NPL - SAFETY OBSERVATION CHECKLIST v2

• Document No.

• Audit Title

• Port / Site

• Conducted on

  Date

• Prepared by

• Personnel Involved

Task Observed:

• No. of People Observed:

• Duration

  Select => 30 minutes =>45 minutes => 60 minutes

  • => 30 minutes
  • =>45 minutes
  • => 60 minutes

TYPE OF OBSERVATION

• PPE - Personal Protective Equipment

• PP - Positions of People

• ERG - Ergonomics

• TE - Tools & Equipment

• PRO - Procedures

• ORD - Orderliness

• SEC - Security

CLASS OF OBSERVATION

• SA - Safe Act

• SRV - Safety Rule Violation

• RA - At Risk Act

• RC - At Risk Condition

• BIO - Business Improvement

• ET - Environmental Issue

• PRE - Positive Recognition

Observation:

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  Media

Actions:

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