Serco Dubai Metro 1/2 Date: 10/09/2013 Worksite Check and Toolbox Talk by Person In Charge DM001-BPP-ALL-FO-01076 A2

Serco Internal

Worksite Check and Toolbox Talk by Person In Charge

1. Details (all fields must be completed)

Person In Charge (Name) Signature

Person In Charge Mobile # Date & Time of Tool Box Talk

PTW Number Number of Persons in the Workgroup (Including PIC)

Company / Department Number of Visitor

2. Worksite Check

The Person In Charge must check before the commencement of work that the following resources are available on site to complete the works.

No. Requirement Yes No NA Remarks

Workgroup

1 Adequate number of competent personnel to complete the works

2 Personnel have appropriate certification to demonstrate their competence to undertake the required works

3 Personnel appear fit for duty and not under the influence of alcohol, drugs or fatigue

Tools and Equipment (you must check for adequate type, quantities available and working condition) Where applicable

4 Personal Protection Equipment (PPE) appropriate to the works

5 Tools, equipment and materials

6 Voltage detector (for lineside)

7 Third Rail Earthing Device (TRED) (for lineside)

8 Worksite marker boards (for lineside)

Briefing of Notices (you must list the applicable Notices that were briefed out) Where applicable

9 Notices briefed to the workgroup

3. Tool Box Talk

This Tool Box Talk is conducted to brief the method of statement as well establishing and managing a safe system of work on Dubai Metro controlled premises.

No. Requirement Details

1 Scope of Work

2 Time duration to complete the work

3 Location of the Work

4 Worksite Limits

5 Access and Egress routes to and from worksite

Access Egress

Serco Dubai Metro 2/2 Date: 10/09/2013 Worksite Check and Toolbox Talk by Person In Charge DM001-BPP-ALL-FO-01076 A2

Serco Internal

Worksite Check and Toolbox Talk by Person In Charge

No. Requirement Details

6 Hazard at worksite

7 Safe System of work Including protection measures

8

Assigned Roles and duties of personnel on site (Eg. Fire watch in case of Safety permit Hot work, Lookouts in case of Lineside area, etc)

9 Position of Safety (Where appropriate)

10 Communication arrangements

11 Emergency arrangements

12

Others

Note the detail of the Late joiner / early leaver from the Worksite.

4. Declaration By signing this I hereby acknowledge that I am aware of and I understood the topic/s discussed above.

Workgroup (For Lineside Activity All work group must be lineside work Trained)

No. Name of Person Signature No. Name of Person Signature

Visitors (Not allowed to work Maximum Allowed Visitors: 6 Person)

No. Name of Person Signature No. Name of Person Signature