Safety Observation Formate - 01

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SAFETY OBSERVATION FINDINGS TRACKING SHEET

REFRACTORY ENGINEERING DEPARTMENT

Observer Name: Department: Location of observation:

Job Description :

Date Start Time End Time Duration

Risk Number of people observed CAPA


Observation Category Observation Sub-Category Situation Target Date Action Staus
Potential Safe Unsafe Total Corrective Action & Preventive Action

PTW Taken Yes / No

SOP at site Yes / No

No of people aware of
SOP Work conditions

PPE's As per SOP

Tools and Tackels

Position of people

Reaction of people

House Keeping

Barrication of the area


Yes / No
( if Required)

Observers findings on safe/unsafe conditions/ Act :


Observers findings on safe/unsafe conditions/ Act :
DAILY SAFETY OBSERVATION REPORT
REFRACTORY ENGINEERING DEPARTMENT
AREA :

No of
Observers
Date Shift Location Job Description persons Safe / Unsafe Found Action taken
Name
working

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