AK Steel Safety Observation Feedback - duplicate

• Select date

  Date

• Type of Observation:

  Select Planned Unplanned

  • Planned
  • Unplanned

• Employee Name:

• Name of Person Completing This Audit:

• Other:

Employee Info.

• Employee Trade/Job Title:

  Steamfitter

  Sheet Metal

  Labor

  Subcontractor

  Other

• Name of Foreman:

Job Information

• Where is the Observation Taking Place? (i.e. Cold Mill, etc.)

• How did the observed employee perform?

  Select Job Well Done Unsafe Act Violation

  • Job Well Done
  • Unsafe Act
  • Violation

• Description of Observation: (example: Welding/assisting in #2 TCM start up. Acting as General Foreman).

• Add media

  Media

• Corrective Action Taken?

  Select Yes Not Required

  • Yes
  • Not Required

• If Necessary, What Corrective Action Will Be Taken?

  Select No Action Required Re-training Time off Faulty tool or equipment was replaced Other (please explain, below)

  • No Action Required
  • Re-training
  • Time off
  • Faulty tool or equipment was replaced
  • Other (please explain, below)

• Other/Notes:

• Has the observed employee been notified of any safety violations and/or corrective actions?

  Yes

  No

  Not Applicable