Ajyal Home Ownership Site Development Increment II
Package 1 & 2 6600041347 / 660004398
Kolin Construction Tourism Industry and Trading Co. Inc.
SERIES #
VIOLATION DEPARTMENT
DATE:
VIOLATORS NAME & ID # ACTIVITY (SPECIFIC)
DESIGNATION
LOCATION
(AREA)
COMPANY
S/N VIOLATION COMMITTED PENALTY ISSUED S/N VIOLATION COMMITTED PENALTY ISSUED
1 Personal Protective Equipment (PPE's) SUBCONTRACTOR SUBCONTRACTOR
SH 5 ELECTRICAL
VE
Not wearing PPE's inside work site premises
HE GO 1st Written warning 1st Written warning
1.1 OE
ST
LM GG 2nd
300SAR INVOICE DEDUCTION &
5.1 Using of damage electrical fixtures 2nd
300SAR INVOICE DEDUCTION &
S Warning for Removal
NO
Unsafe Use of Generator/Tower Light
Warning for Removal
1.2
work ET LES
Not wearing face shield while grinding and chipping
3rd
500SAR INVOICE DEDUCTION &
Removal from site NO EARTH 3rd
500SAR INVOICE DEDUCTION &
Removal from site
1.3 Not wearing welding mask while perfoking welding job KOLIN EMPLOYEE
5.2
DRIP NO FIRE GROUNDI KOLIN EMPLOYEE
TRAYEXTINGUI NG
1.4 Not weaing proper clothing 1st Written warning 5.3 SHER
Improper insulation or Splicing 1st Written warning
2 Days Deduction or warning for 2 Days Deduction or warning for
1.5 Not wearing hand gloves 2nd 5.4 Using modified electrical tools 2nd
Removal Removal
3 Days deduction or removal Unauthorized Removing of Lock Out Tag Out 3 Days deduction or removal from
1.6 Not wearing ear protection in noisy area 3rd 5.5 3rd
from site (LOTO) site
2 WORKING AT HEIGHT (ZERO TOLERANCE) SUBCONTRACTOR 6 HOT WORKS SUBCONTRACTOR
300SAR INVOICE DEDUCTION &
HIGHLY
Unsafe Performing hot works
2.1 Working at height without proper working platform 1st Warning for Removal
6.1
FLAMMABLE
COMBUSTIBLE 1st Written warning
2.2 Using incomplete scaffolding 2nd
500SAR INVOICE DEDUCTION &
Removal from site
COMBUSTIBLE
MATERIALS 2nd
300SAR INVOICE DEDUCTION &
Warning for Removal
2.3
Working at height more than 1.5m without railings
3rd Removal from Site 6.2
LIQUIDS
No FIRE EXTINGUISHER AVAILABLE 3rd
500SAR INVOICE DEDUCTION &
or lifeline Removal from site
Unauthorized removing of scaffolding parts and Improper storing of acetylene and gas
2.4 KOLIN EMPLOYEE 6.3 KOLIN EMPLOYEE
tag cylinders / Flammable Liquids
2 Days Deduction or warning for
2.5 Not wearing fall body harness 1st 6.4 No fire watch man 1st Written warning
Removal
2.6 PA
Throwing any materials from height 2nd
3 Days deduction or removal
from site
6.5 No Flashback arrestors (Compressed Gas) 2nd
2 Days Deduction or warning for
Removal
DR BAR
Using improper working platformLL 3 Days deduction or removal from
2.7 3rd Removal from Site 6.6 Use of damaged hose or accessories 3rd
UM REL site
ET
S WORKS,SEXCAVATION/CONFINED
ROAD SUBCONTRACTOR 7 GENERAL SAFETY REQUIREMENTS SUBCONTRACTOR
3
SPACE AND SIGNAGE S 1st Written warning 7.1
Smoking in undesignated smoking areas 1st Written warning
300SAR INVOICE DEDUCTION & 300SAR INVOICE DEDUCTION &
2nd
Warning for Removal
7.2 Urinating not in the designated toilet facilities 2nd
Warning for Removal
3.1 Working on Excavation access, proper sloping.
500SAR INVOICE DEDUCTION & 500SAR INVOICE DEDUCTION &
3rd 7.3 Not attending Tool Box Talk (TBT) 3rd
Removal from site
IGNORING SITE
Intentional violating safety rules
Removal from site
3.2
Removing and damaging excavation signs, traffic
signs and barricades without informing safety KOLIN EMPLOYEE 7.4
ENDANGERING
SAFE RULES & KOLIN EMPLOYEE
THRE
FIGH WORKER'S
OTHER HORS
department
AR
REGULATION
SAFETY
GU ATHE
E
3.3 Working without proper ventilation 1st Written warning 7.5
TING 1st Written warning
2 Days Deduction or warning for IN NING
PLAYI 2 Days Deduction or warning for
3.4 Unauthorized Entry on Confined Space 2nd 7.6 Working without safety orientation 2nd
Removal
GHOT NG EXC Removal
Not Providing protection for protruding rebars
3 Days Deduction or removal No Work COL
Permit
LIFTI
3.5 3rd
from site
WOR CONFIN AVA 3 Days deduction or removal from
7.7
D NGED 3rd
site
4 TOOLS, VEHICLES AND EQUIPMENTS
SUBCONTRACTOR
KWOR TION
4.1 Using of defective power and hand tools Other violation not specified hereinSPACE
(specify):
Back of K
Heavy
Carrying Excess Passenger
4.2
equipments the Pick- 1st Written warning
NO
Unauthorized NOEquipment
use of Vehicle & Heavy
4.3 up 2nd
300SAR INVOICE DEDUCTION &
DRIVER'S 3RD Warning for Removal
4.4
NO FLAGMAN
LICENSE PARTY 3rd
500SAR INVOICE DEDUCTION &
Removal from site
OR SPOTTER
4.5
USING
NOT USING DAMAGED
Improper use of equipment
PROPER
OTHER ACTION TAKEN NOT SPECIFIED WITHIN (specify):
LIFTING
LIFTING SLINGS KOLIN EMPLOYEE
NOT WEARING
Violating Site Traffic Rules and Regulation
ACCESSORIES
SEATBELT WHILE
4.6
OVER MOBILE
USING
DRIVING
OBSCURRING
SPEEDING
PHONE WHILE DRIVER'S 1 Written warning
VISION
DRIVING (USE OF
4.7 CURTAINS)
Using Grinder without protective guard/cover 2
2 Days Deduction or warning for
Removal
3 Days deduction or removal
4.8 Not submitting load calculations & checklist 3
from site
Reported By (Safety Officer ) ACKNOWLEDGE BY (Violator/Foreman/Site Engineer)
(Name & Signature) (Name & Signature)
Reviewed By (HSE Supervisor) Approved by (HSE Manager)
(Name & Signature) (Name & Signature)
COPY TO: THE EMPLOYEE, DEPT. HEAD, TIME KEEPER, GR/HR, AND CENTRSL SAFETY DEPARTMENT
