Information
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Please fill out the report as detailed as you can
Questions or suggestions are always welcome
Marivic Burgos: marivic.burgos@pomaritime.com or +971 56 412 2575
Speak to anyone in HSEQ
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P&O Maritime
Safety Observation Card System -
Date & Time (remember to change if reporting later) =====>
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Vessel/area
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Observation Type
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Positive
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"At Risk" action
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Unsafe Condition
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Near Miss
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Stop Work Authority Exercised
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Area (further detail /other side)
- Main deck
- Engine room
- Other below deck area
- Accom / Bridge
- Galley/Mess room
- Office
- Jetty
- Workshop
- Control room
- Other outdoor area
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Activity
- Mooring
- Pilot Transfer
- Tug Operation
- Crane forklift operation
- Drills/inspection
- Maintenance
- Bunkering
- Diving operation
- Special Ops (under PTW)
- Others
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If activity was not mentioned in the list, please write here:
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Potential - High (permanent disability/fatality/major spill/serious damage)
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Safety Actions and Observations - choose from relevant options
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Personal Behavior
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Lifting/Pulling/Pushing/Carrying
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Eyes on task
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Safe working position (line of fire)
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Use of PPE (selection and condition)
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Environment (Housekeeping,lighting,stable surface,other jobs in area,etc)
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Equipment (Right for the job,isolation in place,fall harnesses,ladders,etc)
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Procedures (PTW,Risk Assessment, aware of procedure,observing the rules,etc)
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Reason for Behavior
- Did not recognise risk
- Fatigue
- Time Pressue
- Inexperience
- "That's the way we do it"
- Design / Equipment
- Personal Standards
- Vessel/work team expectations
- Not applicable
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Observation Details
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Action Taken / Recommended
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Request HSEQ comments
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Observer Name
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Observer Company (If not P&O)
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Signature. Name or unique ID + sign to the right. =========>
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Push the "export" button, and e-mail the report to marivic.burgos@pomaritime.com
DO NOT push the "Finish" button until you have e-mailed the report.
