Pre-Mobilization Checklist
Site Name:
Site Address:
Date:
Signed by:
Contractor: Client Representative:
_______________________ _______________________
Full Name and Signature Full Name and Signature
List
Remarks
Building/Work Permit
Site Working Hours
Design Issues/Concerns
Safety Hazards
Falls and Falling Objects Repetitive Motion Injury
Chemical Exposure Site Security
Fire Hazard Airborne Hazard
Electrical Hazard Danger from Moving Object
Power Tapping
Assign Manpower
____ - Technical Engineer
____ - Installers
____ - Others(Please specify):
Tools Needed
(Power/Special Tools)
Storage & Staging Area
Site Contact Person &
Emergency Contact No.
Site Point of Contact:
Emergency Contact Person:
Rules and
Regulations/Others
