Specific questionnaire � civil construction

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Specific questionnaire – civil construction

                       Rui Vieito
                       Project nº LLP-LDV/TOI/2007/pt/17 -
Address:                                                City:

Code Post:                District:                     Telephone:

Financial identification number:                 Economic Activity classification:

Company main activity:

Date: ___/___/___

Work with special risks

                                                                         Yes No
 1-Work at heights
 1.1 fixed scaffolding
 1.1.1 Mooring
 1.1.2 stability of the support
 1.1.3 cut-wind
 1.1.4 resistance
 1.1.5 platforms boards
 1.1.6 guard rails on the top
1.1.7 guard rails high
1.1.8 guard rails intermediate
1.1.9 footers (or guard-heads)
1.1.10 accesses
1.1.11 inspection and approval by responsible technicians
1.1.12 training to the employees of the assembly
1.2 Places near by the edges (shuttering, work platforms and
material reception, openings in wall…):
1.2.1 guard rails
1.2.2 Scaffolding
1.2.3 security meshes
1.2.4 other type
1.3 Openings in the floor, boxes of elevators, fixed access escalators
1.3.1 covered holes
1.3.2 barriers
1.3.3 guard rails
1.3.4 other type of situation
1.4 Work on slippery or fragile roofs
1.4.1 means of collective protection
1.4.2 means of individual protection
1.4.3 safety belts
1.5 Hand ladders
1.5.1 stability
1.5.2 adequate slope
1.5.3 more than 1.00 m above the plan
1.6 Mobiles Scaffolding
1.6.1 stability
1.6.2 detention of the wheels (blocking)
1.6.3 guard rails
1.7 Suspended platforms
1.7.1 fixing
1.7.2 objects of manoeuvre
1.7.3 accesses
1.7.4 inspection by a responsible technician
1.8 Safety meshes
1.8.1 placed at an adequate distance from the falling plan
1.8.2 support structure
1.8.3 periodic inspection
1.9 Security belts
1.9.1 available to the workers
1.9.2 support points
1.9.3 life line
1.9.4 periodic exam
1.9.5 training to the workers


                                                             Yes No
2.1 Technician responsible for the direction of the work
2.2 Prior examination and demolitions plan
2.3 The workers know the work rules
2.4 Collective protection equipment
2.5 Individual protection equipment
2.6 Protection of the public


                                                                  Yes No
3.1 Technician responsible for the direction of the work
3.2 Adopted prevention measures taken into consideration:
3.2.1 type of soil
3.2.2 depth of excavation
3.2.3 Slope angle
3.2.4 accidental overloads supported by the land
3.3 Measures to prevent landslides. Existence of appropriate
structures (from metal or wood) in:
3.3.1 excavations
3.3.2 trenches
3.4 other type of structure
3.4.1 prevention against falls
3.4.2 accesses/exits
3.5 Protection of the public

Underground work in wells, tunnels or in harmful atmospheres

                                                                  Yes No
4.1. Underground work in wells, tunnels
4.1.1 Prevention of the risks of people falls
4.1.2 Prevention of the materials fall or water eruption
4.1.3 Suficient ventilation
4.1. Equipment for protection
4.1.5 Prevention in the circulation of the machinery
4.2 Work on harmful atmospheres (deprived of oxygen, flammable,
explosive, with release of gases/vapours/dust/dangerous fibres)
4.2.1 evaluation and control of the work environment
4.2.2 chemicals labelling
4.2.3 (respirable) atmosphere verification
4.2.4 signalling
4.2.5 collective protection (ventilation)
4.2.6 individual protection (respiratory masks)
4.2.7 labour authorization
4.2.8 presence of other people
4.2.9 rescue means
4.2.10 adequate electrical equipment

Safety during shuttering/pickling

                                                                Yes No
5.1 responsible technician
5.2 working plan
5.3 lifting, assembly and disassembly of shuttering in safety
5.4 working platforms with anti-falling protection
5.5 Adequate equipment (IPE, plummets, tools)

Underground work in wells, tunnels or in harmful atmospheres

                                                                Yes No
6.1 Elevatory devices (derricks, cranes)
6.1.1 Responsible technician
6.1.2 periodic inspections reports
6.1.3 stability of the implantation place
6.1.4 access and proteccion of the users
6.1.5 visibility
6.1.6 communication means
6.1.7 mesaures that avoid the materials fall
6.1.8 charge stability
6.1.9 training to the workers
6.2 Several machinery and equipments
6.2.1 protection devices installed
6.2.2 safety during weld and cut operations
6.2.3 training to the workers
6.2.4 maintenance
6.3 Earthworks machineries and vehicles
6.3.1 adequate age of the operators
6.3.2 training of the operators
6.3.3 prevention against falls/rollover
6.3.4 prevention to not reach other workers
6.4 Equipments that produce noises and vibrations
6.4.1 technical measures
6.4.2 work organization measures
6.4.3 equipment for collective protection
6.4.4 equipment for individual protection
6.4.5 equipment maintenance
General organization of the yard


                                                          Yes No
1.1 Measures against risks of electrocution
1.2 Measures against risks of fire
1.3 Measures against risks of explostion
1.4 Panel with differential breakers
1.5 Electrical sockets with earth conection
1.6 Cabbles in a good condition
1.7 Equipments in a good condition
1.8 Respect for the security distances
1.8.1 in works close to air lines
1.8.2 in works close to underground lines under voltage
1.9 Reduced voltage in humid or wet areas


                                                          Yes No
2.1 Natural (suficient)
2.2 Artificial
2.3 Lighting of the accesses
2.4 Night lighting
2.5 projectors protected against shocks

Circulation in the yard

                                                          Yes No
3.1 Clear and illuminated ways
3.2 Ways and exit of emergency
3.3 Delimitations and sealing of the accesses
3.4 Signalling
3.5 Protection of the pubic

Storage area and workshops

                                                          Yes No
4.1 General store
4.2 Cleanness
4.3 Carpentry workshops
4.4 Iron warehouse

Individual Protection Equipment

                                      Yes No
5.1 Marking CE
5.2 Adequate
5.3 Available
5.4 Convenient stored
5.5 Periodic verification
5.6 Training to the users

                                      Yes No
6 – Places for taking the meals

Sanitary installations

                                      Yes No
7.1 Equipments in a good condition
7.2 Shower cabins
7.3 Cleanness

                                      Yes No
8 – Installations for dressing room

Installations for the workers

                                      Yes No
9.1 Offices
9.2 Dormitories
9.3 Adequate thermical conditions
9.4 Acustic isolation
9.5 Cleanness

                                      Yes No
10 Water supply at work places
                                                                     Yes No
11 – Detection and fight against fires

                                                                     Yes No
12 – First aids

                                                                     Yes No
13 – Wastes collection and its destiny

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