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  • Prepared by

  • Your Safety Observation Record
    Thank you for taking the trouble to take a look at this app.
    You might ask 'What is a near miss or close call?' The simply answer is, if you think it is a near miss then it is. It's your opinion that matters.
    So, why is it important that we consider acting upon what we see?
    Well, there are a number of benefits, both for those working on site and for their employers. Firstly, if you see something happening that has the potential to cause harm then action can be taken, there and then, to stop it before any real damage is done. If it is followed up with some kind of report then it can be investigated and changes made that may prevent it happening again.
    But we don't just want to hear about poor practice. There are a lot of really good things happening on sites that we don't necessarily get to hear about, unless you take the trouble to tell us.
    Ultimately everybody benefits from your observations, so on behalf of everyone I would like to say "Thank You" for this report.

  • Please enter the name of the project where your observation was made

  • Contract Number

  • Add Observation
  • Please enter the date and time the observation was made

  • Do you consider what you saw as GOOD or POOR practice Or Unsafe?

  • Please tell us how what you have seen has been reported. You can select as many as you want from the drop down list.

  • Please describe what you saw. Include as much detail as possible. The more information you can provide the more accurately we can assess the circumstances. Where on the site did this occur? What was happening at the time? How many people were involved? (You do not need to gives names.) What was your particular concern?

  • If you have any photographs they can be attached here.

  • If you have any suggestions about how your observation should be addressed please add them here.

  • Please select which ONE of the following categories you feel is most appropriate.

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.