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Form Safety Stop Card

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Dodik Parulian
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646 views1 page

Form Safety Stop Card

Uploaded by

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

SAFETY STOP CARD SAFETY STOP CARD

Date : Observer : Date : Observer :


Time : Position : Time : Position :
Location : Location :

Observation Observation
□ Unsafe Actions □ Safe Actions □ Unsafe Actions □ Safe Actions
□ Unsafe Conditions □ Safe Conditions □ Unsafe Conditions □ Safe Conditions

Description: Description:

Action Action
Immediate Action: Immediate Action:

Further Action/Recommendation for Improvement: Further Action/Recommendation for Improvement:

SAFETY STOP CARD SAFETY STOP CARD


Date : Observer : Date : Observer :
Time : Position : Time : Position :
Location : Location :

Observation Observation

□ Unsafe Actions □ Safe Actions □ Unsafe Actions □ Safe Actions


□ Unsafe Conditions □ Safe Conditions □ Unsafe Conditions □ Safe Conditions

Description: Description:

Action Action

Immediate Action: Immediate Action:

Further Action/Recommendation for Improvement: Further Action/Recommendation for Improvement:

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