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    Safety Observation Card Form

    Uploaded by

    Engr. Idowu Babalola
    This safety observation card allows users to document safety observations including the date, location, type of observation, description, and any actions taken. Key details include the name, date, location, type of observation such as safe, unsafe act, unsafe condition, near miss, or stop work. The user then describes the hazardous conditions, at-risk behavior, or safe behavior observed and documents any actions taken to address unsafe performance or conditions or reinforce safe performance.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Safety Observation Card Form

    Uploaded by

    Engr. Idowu Babalola
    287 views2 pages
    This safety observation card allows users to document safety observations including the date, location, type of observation, description, and any actions taken. Key details include the name, date, location, type of observation such as safe, unsafe act, unsafe condition, near miss, or stop work. The user then describes the hazardous conditions, at-risk behavior, or safe behavior observed and documents any actions taken to address unsafe performance or conditions or reinforce safe performance.

    Original Description:

    A typical stop card design for the HSE in oil and gas industry

    Original Title

    safety-observation-card-form

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    This safety observation card allows users to document safety observations including the date, location, type of observation, description, and any actions taken. Key details include the name, date, location, type of observation such as safe, unsafe act, unsafe condition, near miss, or stop work. The user then describes the hazardous conditions, at-risk behavior, or safe behavior observed and documents any actions taken to address unsafe performance or conditions or reinforce safe performance.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    287 views2 pages

    Safety Observation Card Form

    Uploaded by

    Engr. Idowu Babalola
    This safety observation card allows users to document safety observations including the date, location, type of observation, description, and any actions taken. Key details include the name, date, location, type of observation such as safe, unsafe act, unsafe condition, near miss, or stop work. The user then describes the hazardous conditions, at-risk behavior, or safe behavior observed and documents any actions taken to address unsafe performance or conditions or reinforce safe performance.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    SAFETY OBSERVATION CARD

    A quick, easy to fill out safety observation card form including date, location, observation
    type, description, and action taken.

    * Your Name * Date / Time

    OBSERVATION DETAILS
    Date and Time Location

    Service Line Location Type


    Company Customer Public property
    property location
    While driving Other

    Location Description

    This question only applies if Location Type is Customer location


    Customer

    OBSERVATION
    * Type of Observation
    Safe Unsafe Act Unsafe
    Observation Condition
    Near Miss Stop Work

    This question only applies if Type of Observation is Unsafe Act, Unsafe Condition, Near Miss, or Stop Work
    Describe hazardous conditions, at risk behavior, or safe
    behavior

    This question only applies if Type of Observation is Safe Observation

    iscout.com • ehs reporting & training


    Describe safe observation, behavior or condition

    This question only applies if Type of Observation is Unsafe Act, Unsafe Condition, Near Miss, or Stop Work or Type of Observation
    is Safe Observation

    ACTION TAKEN

    This question only applies if Type of Observation is Unsafe Act, Unsafe Condition, Near Miss, or Stop Work
    Action taken to change unsafe performance or condition

    This question only applies if Type of Observation is Safe Observation


    Action taken to reinforce safe performance

    iscout.com • ehs reporting & training

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