SAFETY OBSERVATION CARD

KEEP YOU WORKPLACE SAFE * Look out for your own safety at all times. * Look out for your colleagues safety at all times * Always follow approved procedures * Check for hazards in your work area * Do you need to take any further precautions? * Stay alert also when you are off duty No job is so important that it cannot be done safely. IF IN DOUBT - STOP

Information Required

Safety Observation Card

Incident Date: *

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Observation type *

Type of Observation: *

Category *

Incident Title *

Description of Safety Observation: *

Immediate Action Taken: *

Corrective Action Suggested: *