S.T.E.P. Observation

• Document No.

• Vessel Name

• Conducted on

  Date

• Observer's Name

• Customer

• Location

• Job Activity

• ALL OBSERVATIONS MUST BE ANNOUNCED

• Type of Observation

  Select Planned Randon

  • Planned
  • Randon

Personal Protection

• Is the employee wearing PPE when performing task?

• Head

  Safe

  At Risk

  N/A

• Work Vest

  Safe

  At Risk

  N/A

• Eyes

  Safe

  At Risk

  N/A

• Ears

  Safe

  At Risk

  N/A

• Harness / Lanyard

  Safe

  At Risk

  N/A

• Hands

  Safe

  At Risk

  N/A

• Feet

  Safe

  At Risk

  N/A

• Respiratory

  Safe

  At Risk

  N/A

Slips, Trips, & Falls

• Is there anything that can cause the employee to Slip, Trip, or, Fall?

• Housekeeping

  Safe

  At Risk

  N/A

• Ladders

  Safe

  At Risk

  N/A

• Stairs

  Safe

  At Risk

  N/A

• Open Holes

  Safe

  At Risk

  N/A

• Walkways

  Safe

  At Risk

  N/A

• Balance / Grip

  Safe

  At Risk

  N/A

Material Handling

• Is the employee handling materials/cargo at risk or desirably?

• Manual Lifting

  Safe

  At Risk

  N/A

• Mechanical Lift

  Safe

  At Risk

  N/A

• Body Position

  Safe

  At Risk

  N/A

• Communications

  Safe

  At Risk

  N/A

• Inspections

  Safe

  At Risk

  N/A

• Line of Fire

  Safe

  At Risk

  N/A

• Pinch Points

  Safe

  At Risk

  N/A

Tools & Equipment

• Is the employee using tools at risk or desirably?

• Proper Tool

  Safe

  At Risk

  N/A

• Proper Use

  Safe

  At Risk

  N/A

• Inspection

  Safe

  At Risk

  N/A

• Guards

  Safe

  At Risk

  N/A

• Condition

  Safe

  At Risk

  N/A

• Lockout / Tagout

  Safe

  At Risk

  N/A

• Secured

  Safe

  At Risk

  N/A

• Pinch Point

  Safe

  At Risk

  N/A

• Line of Fire

  Safe

  At Risk

  N/A

Personnel Transfer

• Is the employee transferring other or himself at risk or desirably?

• Personnel

  Safe

  At Risk

  N/A

• Transfer

  Safe

  At Risk

  N/A

• Swing Rope

  Safe

  At Risk

  N/A

• Gangway

  Safe

  At Risk

  N/A

• Vessel to Vessel

  Safe

  At Risk

  N/A

Procedures

• Did the employee follow procedures?

• Pre-Job

  Safe

  At Risk

  N/A

• Product Transfer

  Safe

  At Risk

  N/A

• Confined Space

  Safe

  At Risk

  N/A

• Hot Work

  Safe

  At Risk

  N/A

• Environmental

  Safe

  At Risk

  N/A

Comments

• Did you call a time out?

  Yes

  No

• Did you correct the At Risk Activity? (Explain)

• Observer's Name and Signature

  Sign