Title Page

  • Conducted on

  • Indicate AM or PM

  • Where observation took place; T2, T4, DCI, Bagroom, and PAD

  • Gate, MU or PAD number or Work area

  • Prepared by

  • Personnel

Safety Observation

  • Safety concerns

  • Add any additional information:

  • Add media

GSE involvement

  • Is GSE involved?

  • Type of GSE:

  • GSE Number:

  • Location that GSE being taking to:

Damage

  • Did this safety infraction resulted on a damage?

  • Aircraft type:

  • Ship number:

  • Type of Aircraft Damage:

Injury

  • Did this safety infraction resulted on an injury?

  • Briefly describe the injury:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.