Safety Observation Report

Use this Template to Report Unsafe or Hazardouse conditions at Job site

Project Shura West Hotel
Location

Type of Observation Unsafe Action

Unsafe Condtions
Choose one Near Miss
Unsafe Behavior
Describe Your Observaiton

Did you take any

action to remediate YES NO
the hazard?
If so Describe

Urgency of situation Low

Choose one Medium
High
Who should this be
Reported to
Further Action Required YES NO
Name of Person Reporting
Department
Date / /
Time : AM/PM

HSE Officer HSE Manager Construction Manager Project Manager