Item Descriere/Categorie Description Da NuNu este

cazul (NC)Incadrare

neconformitate

Conditii generale, Accesul la locul de desfasurare a activitatii General Conditions, Workplace Access

0Este lista de control (pretask, ultima versiune in vigoare) completata tinand cont de identificarea riscurilor de pe site?

Is Pretask Safety checklist filled out in consideration of site risk identification and control measures? Major

1 Angajatii poarta intotdeauna centura de siguranta atunci cand se deplaseaza sau conduc autovehiculele. Critic

2Conducatorul auto foloseste telefonul mobil in timpul conducerii masinii, fara a utiliza un dispozitivde tip "maini libere".

Critic

3Exista: a) Trusa de prim-ajutor; b) Stingator incendiu la locul de desfasurare a activitatii?

Do:a) First aid kit, b) Fire extinguisher exist at the workplace?

Minor

4

Este tipul de autovehicul adecvat:- pentru accesul pe amplasament;- exista centuri de siguranta pentru fiecare pasager din autovehicul; - anvelopele autovehiculului corespund conditiilor meteo si suprafetei de rulare?

Is the vehicle appropriate for accessing the site and safety belts are enough for every passenger? Major

5Spatiul de lucru este iluminat corespunzator? (pentru lucrarile executate pe timp de noapte, spatii fara iluminat natural)

Are there enough torches/flashlight for night time works? Major

Angajati Employees

6 Membrii echipei sunt identificati / poseda pasaport de siguranta format editia in vigoare, completat la zi? Do the team members have the safety passport, with all records up to date? Major

7A fost respectata procedura de acces, anuntat NOC VODAFONE cu privire la intrarea pe amplasament (Site)?

The acces procedure was followed?Has VodafoneNOC been notified about the entrance on site?

Major

8 S-a comunicat catre Vodafone numele subcontractorului (dupa caz) implicat in executarea lucrarilor la site? Subcontracting company used to perform works on site has been communicated toVodafone?

Major

9 Exista cel putin o persoana in cadrul echipei, care a urmat cursul de prim-ajutor? Is there at least one person that attended first aid training, in the team? Major

10 Soferul autovehiculului are instruirea corespunzatoare pentru conducerea auto (categorie)? Does the vehicle driver have appropriate training for driving, according vehicle category? Critic

Echipamentul individual de protectie Personal Protective Equipment

11

Lucratorii poarta echipament individual de protectie ?- incaltaminte,- salopeta,- vesta reflectorizanta (pentru activitati: in apropierea DN, macara, zone circulate.)

Workers on site wear appropriate shoes, clothing, fluorescent vest when in vicinity ofnational roads, lifting equipment, traffic areas and these are suitable for the task being performed?

Major

12Conform riscurilor existente, lucratorii poarta echipamentul individual de protectie ( casca* ), adecvat lucrarilor executate?*indoor - in functie de riscurile identificate

The workers on site wears safety helmet suitable for the task being performed? Critic

13

Lucratorii care executa lucrari la inaltime (>2m, masurata fata de sol sau de o platforma stabila, pe turnuri sau < 2m fata de o margine neprotejata) utilizeaza:- centuri complexe (5 puncte de prindere) cu punct de prindere frontal A in dreptul pieptului, fara improvizatii- accesorii/ echipament de protectie impotriva caderii

Workers working on heights (>2m) measured against a stable reference base, or on towers use 5 point full body safety harness harness, with no improvisations

Critic

13,1 Lucratorii au in dotare naveta protecta (opritor de cadere)AC 350, AC350/4 Critic

14

Echipamentele individuale de protectie contra electrocutarii (manusi, cizme, viziere, casti):- sunt folosite de lucratori conform activitatii desfasurate- sunt adecvate tensiunii din retea- au fost verificate conform standardelor producatorului?

PPE used for protection against electrocution (gloves, boots, shields, helmets) are appropriate for the voltage and have been verified according to standards.

Critic

15Lucratorii folosesc manusile, cizmele, ochelarii, imbracamintea de protectie/sort sudura , atunci când executa lucrari de sudura, taiere, hidroizolatii?

Workers use gloves, boots, glasses, protective clothing when welding, cutting, hydroinsulating Major

16 Sunt cunoscute regulile absolute? Critic

Lucrari electrice Electrical Works

17Angajatii care efectueaza lucrari la instalatii electrice au completata in safety passport rubrica de autorizare electrica?

Does employee working at the electrical installation have electrical certificates (professional and internal safety) and records completed on safety passport?

Critic

18Echipa de la site este in posesia proiectului electric si a planselor de instalatii electrice pentru site-ul/locatia unde lucreaza?

Does the team on site have a copy of the electrical design and electrical drawings into effect for the site/location

Major

19Sunt instituite masuri de prevenire a electrocutarii corespunzatoare (ex. procedura agreata de intrerupere alimentare/izolare a instalatiilor electrice sub tensiune, respectarea standardelor tehnice privitoare la instalatii electrice etc.)?

Are the appropriate preventative measures in place (eg agreed procedure for shuting down the live electrical lines, technical installation standards observed, etc)

Critic

20 Impamântarea echipamentelor de munca este executata corect? Is grounding of the work equipment properly connected? Major

21 Linia de alimentare cu energie este asigurata impotriva reconectarii accidentale, dupa intrerupere? Is the power line secured after shut down? Major

22Echipamentele de munca electrice sunt folosite in siguranta ? Exemplu:- protectiile din dotarea echipamentului sunt folosite

Are the work equipment use on safe manner? Major

22,1Este folosit echipamentul din clasa de electroizolatie adecvata.Accesoriile sunt in buna stare de functionare.

Critic

22,2Echipamentele de munca electrice sunt folosite in siguranta ? Exemplu:- cabluri electrice nu sunt deteriorate- nu sunt folosite improvizatii

Are the work equipment use on safe manner? Critic

Excavatii Excavation Works

23 Nu se executa vreo sapatura (mai adânca de1.5m) in zilele ploioase No excavation task (depth >1.5m) is performed on rainy days Major

24 Este zona de excavatii securizata si ingradita? Exista amplasate semnele de avertizare? Is the excavation area secured and warning signs are in place? Critic

25 Exista proiectul de executie disponibil pe site (parte scrisa, desenata)? Is the design document availabel on site (written/drawing part)? Major

26 Operatorul de utilaje grele are calificare adecvata? Does the operator of the heavy machinery have certification/appropriate training? Critic

27 Scara de acces in siguranta la zona excavatiilor este asigurata vertical si orizontal? The ladder to access safely to excavation area is secured both vertically and horizontally? Critic

28 Sapatura este sustinuta? Exemplu: Palplanse, taluz sau alte echipamente specificate. The excavation is sustained? Critic

29 Pamântul rezultat din sapatura este depozitat cel putin la 2 m fata de marginea santului? Is the excavated soil removed according project requirements? Critic

Montare turn / Instalare echipamente / Lucrul la in altime Tower Erection / Equipmet Installation / Work ing on heights

30 Exista disponibila la lucrare o specificatie tehnica / proiect privind montarea turnurilor? Daca nu, explicati.There is available a technical specification / project for tower installation ?

Major

31 Sunt lucratorii de la site instruiti corespunzator pentru lucrul la inaltime? Are the workers working on site trained appropriately for working at heights Major

32Echipamentele de protectie pentru lucru la inaltime/alpinism utilitar (mijloace asigurare , alonje, carlige, opritoare cadere) sunt adecvate pentru accesul la inaltime?

Protective equipment for working at height / rope acces ( assurance means- lanyards, adapters, hooks, fall arrester) suitable for access to height?

Critic

33 Sunt disponibile in site, minimul doua centuri complexe pentru lucru la inaltime/alpinism utilitar?Minimum two safety harnesses are available on site?

Critic

34 Exista un mijloc de comunicare intre montatori si alti lucratori?Is there any audible device to establish communication between erectors and otheremployees?

Major

35 Exista minimum doi lucratori la site instruiti pentru lucrul la inaltime?Minimum two workers on site are trained for working on heights?

Critic

36 Lucratorii sunt ancorati in cel putin doua puncte de ancorare in timpul lucrului?If there are safe anchorage points, workers are insured in at least two anchor points?

Critic

37In spatiile publice, zona terestra aferenta lucrarii este restrictionata circulatiei si accesului altor participanti la trafic (pietoni, autoturisme)?

In public areas, the ground working area is restricted for circulation for the other traffic participants (humans, cars)

Major

38 Lucratorii sunt asigurati permanent in timpul accesului la inaltime (scari, acoperisuri fragile, turnuri, etc)?Height access solution enables workers to be secured permanently (stairs, fragile roofs, towers, etc.)?

Critic

39

Scarile portabile sunt utilizate corect? De exemplu:- fixate impotriva caderii /alunecarii- nu sunt trepte lipsa- sunt inclinate corespunzator- adecvata tipului de lucrare (ex. Electroizolanta in vecinatatea instalatiilor electrice, etc)- scara depaseste cu minim 1 metru marginea accesata, etc.

Portable ladders are used as required?

Critic

40 Pe scarile portabila lucreaza simultan mai multi lucratori decât numarul maxim admisibil?There are no more workers climbed on portable ladder than the maximum accepted load?

Critic

Tip Site o Rooftop o Turn o

Site Id:Proiect:Verifcarea efectuata de:Data verificariiActivitatea desfasurata in timpul verificarii:

Contractor:Subcontractor:Numar lucratori pe site:Nume si numar telefon sef echipa:

Chestionar verificare cerinte sanatate, siguranta , securitate in munca

Nume lucratori si referinta pasaport:

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Liftari Lifting

41 Echipamentul de ridicat (ISCIR) are verificarea efectuata in termen?Is the periodic control of the lifting equipment completed?(ISCIR)

Major

42Sunt toate echipamentele / dispozitivele de ridicat (cârlige, lanturi , franghii, etc.) bune de utilizare (evaluare vizuala)?

All devices/equipment used for lifting (hooks, chains, etc) are proper to be used (visualassessment)

Major

43Utilizeaza lucratorii echipamentele de ridicat conform instructiunilor fabricantului? (ex. Lucratorii sunt pozitionati pe/langa echipamentele de ridicat doar in zonele indicate de producator?)

Workers on site use the lifting equipment according to manufacturer's instructionCritic

44 Nu exista incarcatura lasata suspendata in utilajul de ridicat, pe timpul cat acesta nu este in functiune.There is no load left hanging on the lifting equipment when not in use

Major

45 Lucratorii care exploateaza echipamentele de ridicat sunt calificati sau autorizati in acest sens ?Are workers that operate the lifting equipment appropriately trained and certified?

Critic

Manipulare manuala Manual Handling

46 Lucratorii care manevreaza manual materiale sunt instruiti pentru a executa acest tip de munca?Workers manually handling materials are trained according to the task they need to carry out?

Major

Câmpuri electromagnetice Electromagnetic Fields

47Lucratorii de la site respecta distanta de siguranta fata de antenele care emit ( min 0.5 m in spatele antenei, min 10m in fata antenei)?

Workers on site observe the safety distance from the live antennas (min 05 m behind antenna, min 10m in front of antenna)

Major

48 Lucratorii care executa lucrari lânga antene in functiune sunt instruiti in domeniul sigurantei RF?Workers performing works near live antennas are trained on RF Safety

Major

Aspecte generale General Issues

49

Este asigurata pastrarea ordinei si curateniei la locul de munca pentru prevenirea incidentelor? De exemplu:-nu sunt blocate caile de acces-nu exista materiale, resturi de materiale, cabluri care pot impiedica desfasurarea activitatii-nu exista scule depozitate neorganizat- nu exista alte pericole cauzate de neorganizarea locului de munca

Is the work place organized proper in order to prevent incidents, including house keeping?

Minor

Nume Reprezentanti Contractor/specializarea in echi pa: Semnatura

Nume inspector: Semnatura

Incadrare- definitieCritic - Pericol direct pentru viata lucratorilorMajor - Pericol iminent indirect pentru viata lucratorilor. Pune in pericol viata dar numai conditionat de alte actiuni intermediare.Minor - Nu respecta cerintele de proiect dar nu reprezinta un pericol iminent asupra vietii lucratorilor.

Evaluare si actiuni in urma verificarii in teren

Actiune

oprire lucrari

continuare lucraricontinuare lucrari

Concluzie verificare in teren cerinte proiect / Mas ura remediere

Semnatura reprezentant Vodafone

Semnatura Inspector

Masuri remediere si termene

Inchidere lucrari si remediere in max 48h

remediere conform termeneremediere conform termene

1 Critic sau >=4 Major

<=3 MajorMinor

Numar neconformitati

-

4Majore = 1Critic

4Minor = 1Major

Termen remediere

remediere obligatorie in 48h

remediere obligatorie in 5 zile lucratoare

remediere obligatorie in 10 zile lucratoare

Semnatura sef echipa contractor

Semnatura reprezentant lucratori

Echivalenta neconformitati

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