Information
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MAERSK RETROFIT PROJECTS
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SPECIFIC TO: definitions)
PROJECT
All reports related to the project, this includes structures, areas used for construction including subcontractors and Vendors facilities.
YARD / Other Projects:
All reports not directly related to the project such as traffic, yard facilities and observations on other projects. -
Specific to:
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AREA
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VESSEL NAME (IF APPLICAPLE)
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LOCATION
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Conducted on
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Definitions:
POSITIVE REPORT:
Condition or act above expected standard evident of a strong positive safety culture
OBSERVATION:
No incident occurred, can be immediately remedied with no further follow up required.
UNSAFE ACT / CONDITION:
No Incident occurred, can not be immediately remedied, further follow up required.
NEAR MISS:
Incident occurred, but has not led to personal injury -
Prepared by
Report type
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Report Type
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Category
- POSITIVE REPORT
- HOUSEKEEPING
- FIRE & EXPLOSIONS HAZARD
- MECHANICAL / MACHINERY
- HAZARDOUS SUBSTANCES
- ELECTRICAL
- ENVIRONMENTAL
- SLIPS, TRIPS & FALLS
- PPE
- SCAFFOLDING
- BARRIERS & SIGNS
- AMBIENT CONDITIONS (ventilation, light, temperature)
- WORKING AT HEIGHTS
- DROPPED OBJECTS
- LIFTING & LIFTING EQUIPMENT
- PRESSURE TESTING / FLUSHING
- PERMIT TO WORK / PROCEDURES
- CONFINED SPACE ENTRY
- NOISE
- VIBRATION
- RADIATION
- ACCESS & SAFE WALKWAYS
- TRAFFIC
- MANUAL HANDLING
- OTHER HAZARDS
Description of Hazard
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Description of Hazard and how it poses a risk ( or positive observation)
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Photos of Hazard / Observation
Assessment of Risk
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Reasonable forseeable outcome if an incident occurred
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Risk Rating is the product of Consequence and Likelihood as per below image
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RISK RATING
- LOW
- MODERATE
- HIGH
- CATASTROPHIC
Control the hazard
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Corrective Action
- Corrected immediately by reporter
- Corrected immediately by Yard / contractor
- Worker / Supervisor informed
- Yard safety rep. informed
- Reported to FT HSE Representative
- As described Below
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Describe actions ( If applicable)
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Photos of corrective action
Name and signature of issuer
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Name