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Hazard Prevention Training (KYT) Report

Standard Safety Audit Form

Date/Time

Region

Manager Name

Business Office

Place / Location

Name of Person *

2nd Person Name *

Name of Activity *

Other Members if Any

Safety Action Key Points Checklist

1. Hazard Identification Selected Hazard Points: 0

No.	Hazard Description (What is the hidden danger?)	Action

2. Concrete Countermeasures (Hazard Points)

Select "Hazard Point" (Red) in the section above to generate a countermeasure requirement.

Hazard No	Concrete Countermeasure (Required Action)

3. Team Action Goals

Team Action Goal

Oral Check items by pointing and calling

Remarks

On the day of work, confirm whether any team member is “a less-experienced worker with under one year of on-site experience”. Such workers must not work alone and must always remain under direct visual supervision and clear work instructions.	Yes No N/A
Before starting work, conduct safety check of on-site movement routes, rest areas, and evacuation routes. Communicate the results to all team members and confirm their understanding through individual responses and dialog.	Yes No N/A
If a worker feels unwell, provide necessary care and declare work suspension to all co-workers. Verify that everyone understands this by confirming through individual response and dialogue.	Yes No N/A
If any of the following occurs—(1) unplanned work, (2) equipment failure or malfunction, or (3) deviation from established procedures or rules—Perform a Safety Pause and inform all team members that they have the authority to do so. Verify that everyone understands this through individual responses and dialogue.	Yes No N/A

WORKING AT HEIGHTHazard: Fall from heights
Key Point 1: Always use fall protection equipment when working at height.	Yes No N/A
Key Point 2: Install lifelines and safety blocks according to the plan or work procedures.	Yes No N/A
LANDING DOOR OPEN FROM THE HALLHazard: Fall into the Hoistway
Key Point 3: Always assume that “there may be no elevator car ahead”. Turn on your headlamp, open the door 10 cm first, and confirm the car stop position before boarding.	Yes No N/A
CAR OPERATIONHazard: Being caught between Car and Counterweight
Key Point 4: Before entering the cartop, pit, or hoistway, activate the maintenance switch. This must be done even when the power is shut off.	Yes No N/A
Key Point 5: Before operating the car, confirm everyone’s safe posture and position through verbal Calls and Responses.	Yes No N/A
Key Point 6: When moving the elevator car while someone is in the pit, carry out the following actions.	Yes No N/A
The operation command should be given by the worker inside the pit.
Before moving the car, stay clear of the counterweight travel area.
The worker in the pit should keep a hand on the stop switch, ready to stop the car immediately.
WORK USING MOVING PLATFORMHazard: Fall of the platform, Caught between car and hall
Key Point 7: Confirm that the method being applied on site matches the instructed or planned method.	Yes No N/A
Key Point 8: Check that all equipment for the installation method is properly maintained by reviewing inspection and maintenance records.	Yes No N/A
WORK WITH MULTIPLE WORKERSHazard: Impact of falling objects on the body
Key Point 9: To prevent personnel from being positioned at the same time above and below within the hoistway, carry out the following measures. Note: A machine room without fall-prevention measures at openings shall be regarded as part of the hoistway.	Yes No N/A
1) Confirm where co-worker has evacuated by visual check or by verbal Calls and Responses.
2) The work supervisor must instruct the start of the next task only after confirming that everyone has evacuated.
3) Each worker must announce the work start signal to all members and only begin work after receiving confirmation that the signal has been acknowledged.
Key Point 10: To prevent materials and tools from falling, the following actions must be taken.	Yes No N/A
1) When using tools or parts, attach fall-prevention ropes or take equivalent measures to prevent dropping
2) Do not leave the area while materials are only temporarily fixed in the hoistway. Confirm that permanent fixing has been completed before leaving.
WORK USING HOISTING MACHINESHazard: Falling suspended loads and collision with the body caused by falling hoisting machines
Key Point 11: Perform pre-use inspection of hoisting machines and rigging equipment.	Yes No N/A
Key Point 12: Check that hoisting machines have been properly maintained by reviewing inspection and maintenance records.	Yes No N/A
Key Point 13: Use hoisting machines and rigging equipment within the safe working load.	Yes No N/A
Key Point 14: Ensure hoisting machines are securely fixed before operation.	Yes No N/A
Key Point 15: During lifting, confirm that no one is under the load or within the tipping range.	Yes No N/A
HORIZONTAL PULLING OF HEAVY LOADS
Key Point 16: Use carts or similar equipment within their rated load capacity and transport loads according to the pre-planned method.	Yes No N/A
Key Point 17: Check for steps or slopes along the transport route and move loads carefully to prevent tipping.	Yes No N/A
WORK NEAR CONTROL PANELS OR LIVE PARTSHazard: Electric shock caused by contact with live parts
Key Point 18: If there is a risk of the body coming into contact with energized parts, the main power supply must be shut off.	Yes No N/A
Key Point 19: For work near the power incoming section or the primary side of breakers, the building power supply must be shut off, or the area must be covered with insulating sheets. (Work must be performed after the building power supply has been shut off.)	Yes No N/A
WORK NEAR MOVING OR ROTATING PARTSHazard: Getting caught into moving or rotating parts of machinery
Key Point 20: For work near moving or rotating parts, shut off the power supply.	Yes No N/A
Key Point 21: When working on the cartop or inside the pit, activate the stop switch.	Yes No N/A
WORK USING ELECTRIC TOOLSHazard: Electric shock caused by contact with live parts
Key Point 22 Perform pre-use inspection of electric tools.	Yes No N/A
Key Point 23: Confirm proper grounding of electric tools (not required for double-insulated equipment).	Yes No N/A
Key Point 24: Install an earth leakage breaker on the power supply for electric tools.	Yes No N/A
WORK IN CONFINED SPACES (e.g., Inside the Car) HANDLING ORGANIC SOLVENTS (Thinner, Paint, etc.)
Key Point 25: Read the Safety Data Sheet (SDS) for the organic solvent to be used, and implement appropriate PPE (e.g., respirators) and proper ventilation.	Yes No N/A
Key Point 26: When working inside the car with the car door closed, assign a person at the landing area to perform safety monitoring.	Yes No N/A

	( i ) Before start of work, I have explained and provided instructions on the specific details of the day’s work location, work content and procedures, worker assignments and roles, as well as potential hazards and countermeasures. I will also confirm that all team members have understood these points before starting the work.
	( ii ) During the work, I will supervise and ensure that all personnel confirm their safety at all times before proceeding to the next action.
	( iii ) If the work cannot be carried out safely, I will suspend the work and ensure that it is reported to my supervisor (line manager).
	( iv ) I will ensure that no one is exposed to danger and that the work is completed safely from start to finish.