Information
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MAERSK DRILLING XLE-4 PROJECT AT DSME
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SPECIFIC TO: definitions)
PROJECT
All reports related to the Jack up project, this includes structures, areas used for construction including subcontractors and Vendors facilities.
YARD:
All reports not directly related to the project such as traffic, yard facilities and observations on other projects.
MD:
Reports where corrective action is to be taken internally by MD Site such as office facilities not related to Emergencies, Access etc. -
SPECIFIC TO:<br>
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AREA
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LOCATION
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Conducted on
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Prepared by
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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
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 (Not applicable for positive observation)
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Reasonable foreseeable outcome be if an incident occurred
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Consequence
- 1 Insignificant
- 2 Minor
- 3 Moderate
- 4 Major
- 5 Catastrophic
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Likelihood
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Risk Rating
Control the hazard
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Corrective Action
- Corrected immediately by reporter
- Corrected immediately by Yard / contractor
- Worker / Supervisor informed
- DSME safety rep. informed
- Reported to DSME
- As described Below
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Describe actions ( If applicable)
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Photos of corrective action
Long term recommendations
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Describe recommendations
Name and signature of issuer
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Name