrative Controls PPE's
 Secure qualification and
competency certificate of working
personnel
Provide the worker with proper
lifting safety orientation to have an
awareness.
Secure permit to work
Ensure to discussed the lifting
safety procedures and importance Ensure all working personnel
of LOTO. must wear the following
Inspection shall be done properly recommended ppe Acceptable
Provision protective barriers L(1) L(1) L(1)
by the authorized personnel to requirements, hard hat,
consider safe condition of lifting safety shoes, working gloves,
machines, materials, and special ppe's if necessary.
equipment to be use.
Ensure testing policy /procedure
prior to work operation.
Put-up safety information signage
to inform unauthorize personnel.
Ensure all the requirements stated
in this form shall be observed by all
working personnel and supervisor.
 Secure qualification and
competency certificate of working
personnel
Provide the worker with proper
lifting safety operation to have an
awareness.
Secure permit to work
Ensure to discussed the lifting
safety procedures and importance Ensure all working
of LOTO. personnel must wear the
Inspection shall be done properly following recommended
Provision of industrial fan
by the authorized personnel to ppe requirements, hard Acceptable
L(1) L(1) L(1)
consider safe condition of lifting hat, safety shoes, working
machines, materials, and gloves, face mask, and
equipment to be use. other special ppe's if
Ensure testing policy /procedure necessary.
prior to work operation.
Put-up safety information signage
to inform unauthorize personnel.
Ensure all the requirements stated
in this form shall be observed by all
working personnel and supervisor.
Provide reflectorized vests for
every workers in worker's area.
 RISK MATRIX

LOW MEDIUM
Acceptable/OK TO PROCEED Tolerable/NEED TO IMPROVE

Quantitative: Rely on numeral or measurable

Qualitative: Rely on personal account or documents

RISK MATRIX

HIGH
O IMPROVE Unacceptable/NEED OF IMMEDIATE CORRECTION
COLLISION (Can lead to injury or death and property damage)
Condition
Structural Failure
Falling Objects
Flying Projectiles
Lifting Equipment

Causes
Inadequate Structure
Human Error
Horseplay
Inadequate Handling
Equipment Failure

ELECTRICAL (Can lead to injury or death and damage to property)

Condition
Exposed electrical conductors
Sensitive electrical parts
Energized casing or parts
Short circuit
Lightning/static electricity
Flammable materials with electrical parts

Causes
Inadequate insulation
Worn insulation
Inadequate grounding
Lightning potential
Contamination
Damage electrical connectors

RADIATION (nausea and vomiting, skin redness, hair loss, acute

radiation syndrome, local radiation injuries (also known as
radiation burns), or even death)
Condition
Presence of radioactive materials
Radiation sources

Causes
Inadequate containment
Inadequate protection
Careless handling
CHEMICAL (Can lead to a variety of acute, short- and long-term
health effects)
Condition
Unsealed or damage containment
Lacking of chemical hazard information

Causes
Contact with a hazardous substance
Exposure to chemicals
Improper handling and staging
Lack of ventilation

HARMFUL DUST

Condition

Presence of excessive dust generating from work activity

Causes

Poorly housekeeping
Poor ventilation system
CONTAMINATION (can lead to injury or death and ill-health)
Condition
Presence of hazardous material
Leaks
Dust or dirt in critical systems or components
Presence of fungi
Material that off-gasses (release vapors)

Causes
Inadequate containment
Human Error
Improper handling
Environmental factors (rust, wind, sand, etc.) Worn seals, gas

EXPLOSION (Can lead to injury or death and property damage)

Condition
Presence of explosives and ignitors
Reactive chemical process
High temperature/ pressure

Causes
Improper handling
Inadequate pressure relief

MECHANICAL (accidents that lead to injuries or death, property

damage)

Condition
Exposed sharp edges or points
Moving machinery
Pinch/nip point/shear points
Elevated objects
Unstable objects
Crushing surfaces
Stored energy release
Causes
Lack of guards or failure to use
Inadequate tie-downs
Design deficiencies

HARMFUL GAS (Can lead to poisoning and property damage)

Condition
poorly maintained cylinders
Confined space

Causes
Poor maintenance
Lack of measurement
Poor ventilation

BIOLOGICAL (illness such as food poisoning, tetanus, respiratory

infections or parasite infection)

Condition
Bacteria
Viruses
Parasites
molds or fungi
Unsanitary workplace
Pre-existing medical condition

Causes
Exposure
Poorly housekeeping
Lacking of ppe system
No Pre-employment/annual medical examination
CORROSION (can lead to equipment failure/property damage and ill-health)
Condition
Presence of corrosive material
Joining dissimilar metals
Stress corrosion
Material that off-gasses (release vapors)

Causes
Containment
Inadequate corrosion protection
Design Error
Environmental factors (vibration, temperature)
Hydrogen embitterment

FIRE (Can lead to injury or death and property damage)

Condition
Presence of flammable materials
Organic substance

Causes
Inadequate containment
Careless handling of flammable
materials or Chemical Oxidizers

TEMPERATURE EXTREMES (heat- related illness, cardiovascular and respiratory

disorders, heat stress conditions, heat stroke)

Condition
Presence of hot or cold surfaces
Hot or cold environment
Elevated pressure
Flammability, volatility, reactivity
Reduced reliability

Causes
Inadequate protection
Design deficiencies
Careless handling
Environmental factors

ERGONOMIC (Can lead to carpal tunnel syndrome, bursitis, tendinitis and

musculoskeletal disorder)
Condition
stationary position
direct pressure
vibration
extreme temperature
noise
work stress
Poor work set-up

Causes
Repetitive motion
awkward body posture
forceful motion
Prolong exposure
FREQUENCY RATE:

FR FORMULA= TOTAL NUMBER OF DISABLING INJURY *1,000,000/TOTAL NUMBER OF MANHOURS EXPO

FR= 2*1,000,000/300*8*175

2,000,000/420,000

FR= 5

SEVERITY RATE:

SR FORMULA= TOTAL NUMBER OF DAYS LOST*1,000,000/TOTAL NUMBER OF MANHOURS EXPOSURE

SR= 4*1,000,000/300*8*175

4,000,000/420,000
SR= 9.5
 Number of employees: 300
Number of working Days: 175
Number of Disabling injury: 2
NUMBER OF MANHOURS EXPOSURE Number of Days Lost: 4

Employees hours of exposure = No. Employees (300) * 8 hours * No. of Working Days (175)

Constant 1,000,000 = Given 500 MP * 8 hrs regular working hours * 5 Normal working days *

OF MANHOURS EXPOSURE
* No. of Working Days (175)

rs * 5 Normal working days * 50 weeks annual

Project Name:

Contractor Name:

Scope Of Work:

Basic Job Steps

1. Inspection of working area

2. Preparation of manpower, equipment,tools and materials

3. Hauling of material, tools and equipment from warehouse to
workshop
4. Setting of workshop, installing perimeter barricade and
lighting fixture
5. erection of scaffold (H-FRAME)
6. Housekeeping works
Erection of temporary structure (Scaffold)

Recognize Safety/Health Hazards Potential Risk/Impact

May lead to minor and serious injury such

1.1 Slip, Trip, fall
as; hand, arm, legs, and head injury

1.2 Electrical Hazard May lead to serious injury/death

1.3 Harmful dust/gas/vapor May lead to ill health effect

2.1 Unauthorize/incompetent personnel

2.2 Using of defective or damage
tools/equipment
2.3 Exposure to Harmful dust/gas/vapor
 Date Prepared:
Effectivity Date:

Who Might Be Harm Required Control Measures Responsible for Personnel

1.1.1 Isolate any protruding

object, securing unguarded floor
Worker and perimeter opening and Supervisor, safety officer, worker
slippery surface.
1.1.2 Coordinate with the
operation team to remove all
unnecessary materials in the
working area.

1.2.1 Coordinate to operation

team (maintenance) regarding
unsafe condition of energized PIC, Supervisor, safety officer,
Worker electrical wiring in the working maintenance
area, for them to take necessary
corrective action.
1.2.2 Required all personnel to
wear the appropriate ppe's such
as; Hardhat, safety hand and
arm protection rated for
electrical resistance and eyes
and face protection

1.3.1 Coordinate to operation

team regarding the removal of
all construction waste around
Worker the working area.
1.3.2 Supervisor and safety
officer to update working
condition.
1.3.3 Ensure all working
personnel are wearing of Supervisor, safety officer,
respiratory protection. maintenance