KC-Danfe JV

Health and Safety Checklist

Manual No:

Project Name:…………………………………………….. Date:...…………………………………………….

FOR USE OF LABOR INCHARGE

Physical Checklist Personal Protective Equipment (PPE) Checklist

Serial No. Name of Workers Remarks
Reflective Hearing
Illness Intoxication Under 18 years Safety Helmet Jacket Safety Shoes Gloves Eye Glass Protection Harness

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Checked By: Labor Incharge Verified By: Site Engineer

Name:___________________________________ Name:___________________________________

Sign:____________________________________ Sign:____________________________________