MASTOURA FOR TRADING AND CONTRACTING COMPANY
PROJECT:___________________________________________
DAILY SAFETY OBSERVATION REPORT
OBSERVATION CHECKLIST: 3. TOOLS AND EQUIPMENT
WORK PERMIT NUMBER CORRECT FOR THE JOB
HOT USED PROPERLY
COLD CONDITION
CONFINED SPACE ENTRY (CSE) 4. PROCEDURES AND HOUSEKEEP
PPE: PROCEDURES ADEQUATE
1. PERSONAL PROTECTIVE EQUIPMENT PROCEDURES KNOWN/UNDERSTOOD
HEAD PROCEDURES FOLLOWED
EARS HOUSEKEEPING
EYES AND FACE WARNING SIGNS BARRICADE
RESPIRATORY SYSTEM FIRE EXTINGUISHER
HANDS 5. CERTIFICATIONS / ORIENTATION
BODY SAFETY ORIENTATION
FEET PERMIT RECEIVER EXAM/CERTIFICATIONS
FALL PROTECTION LICENSE
2. POSITIONS OF PEOPLE 6. SANITATION
FALLING TOILETS
OVEREXERTION WASHING FACILITIES
STRIKING AGAINST / STRUCK BY POTABLE WATER
CAUGHT BETWEEN OBJECTS EATING AND DRINKING AREAS
INTAKE/CONTACT WITH HAZARDOUS SUBSTANCE 7. OTHERS
CONTACT WITH HOT/COLD SURFACE H2S DETECTOR
CONTACT WITH ELECTRIC CURRENT FIRST AID KIT
IN-CHARGE PERSONNEL/FOREMANN/SUPERVISOR BADGE NUMBER
ACTION NEEDED RESPONSIBLE PERSON To Be Mark by the Safety Officer
( ) Corrective Action APPROVED and DONE
( ) Further Action Required
( ) Not Acceptable
REMARKS:
ISSUED BY: PRESENTED TO:
SAFETY OFFICER PROJECT MANAGER