This document is a sub-contractor pre-start HSE checklist that must be filled out daily before starting any activity. It collects project information, task details including description, location, workers and duration. It also checks that various HSE prerequisites are in place such as safety inductions, risk assessments, PPE availability, inspection of tools and equipment, and that unsafe conditions have been rectified. The sub-contractor must acknowledge that all precautions and control measures have been taken and the workers have been deemed competent to perform the task safely.

1. Sub-Contractor Pre-Start HSE Checklist
(To be filled by Sub-Contractor before start of activity on daily basis)
Page 1 of 1 Form # HSEQ- SPSC (Rev 2 - Mar 23)
1. Project Information:
Project Name: Checklist No.:
Sub-Contractor/Company:
Date:
2. Task Details:
Description of Task:
Location / Area :
Number of Workers:
Task Duration: Time (from): _______Hrs. Time (To): __________Hrs. Date:
3. Prerequisites:
Checks Yes-No-NA Checks Yes-No-NA
Safety induction done. ☐ ☐ ☐ Safety tool box talk done. ☐ ☐ ☐
Method statement/Risk assessment
in place.
☐ ☐ ☐ Training on Risk Assessment/
Method Statement done
☐ ☐ ☐
Job Safety Analysis done. ☐ ☐ ☐ 3 Month Safety Look Ahead in place ☐ ☐ ☐
Permit to Work obtained ☐ ☐ ☐ Site Supervisor available ☐ ☐ ☐
PPE Available ☐ ☐ ☐ Working area is well lighted ☐ ☐ ☐
Tools and equipment inspected and
tagged
☐ ☐ ☐ Unsafe conditions rectified ☐ ☐ ☐
Pre-Start Checks completed ☐ ☐ ☐ Emergency procedures
communicated
☐ ☐ ☐
Unauthorized workers are cleared
from the area.
☐ ☐ ☐ Other ( Specify): ☐ ☐ ☐
4. Acknowledgement by Sub-Contractor:
☐ Acknowledge that all above precautions/ controls measures have been taken. These have also been fully explained
to the operatives, and I consider them competent to do it safely.
Initiator/Originator
Name:
Designation:
Signature: Date /Time:
Signature: Date /Time