MPPCL-EHS-SP-01-028 Form 1: Work Activity Observation Report Work Activity Observation Report

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MPPCL-EHS-SP-01-028 Form 1: Work Activity Observation Report

Working Tools and


WORK ACTIVITY OBSERVATION REPORT PPE Body Position Procedures
Environment Equipment
Head Body Placement Safe Work Permit Housekeeping Selection
Walking/Working
Face Visibility LOTO Condition
Surfaces
Conducted By Eye Pinch Point Hot work Ventilation Use
Hearing Eyes on Work Confined Space Lighting
Respiratory Eyes on Path Excavation
Ascending /
Body Protection Fall Prevention
Descending
Hands and Arm Overexertion Others
Foot and Leg Line of Fire
NOTE: submit a copy to safety within 24 hrs following the time of
observation

OBSERVATIONS (At
RESPONSIBLE
Risk/Safe) / JSA - PJB
CORRECTIVE LOCATION/DATE/ TARGET DATE TEAM/PERSON
FINDINGS / STATUS REMARKS
ACTIONS/RECOMMENDATIONS TIME/PERMIT NO. FOR CLOSING FOR FOLLOW-
ENVIRONMENTAL
UP
ISSUES
Repair
Leak found in shell side Turbine Section 3rd
22 March 2022 See next
of HP FEED WATER floor Power Block OPEN
Application of LOTO for page
NO.7 04 March 202211
Maintenance/Repair

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