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    Safety Observation Card: Type of Observation (Please Tick)

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    Myo Thet Hlaing
    This safety observation card is used to report any unsafe acts or conditions observed at a worksite. It collects information about the location, type of observation, and details of what was observed and the immediate corrective action taken. The observer and supervisor both sign the form, and the supervisor notes any additional actions to prevent recurrence. The form is then sent to plant safety personnel.

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    Safety Observation Card: Type of Observation (Please Tick)

    Uploaded by

    Myo Thet Hlaing
    9 views3 pages
    This safety observation card is used to report any unsafe acts or conditions observed at a worksite. It collects information about the location, type of observation, and details of what was observed and the immediate corrective action taken. The observer and supervisor both sign the form, and the supervisor notes any additional actions to prevent recurrence. The form is then sent to plant safety personnel.

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    Inspection Forms.xlsx

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    This safety observation card is used to report any unsafe acts or conditions observed at a worksite. It collects information about the location, type of observation, and details of what was observed and the immediate corrective action taken. The observer and supervisor both sign the form, and the supervisor notes any additional actions to prevent recurrence. The form is then sent to plant safety personnel.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    9 views3 pages

    Safety Observation Card: Type of Observation (Please Tick)

    Uploaded by

    Myo Thet Hlaing
    This safety observation card is used to report any unsafe acts or conditions observed at a worksite. It collects information about the location, type of observation, and details of what was observed and the immediate corrective action taken. The observer and supervisor both sign the form, and the supervisor notes any additional actions to prevent recurrence. The form is then sent to plant safety personnel.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    of 3

    SAFETY OBSERVATION CARD

    Name : ……………………………...…… Designation : ……………………………..…


    Date : …………………….…………...… Time : ……………………….….............
    Observed Area/Location : ………………………………………...……………………..………
    Type of Observation (Please Tick)
    Unsafe Act Unsafe Condition

    What did you observe or what changed?

    ………………………………………………………………………………………………………………………
    ………………...
    ………………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………….....

    What did you do about it? (Immidiate Corrective Action)

    Did you stop the job? Yes No

    ………………………………………………………………………………………………………………………
    ………………...
    ………………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………….....

    What could we do about it?

    ………………………………………………………………………………………………………………………
    ………………...
    ………………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………….....

    Observer’s Signature: …………………………………………

    Action to prevent reoccurrence for supervisor.

    ………………………………………………………………………………………………………………………
    ………………...
    ………………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………….....
    Supervisor’s Signature:
    ……………………...................................................................
    Date : ………………………………………………………………………………...
    …………………………
    Note : Please send to plant supervisor/ plant safety officer/ SOC box.
    Fire Pump Daily Inspection
    No. Pressure Power Item Item Item Item Date
    Inspected By (Name) Signs

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