+ HAZARD OBSERVATION ACTION CARD
Mee crn reek tcliiicsauarn Q
Put“ 1" on the behaviour / condition observed
i Eyes |e
‘Pemapasan / Respiratory system
[Tangan / Hand =
[Badan / Body -
Koki /Feet 7
[tain-lain / Others - x
k sesuai dengan jenis pekerjaan/improperly tools —
|Alat tidak cigunakan dengan baily Tools not used correctly
L
[Tidak dipenuhi / Not followed
[Tidak diketahui / Not known
|
Jarea kerf tidak bersin/ Work area dirty
[ire kere tidak rap dan teratur / Untidy work area v
[Tumpanan / spi a
[Bocor / Leak
[Terpapar tempperatur ekstrim atau gas berbahaya / potential exposure
to extreme temperatures or hazardous gas
jatuhan Benda / Potential to be struck by object
[Tesiepit / Could get caught in or between object
[Terpeteset atau jatuh / Potential slip or fall
[Kontak dengan anus listik Potential contact with electrical devices
fkelelahan kerja / Potential for strain or overexertion
|Mengisap atau menelan sesuatu yang berbahaya / inhale or swallow
phazardous material
kkematian / Fatality
[Kecacatan / Severe Injury
‘erusakan proper dan aset perusahaan / Property damage