MIP PKG 17 RAS TANURA PIPELINES
Branch of Sinopec International Petroleum Services Corp
NIGHT WORK SAFETY CHECKLIST
Date : Time :
Work Permit No. :
Location
:The checklist shall be completed by WPR prior to any night work activity and shall be verified by the Permit issuer and the Area supervisor. The checklist provides
minimum requirements to comply for any extended/night work activity.
If any of the basic requirements will not be complied with, the extended work or night shift permit shall not be approved or validated
Tick
Basic Requirements Comments
YES NO N/A
Sufficient number of tower lights and flood lights provided at the work location
(illumination level min 108 lux)
Lighting
Sufficient lighting is provided for the pedestrian ways, emergency exits , etc.
All the lighting equipments are inspected before night works begin?
Road closure has been provided with proper barricade and blinker lights?
Traffic Control
Road closure signages have been placed to alert the users of the road closure.
Heavy Equipment/Vehicle access route identify with barricade and blinker lights
Traffic cone with reflective tape/bond provided to identify and isolate Heavy
Equipment/Vehicle location/parking/ operating area
Workers wearing reflective vest or coverall with reflective bond
PPEs
Clear safety glasses
Access & Egress provided for all the excavations with proper lighting.
Excavation
works
Proper sloping, Benching or shoring provided ?
Are all the excavations barricaded & Blinker lights provided?
Is First Aider & First Aid Boxes available
Availability of
Personnel
Is full time HSSE Coverage available
Is dedicated site supervisor available
Is standby Electrician Available
Dedicated Ambulance/emergency vehicle and Nurse/trained First aiders available at
site?
Facilities
Welfare
Adequate drinking water stations provided
Rest Shelter with proper lightings
Access ways shall be wide enough to allow passage of emergency response equipment.
Access way
Access ways shall not be blocked/obstruct the passage of emergency vehicles.
Access way shall be clearly marked, preferably with warning lights.
WPR: Area Supervisor: WPI:
Name: Name: Name:
Signature: Signature: Signature:
