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Safety Observation Report

This safety observation report form allows users to document a safety observation at a worksite. It collects details of the observation including date, location, category of the observed safety issue, a description of the observation, any positive safety practices noticed, areas for improvement, recommendations, actions taken, plans for follow up, and additional comments. The form is used to report safety issues and ensure recommended actions are implemented to address safety hazards.

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raja ahmed
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523 views3 pages

Safety Observation Report

This safety observation report form allows users to document a safety observation at a worksite. It collects details of the observation including date, location, category of the observed safety issue, a description of the observation, any positive safety practices noticed, areas for improvement, recommendations, actions taken, plans for follow up, and additional comments. The form is used to report safety issues and ensure recommended actions are implemented to address safety hazards.

Uploaded by

raja ahmed
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

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Safety Observation Reporting Form


OBSERVATION DETAILS

Date and time of the


Observation :

Location of the Observation :

Describe the observed situation :


or behavior

OBSERVATION CATEGORY

Select the appropriate category for the Observation:

Personal Protective Equipment (PPE)

Hazardous Material Handling

Equipment or Machinery Usage

Ergonomics and Body Mechanics

Housekeeping and Cleanliness

Emergency Preparedness
Other (specify) :

DESCRIPTION OF OBSERVATION

Provide a detailed description of :


the observed situation or behavior

POSITIVE ASPECTS

Identify any positive aspects or :


safe practices observed

AREAS FOR IMPROVEMENT

Identify any areas for :


improvement or potential safety
hazards observed

RECOMMENDATIONS

Provide recommendations for


:
addressing the identified areas for
improvement or potential safety
hazards

ACTION TAKEN

Describe any immediate action :


taken or suggested actions to be
taken based on the observation
FOLLOW-UP

Will a follow-up be conducted to


ensure that the recommended
actions are implemented? : ✘ YES NO

If yes, specify the person(s)


responsible for the follow-up :

ADDITIONAL COMMENTS

Is there any additional information


:
or comments you would like to
include?

REPORT FILTER

Name :

Job Title / Role :

Contact Details :

Safety Observation Reporting Form OBSERVATION DETAILS Date and time of the Observation : Location of the Observation : Descr
Other (specify) : DESCRIPTION OF OBSERVATION Provide a detailed description of the observed situat
FOLLOW-UP Will a follow-up be conducted to ensure that the recommended actions are implemented? : YES NO If yes

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