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SAFETY OBSERVATION CARD
YUDIN · Demob after CONGO/ BOUESSO JACK UP
Type of card
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Observation
Intervention
Positive
Name of observer
Department
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— choose —
Nautical
Engine
Electrical
Construction
Catering
Office
HSE
Subcontractor
Client
Location
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Description
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Immediate action taken
*
Further action required
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No
Yes
Proposed further action
Category
— choose —
Barriers & Exclusion Zones
Communication & Coordination
Confined Space Awareness
Energy Isolation / LOTO
Hot Work Control
Lifting & Rigging Operations
Line of Fire Awareness
Manual Handling & Ergonomics
Pinch Points / Crush Zones
Pre-Job Planning & Toolbox Talk
Rules / Procedures Compliance
SIMOPS Awareness
Situational Awareness (Eyes on Task / Path)
Slips / Trips / Falls Prevention
Use of Tools and Equipment
Use of PPE - Drowning Protection
Use of PPE - Eye / Face Protection
Use of PPE - Fall Protection
Use of PPE - Foot / Ankle Protection
Use of PPE - Hand / Arm Protection
Use of PPE - Head Protection
Use of PPE - Hearing Protection
Use of PPE - Protective Clothing
Use of PPE - Respiratory Protection
Use of PPE - Working at Height
Working at Height
Defective or Damaged Equipment
Fire / Explosion Hazard
Improper Material Storage
Inadequate or Missing Guards / Barriers
Loose or Misplaced Objects (Dropped Object Risk)
Maintenance Deficiency
Poor Housekeeping
Slippery / Uneven Surfaces
Structural Integrity / Working Surfaces
Third-Party / SIMOPS Interface Hazard
Unsafe Access / Egress
Unsafe Workplace Layout
Warning / Alarm Systems Inadequate
Certification / Compliance Issue
Change Not Properly Managed (MOC)
Documentation Incomplete / Incorrect
Equipment or Material Not Fit for Purpose
Inspection / Verification Not Performed
Permit to Work Issue
Planning or Scheduling Issue
Procedure / Work Instruction Not Followed
Training / Competence Inadequate
Air Emissions / Exhaust Issue
Chemical Spill or Handling Issue
Deck Contamination
Environmental Protection Missing / Inadequate
Oil / Hydraulic Leak
Overboard Discharge Risk
Spill Response Equipment Not Available
Waste Segregation Issue
Waste Storage / Disposal Issue
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