Form SA-6710 CONTRACTOR’S JOB SITE SAFETY INSPECTION CHECKLIST

Name of Contractor/Subcontractor BI# Date No. of Employees

China Petroleum Pipelines Engineering Co., Ltd. 10-02029-0003

Contractor's Safety Representative Contractor's SA Phone # Contract Title / #

North Gas Compression Plants (NGCP) Pipelines (6600042306)
SA PMT Department/Division Phone # SA Project Engineer SAPMT Safety Advisor

#Checked #Needing II. Fire Prevention #Checked #Needing

I. Site Safety Administration Correction Correction
1. Accident Reports on File 1. No./Type of Extinguishers
2. Safety Supervisor(s) 2. Extinguisher Location/Conditions
3. Site Safety Logbook 3. Fire Extinguisher Training /Drills
4. Loss Prevention Program 4. Water Bbls/Buckets/Blankets
5. Work Permit(s) System 5. Fire Equipment Inspection Tags
6. Saudi Aramco Safety Manual 6. Fire Hydrant/Hose/Nozzle/Wrench
7. Contract/Engineering Specifications 7. Emergency info Posted/Preparedness
8. Safety Inspection Reports 8. Fire Watchers (if required)
9. Weekly Safety Meetings 9. Open Flame Operations
10. HIP 10. Flammable/Combustible Storage
11. Other (Emergency Response Plan) 11. Smoke Detectors and Tested
12. Containers-Proper Type/Labeled
13. Other
#Checked #Needing #Checked #Needing
III. Cranes & Rigging Equipment Correction IV. Scaffolding/Mobile Tower Correction
1. SA Inspection Sticker 1. Base and Sole Plates/Screwjacks
2. Operator - SAG License 2. Condition of Poles/Tubing
3. Operator - Saudi Aramco Certified 3. Plumb and Level
4. Manbasket Sticker/Work Permit 4. Couplers/System/Wedges
5. Proper Use of Outriggers/Pads 5. Ties/Outriggers
6. Use of Tag Lines 6. Scaffold Grade Planking
7. Rigger - Saudi Aramco Certified 7. Toe Boards/Mid-Rails/Top Rails
8. Lift Plan At Location 8. Wheels/Casters, Condition, Locks
9. Sling Log(s) 9. Scaffolding Plan
10. Documented Pre-Use Inspections 10. Scaffold Ladders/Stairways
11. Weather Conditions 11. Platform Loading
12. Operator View Obstruction 12. Barriers/Warning Signs/Lights
13. Work Permit(s) 13. Scaffold Tags
14. Powerline and Trench Distance 14. Number of Working Levels
15. Load Radius Indictor 15. Scaffold Supervisor(s)
16. Hooks-Safety Latches/Moused 16. Scaffold Inspector(s)
17. Condition of Hoist Ropes 17. Special Scaffold Documentation
18. Condition of Slings/Chains 18. Work Permit(s)
19. Safe Load Chart (Arabic/English) 19. Fall Protection (Full Body Harness)
20. Boom Condition 20. Ingress/Egress
21. Anti-Two Block Device 21. Other
22. Crane Level
23. Misc. Rigging Equipment
24. Crane - General Conditions
25. Load Moment Indicator

L6.06 Contractor Job Safety Inspection Checklist 1

 #Checked #Needing #Checked #Needing
V. Trenching/Excavating & Shoring Correction VI. Heavy Equipment Correction

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 1. Shoring/Trench Box 1. Operator - SAG License
2. Sloping/Benching 2. Operator - Saudi Aramco Certified
3. Cross Over Ramps 3. Periodic Inspection Log
4. Spoil Clearance 4. Work Permit(s)
5. Barriers/Warning Signs/Lights 5. Spotters
6. Ingress/Egress 6. Tires/Lights/Brakes/Mirrors
7. Excavation Plan 7. Roll-Over Protection
8. PPE 8. Back-Up Alarms Effective
9. Work Permit/Gas Testing 9. Warning Signs
10. Thrust Boring 10. All Round Vision
11. Pile Driving 11. Other (Fire Extinguisher)
#Checked #Needing #Checked #Needing
VII. Welding/Cutting/Brazing Correction VIII. Electrical Correction
1. Acetylene Not > Than 15 PSIG 1. Correct Voltage
2. On/Off Wrench(s) 2. Ground Fault Circuit Interrupter(s)
3. Condition Gauges/Hoses, Off/Bled 3. 3-Pronged (Grounding) Plugs
4. Flashback Arrestors 4. Grounded Cords/Receptacles
5. Cylinders Secured 5. Service Panelboard(s)
6. Transportation Carts 6. Warning Signs/Barriers
7. Welding Machine(s)/GFCI(s) 7. Hold Tags/Lock Out Devices
8. Electrode Holder/Ground Clamp 8. Extension Cords - Condition
9. Machine Grounded 9. Batteries/Charging Areas
10. Cable Condition 10. Overhead Power Clearance
11. Operator/Helper PPE 11. Portable Power Generators
12. Spark Igniter 12. Work Permit(s)
13. Ventilation 13. Other
14. Fire Extinguisher
15. Work Permit(s)
16. Welder Certified
17. Other
#Checked #Needing #Checked #Needing
IX. Hand & Portable Power Tools Correction X. Health and Welfare Correction
1. Properly Guarded 1. Medical Facilities/Supplies
2. Tool Rest Adjustment 2. Smoking/Break Areas
3. Ring Test (Grinder Wheels) 3. Washing Facilities
4. Tongue Guard Adjustment 4. Cold Drinking Water/Cups
5. Hand Made Tools? 5. Toilet Facilities/Sanitation
6. Correct Grinder Disc Speeds 6. Ventilation
7. Cords/Holes Connections 7. Eating Facilities/Food Storage
8. Operator PPE 8. Equipped Ambulance
9. Damaged Hand Tools 9. Ambulance Driver
10. Shut Off/Deadman Switch 10. Certified Nurse(s)
11. Grounded/Double Insulated 11. First Aid Logbook
12. Proper Voltage (125 Volts Max.) 12. Other
13. Other

#Checked #Needing #Checked #Needing

XI. Compressed Gasses Correction XII. House Keeping Correction
1. Proper Storage 1. Site Access Roads

L6.06 Contractor Job Safety Inspection Checklist 3

 2. Cylinders Secured 2. Security Fences/Gates
3. Shade, Separation, Off Asphalt 3. Site Access Signs
4. Protective Caps 4. Trash Containers/Lids
5. Cylinder Condition 5. Daily Clean-Up/Removal of Trash
6. Proper Handling/Transportation 6. Materials Stacking
7. Proper Color Coding/Marking 7. Aisleways
8. Fire Extinguisher(s) 8. Timber De-nailing Area
9. Warning Sign(s) 9. Ladders and Stairs
10. Condition of Hose Connectors 10. Hazardous material Disposal
11. Other 11. Laydown Yard Layout Plan
12. Dust Control
13. Other
#Checked #Needing #Checked #Needing
XIII. Cartridge Operated Tools Correction XIV. Chemical Handling Correction
1. Proper Cartridge Caliber 1. Chemical Storage/Segregation
2. Safe Zone 2. Chemical Hazard Bulletin/SDS
3. Correct Velocity Tool 3. Warning Signs (Arabic/English)
4. Control Log 4. Area Fenced/Locked/Diked
5. Proper Maintenance of Tool 5. Containers-Proper Type/Labeled
6. Certified Operator 6. Emergency Procedures
7. Operator PPE 7. Proper PPE
8. Storage of Cartridges 8. Ventilation if Required
9. Work Permit(s) 9. Safe Transferring of Chemicals
10. Misfire Procedure Training 10. Emergency Eyewash and Sewer
11. Other 11. Other
XV. Abrasive Blasting/Spray #Checked #Needing #Checked #Needing
Painting Correction XVI. Transportation Correction
1. Operator's Hood (Air Supplied) 1. Seat Belt use
2. Air Filters (Hood)/Pressure Gauge 2. Licensed Drivers
3. Air Intake Location (Compressor) 3. Fire/Lights/Brakes/Horn
4. Dead Man Switch 4. Signals/Mirrors/Lens Cover(s)
5. properly Grounded/Bonded 5. Fire Extinguisher
6. Operator/Helper PPE 6. Windshield/Window Condition
7. Operator Certification/Medical 7. Clean Interior
8. Barricades/Warning Signs 8. Proper Towing Equipment
9. Air Purity/Cooling 9. Load Secure
10. Compressor Alarm (Temp.) 10. Written Route Instructions/Maps
11. Ventilation 11. People Transported Properly
12. Classed Electrical 12. Off Road Driving
13. Work Permit(s) 13. Traffic Flow Control Plan

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 #Checked #Needing #Checked #Needing
XVII. Concrete Formwork Correction XVIII. Air Compressors Correction
1. Shoring Layout Plan on Site 1. Pressure Relief Valve
2. PPE 2. Air Pressure Gauge
3. Work Platform/Guard Rails 3. Hose Type/Connections/Safety Wired
4. Truck Spotter 4. Leak (Spill)
5. Rebar Ties Bent Over/Capped 5. Guards/Tires
6. Supports Plumb/Level/Tied Off/Firm 6. Pressure Vessel Drained Daily
7. Timber Condition 7. Proper Air Pressure
8. Side Slope Bracing 8. Deadman Switch on Wands
9. Pumper Truck Inspected 9. Proper Grounding
10. Ingress/Egress 10. Other
#Checked #Needing #Checked #Needing
XIX. Walking/Working Surface Correction XX. Ionizing Radiation Correction
1. Aisleways 1. Certifications/Calibration Sticker
2. Ladders/Stepladders 2. Storage Area
3. Opening Protection (Manways) 3. Barricading/Signs
4. Warning Signs 4. Transportation
5. Ingress/Egress 5. Source Lockbox
6. Stairways 6. Personal Monitoring
7. Elevated Platforms 7. Work Permit(s)
8. Guardrail Systems 8. Survey Instruments (2)
9. Floor and Wall Openings 9. Emergency Response
10. Material Storage 10. Other
11. Other
#Checked #Needing #Checked #Needing
XXI. Confined Spaces Correction XXII. Miscellaneous Correction
1. Work Permit(s) 1. Aviation Operations
2. Gas Test(s) 2. Off-shore PPE
3. Ventilation/Cooling 3. Off-shore Rescue Equipment
4. Lockout/Tag-out 4. Hot Tapping
5. Standby Man 5. Tetra-ethyl Lead Operations
6. Supervision 6. Explosives/Blasting
7. Special Equipment 7. Off-shore Operations
8. Emergency Response 8. Driving Operations
9. PPE 9. Hydrojetting
10. SCBA/Air Line 10. Demolition/Asbestos Removal
11. Properly Isolated 11. Emergency & Regular Lighting
12. Barricades/Warning Signs 12. Communications
13. Entry Log 13. Hot Tar Operations
14. Lighting/GFCI 14. Other

Comments:

L6.06 Contractor Job Safety Inspection Checklist

Remarks:

L6.06 Contractor Job Safety Inspection Checklist