Subsea NAR HSE: WorkSafe Card

• Prepared by

• Conducted on

  Date

Business Units

• BS

• Engineering

• Drilling Tech

• Maintenance

• M&LO

• PS

• Subsea

• WIS

• Umbilicals

Facility

Body Position

• Avoids walking/working under loads

  Safe

  At Risk

  N/A

• Excessive lifting/pushing/pulling/bending

  Safe

  At Risk

  N/A

• In harm's way

  Safe

  At Risk

  N/A

• Pinch points

  Safe

  At Risk

  N/A

• Office ergonomics

  Safe

  At Risk

  N/A

• Walking/climbing

  Safe

  At Risk

  N/A

Procedure/Policies

• Authorization/permits to work

  Safe

  At Risk

  N/A

• Barricades/barriers

  Safe

  At Risk

  N/A

• Communication between workers

  Safe

  At Risk

  N/A

• Distracted driving

  Safe

  At Risk

  N/A

• JSA/operating procedure

  Safe

  At Risk

  N/A

• Worker fatigue

  Safe

  At Risk

  N/A

Personal Protective Equipment

• Eye/face protection

  Safe

  At Risk

  N/A

• Fall protection

  Safe

  At Risk

  N/A

• Foot/leg protection

  Safe

  At Risk

  N/A

• Hand/arm protection

  Safe

  At Risk

  N/A

• Hearing protection

  Safe

  At Risk

  N/A

Tools & Equipment Use

• Condition of hoses/connections/gauges

  Safe

  At Risk

  N/A

• Equipment selection/condition/use

  Safe

  At Risk

  N/A

• Hand tool selection/condition/use

  Safe

  At Risk

  N/A

HSE Condition

• HSE At-Risk Condition

• Explain HSE impact

Description of Observation

Action Taken for At-Risk Behavior

• Intervened and stopped act

  Yes

  N/A

• Coached and corrected at-risk behavior

  Yes

  N/A

• Eliminated/mitigated the hazard(s)

  Yes

  N/A

• Stop Work Used

  Yes

  N/A

• Requested action from HSE

  Yes

  N/A

Safe Behavior(s)

• Feedback given to reinforce safe behavior(s)

  Yes

  N/A

• Nominated for recognition

  Yes

  N/A

• Other comments

  Yes

  N/A

Improvement Opportunities

Follow-up Process

• Feedback Requested

• Observation Closed

Sign Off

• Auditor's signature

  Sign