Inspector Designation Date Project Name Contact Person Contact Number Address Total No. of Residents construction Site Welfare Provisions Compliant Yes No 1.Sanitary and wash Facilities 1.1 Are sufficient flush type toilet facilities (including urinals) provided with easy access from working areas? ❑ ❑ 1.2 Are WC / urinal numbers in compliance with the applicable regulations? ❑ ❑ 1.3 Are washing facilities provided in the immediate vicinity of every sanitary convenience and in close proximity to mess facilities? ❑ ❑ 1.4 Are wash basins are large enough for people to wash their faces, hands and forearms? ❑ ❑ 1.5 Are employees provided with soap and hygienic means of drying hands? 1.6 Are rooms containing washing facilities adequately ventilated, lit and kept clean and in an orderly condition? ❑ ❑ 1.7 Are separate washing facilities provided for men and women? ❑ ❑ 1.8 Cleaning schedules are displayed at Facilities? ❑ ❑ 2.Drinking Water 2.1 Is an adequate supply of cooled drinking water provided in offices, mess areas, field rest shelters and at other suitable points/Levels to ensure every employee has immediate access to water? ❑ ❑ 2.2 Are water tanks located at ground level to eliminate working at height issues associated with installation, testing, commissioning and maintenance? ❑ ❑ 2.3 Are water Tanks are cleaned at regular intervals and the records are maintained ❑ ❑ 2.4 Water quality tested as per the applicable regulations. ❑ ❑ 2.5 Is strategy in Place for drinking water analysis? 2.6 Are Drinking water stations are located within a reasonable distance from the work site? ❑ ❑ 3 Rest Areas 3.1 Are adequate mess facilities where workers can eat in comfort and are protected from the weather? ❑ ❑ 3.2 Is the area of adequate size? Air-conditioned?(1.4m2 per candidate) ❑ ❑ 3.3 Are there a sufficient number of tables and chairs and Is the area cleaned regularly? ❑ ❑ 3.4 Cleaning Records are available for ready reference 4.Food Storage Rooms 4.1 Is Food storage Room available? ❑ ❑ 4.2 Is the room of adequate size? ❑ ❑ 4.3 Temperature monitoring is in place? ❑ ❑ 4.4 Is adequate number of shelves are available? ❑ ❑ 5. First Aid Arrangements 5.1 Are there adequate first aid arrangements in place and are medical staff, with the necessary experience, training and licenses available? ❑ ❑ 5.2 Are properly equipped First‐Aid kits available with a full list of contents? ❑ ❑ 5.3 Is Health Screening records of the employees are available? ❑ ❑ 6. Transportation. 6.1 Are used vehicles in transporting workers are equipped with sufficient equipment to ensure the comfort of passengers and also assist in preventing accidents/incidents while travelling? ❑ ❑ 6.2 Does the organization ensure its vehicles are regularly checked and maintained and road worthy? ❑ ❑ 6.3 The maximum number of passengers allowed in the vehicle has been clearly stated (each passenger shall have a seat) ❑ ❑ 6.4 No smoking sign has been display