Title Page
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Conducted on
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Indicate AM or PM
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Area where observation took place
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Prepared by
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Name of person committing infraction if known
Safety Behaviors
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What safety infraction that is being observed?
- Agent not wearing Foot Protection
- Agent not wearing Reflective Vest
- Employee using personal electronics
- Agent not using seatbelt
- Agent Walking between connected cards
- Agent towing more than 5 ULDs at once
- Equipment not set to neutral (Dimounted equipment)
- Carts and Transporters Curtains not closed when under tow
- ULD /Nets /Straps serviceability
- Serviceable nets not stored in a clean area
- Unserviceable ULDs - Pallets, Nets and Container are not segregated
- Truck is not been Chocked at the Dock
- Equipment Checks, Forklifts /Tugs /Carts /Transporters /ULDs /Pallets /Nets
- Others
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Add any additional information regarding this infraction:
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