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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: Al Shaya ( H&M) REF. NO.: DC-02092021-009


DEPARTMENT: Duraclean DATE: 2-9-2021
LOCATION: Az Zahra AREA IN-CHARGE

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- THE SCAFFOLD OBSERVED WITHOUT


OUTRIGGERS (UNSAFE PLANT).

RECOMMENDED CORRECTIVE ACTIONS:


1- Ensure a checklist is made before the use of scaffold.

2- Provide instruction to the whole team to follow safety of ISG by mean of toolbox talk (attach a photo and signed attendance
as proof of action).

3- Issue a verbal and written warning singed by the violators.

HSE COMMENTS/REMARKS

OBSERVED AND REPORTED BY:

Luai Nogali 2/8/2021


HSE Signature Date

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