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Information
Document No.
Select Project at right
Conducted on
Prepared by
Superintendent
Field Engineer
Foreman
List any other participants
Observation
Tap the button to the right to start observation(s), Good or Bad.
Observation
Select appropriate classification at right. Then use the space below to describe the Location / Persons involved / Other details. Tap the 'Media' button to add a photo.
Choose one or more craft disciplines involved?
Civil
Concrete
Steel
Pipe
Electrical
Instrumentation
Boilermaker
Startup
Other
Define "Other" craft.
Choose Leading Indicator.
Poor Positioning
Inattention
Poor Communication
PPE Misused
Poor Execution
Poor Conditions
Zero Tolerance
Good
Other
Select more detail at right.
Select more detail at right.
Select more detail at right.
Select more detail at right.
Select more detail at right.
Select more detail at right.
Select more detail at right.
Define "Other" Leading Indicator
Identify level of risk to People or Equipment
Has the issue been fixed?
Responsible Person
Enter due date
Tap the 'Add Observation' button at the top of the page, or tap a + button to add more observations.
Finish
To make more observations, go to the previous section and tap the 'Add Observation' button, or tap one of the + buttons.
To complete this form, click the 'Finish' button below.
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.
