ISG FACILITIES MANAGEMENT

(HEALTH, SAFETY AND ENVIRONMENT)

Document Name: SITE SAFETY OBSERVATION REPORT
Document ID: ISG-FM-HSE-WR-F-004 Rev. 02
Effective Date: 1 September 2020 Issue-01

PROJECT/CLIENT: Tim Hortons / T & I Construction REF. NO.: DC-01172021-006

DEPARTMENT: DuraClean DATE: 1-17-2021
LOCATION: Corniche AREA IN-CHARGE Shamsu

LEVEL OF PRIORITY
EMERGENCY NORMAL NOTICE

SAFETY ISSUES TO BE CORRECTED:

Unsafe Act Unsafe Material Handling Personal Protective Equipment
Unsafe Condition Fire Safety Housekeeping
Misbehavior Falling from heights/Falling hazard Unsafe Plant / Equipment

Other (specify)_______________________________________________________________________________________________

DESCRIPTION OF SAFETY ISSUES OBSERVED/INSPECTED.

1- NON-COMPLIANCE TO ISG-OP430 GENERAL

HEALTH & SAFETY, TWO WORKERS NOT
WEARING THE REQUIRED PPE (GLOVES)

RECOMMENDED CORRECTIVE ACTIONS:

1- Provide instruction and the required PPE to the whole team to follow safety rules of ISG by means of toolbox
talk (attach a photo and singed attendance as proof of action).

HSE COMMENTS/REMARKS

OBSERVED AND REPORTED BY:

Luai Nogali 1/17/2021

HSE Signature Date

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