H.O.R.

E Observation(s)
Hazard Observation & Risk Evaluation
Offshore Onshore Refinery
Observation Audit Stop Work
You/We are:
Manager Supervisor Discussion(s)
Name :
Location :

Date & Time : sign

SAFE : Action Condition Agreement (Action(s) to be taken)
AT-RISK : Action Condition
PEOPLE
PLACE
PLANT
PROCEDURE Number of Participants involved (Observers+Observee)
FALLS Observer(s):
ENERGY
ERGONOMICS Observees:
STRUCK BY/AGAINTS
HSE-2021 OTHERS Total

H.O.R.E Observation(s)
Hazard Observation & Risk Evaluation
Offshore Onshore Refinery
Observation Audit Stop Work
You/We are:
Manager Supervisor Discussion(s)
Name :
Location :

Date & Time : sign

SAFE : Action Condition Agreement (Action(s) to be taken)
AT-RISK : Action Condition
PEOPLE
PLACE
PLANT
PROCEDURE Number of Participants involved (Observers+Observee)
FALLS Observer(s):
ENERGY
ERGONOMICS Observees:
STRUCK BY/AGAINTS
HSE-2021 OTHERS Total