Field Safety Tech. Daily Reports

• Field Safety Coordinator:

  Select Gene Sones Joey Langton Keith Nett

  • Gene Sones
  • Joey Langton
  • Keith Nett

• Conducted on

  Date

Location #1

• Client Name

  Select SHELL OIL EOG RESOURCES MID STATES

  • SHELL OIL
  • EOG RESOURCES
  • MID STATES

• Location Name:

• List all Audits, Site Inspections, Assessments and Drills completed while on location.

  Select Leadership Tour HSE Audit Documentation Audit Site Inspection PPE Assessment Emergency Drills

  • Leadership Tour
  • HSE Audit
  • Documentation Audit
  • Site Inspection
  • PPE Assessment
  • Emergency Drills

• List total number of how many completed.

• List any Equipment Inspections completed.

  Select Fire Extinguisher Electrical Cords, Tools Harness / Lanyard Slings / Straps Ladder First Aid Kit

  • Fire Extinguisher
  • Electrical Cords, Tools
  • Harness / Lanyard
  • Slings / Straps
  • Ladder
  • First Aid Kit

• List each Inspection and how many completed.

• Comments:

  YES

  NO

  N/A

Location #2

• Client Name

  Select SHELL OIL EOG RESOURCES MID STATES

  • SHELL OIL
  • EOG RESOURCES
  • MID STATES

• Location Name:

• List all Audits, Site Inspections, Assessments and Drills completed while on location.

  Select Leadership Tour HSE Audit Documentation Audit Site Inspection PPE Assessment Emergency Drills

  • Leadership Tour
  • HSE Audit
  • Documentation Audit
  • Site Inspection
  • PPE Assessment
  • Emergency Drills

• List total number of how many completed.

• List any Equipment Inspections completed.

  Select Fire Extinguisher Electrical Cords, Tools Harness / Lanyard Slings / Straps Ladder First Aid Kit

  • Fire Extinguisher
  • Electrical Cords, Tools
  • Harness / Lanyard
  • Slings / Straps
  • Ladder
  • First Aid Kit

• List each Inspection and how many completed.

• Comments:

  YES

  NO

  N/A

Location #3

• Client Name

  Select SHELL OIL EOG RESOURCES MID STATES

  • SHELL OIL
  • EOG RESOURCES
  • MID STATES

• Location Name:

• List all Audits, Site Inspections, Assessments and Drills completed while on location.

  Select Leadership Tour HSE Audit Documentation Audit Site Inspection PPE Assessment Emergency Drills

  • Leadership Tour
  • HSE Audit
  • Documentation Audit
  • Site Inspection
  • PPE Assessment
  • Emergency Drills

• List total number of how many completed.

• List all Equipment Inspections completed.

  Select Fire Extinguisher Electrical Cords, Tools Harness / Lanyard Slings / Straps Ladder First Aid Kit

  • Fire Extinguisher
  • Electrical Cords, Tools
  • Harness / Lanyard
  • Slings / Straps
  • Ladder
  • First Aid Kit

• List each Inspection and how many completed.

• Comments:

  YES

  NO

  N/A

Location #4

• Client Name

  Select SHELL OIL EOG RESOURCES MID STATES

  • SHELL OIL
  • EOG RESOURCES
  • MID STATES

• Location Name:

• List all Audits, Site Inspections, Assessments and Drills completed while on location.

  Select Leadership Tour HSE Audit Documentation Audit Site Inspection PPE Assessment Emergency Drills

  • Leadership Tour
  • HSE Audit
  • Documentation Audit
  • Site Inspection
  • PPE Assessment
  • Emergency Drills

• List total number of how many completed.

• List any Equipment Inspections completed.

  Select Fire Extinguisher Electrical Cords, Tools Harness / Lanyard Slings / Straps Ladder First Aid Kit

  • Fire Extinguisher
  • Electrical Cords, Tools
  • Harness / Lanyard
  • Slings / Straps
  • Ladder
  • First Aid Kit

• List each Inspection and how many completed.

• Comments:

  YES

  NO

  N/A

Location #5

• Client Name

  Select SHELL OIL EOG RESOURCES MID STATES

  • SHELL OIL
  • EOG RESOURCES
  • MID STATES

• Location Name:

• List all Audits, Site Inspections, Assessments and Drills completed while on location.

  Select Leadership Tour HSE Audit Documentation Audit Site Inspection PPE Assessment Emergency Drills

  • Leadership Tour
  • HSE Audit
  • Documentation Audit
  • Site Inspection
  • PPE Assessment
  • Emergency Drills

• List total number of how many completed.

• List any Equipment Inspections completed.

  Select Fire Extinguisher Electrical Cords, Tools Harness / Lanyard Slings / Straps Ladder First Aid Kit

  • Fire Extinguisher
  • Electrical Cords, Tools
  • Harness / Lanyard
  • Slings / Straps
  • Ladder
  • First Aid Kit

• List each Inspection and how many completed.

• Comments:

  YES

  NO

  N/A

Location #6

• Client Name

  Select SHELL OIL EOG RESOURCES MID STATES

  • SHELL OIL
  • EOG RESOURCES
  • MID STATES

• Location Name:

• List all Audits, Site Inspections, Assessments and Drills completed while on location.

  Select Leadership Tour HSE Audit Documentation Audit Site Inspection PPE Assessment Emergency Drills

  • Leadership Tour
  • HSE Audit
  • Documentation Audit
  • Site Inspection
  • PPE Assessment
  • Emergency Drills

• List total number of how many completed.

• List any Equipment Inspections completed.

  Select Fire Extinguisher Electrical Cords, Tools Harness / Lanyard Slings / Straps Ladder First Aid Kit

  • Fire Extinguisher
  • Electrical Cords, Tools
  • Harness / Lanyard
  • Slings / Straps
  • Ladder
  • First Aid Kit

• List each Inspection and how many completed.

• Comments:

  YES

  NO

  N/A

Proactive Measures

• List any Proactive's for the day.

  Select Safety Trainings Equipment Certifications Goalie Nominations Random Drug Screens

  • Safety Trainings
  • Equipment Certifications
  • Goalie Nominations
  • Random Drug Screens

• List all Proactive's completed for the day and the total for each.