OBSERVATION REPORT
Observation Report Number
Input OBS(Number)
Name of Project
Name of Safety Advisor
Description of Observation
Observation Category
*
General Site Rules
Use of PPE
Usage of Hand/Power tools
Lifting Operations
Manual Handling
Work at Height
Scaffolding
Housekeeping
Hotworks
Usage of Hazardous Substances
Category
Low
Medium
High
Location
Photo of Observation
*
Legal Reference, if Applicable
DM COP-3 -Occupational Health/ Environmental Control
DM COP-4-PPE
DM COP-5- Fire Protection/Prevention
DM COP-6- Signs, Signals and Barricades
DM COP-7- Material Handling and Storage
DM COP-8-Scaffolding Safety
DM COP-9-Excavation
DM COP-14- Hand/Power tools
DM COP-15-Welding and Cutting
DM-COP-16-Electrical Hazards
DM COP-17-LOTO
DM COP-18-COSHH
DM COP-19-Confined Space
DM COP-20- Road works/Site Planning
DM-COP-21-Sling/Rigging Equipment
DM-COP-22-Cranes
OSHAD COP-1-Hazardous Materials
OSHAD COP-2-PPE
OSHAD COP-3-Noise
OSHAD COP-4-First Aid
OSHAD COP-8- General Workplace Amenities
OSHAD COP-9-Workplace Wellness
OSHAD COP-11- Safety in Heat
OSHAD COP-13-Workplace Violence
OSHAD COP-14- Manual Handling
OSHAD COP-15- Electrical Safety
OSHAD COP-17-Safety Signage/Signals
OSHAD COP-20- Safety in Design
OSHAD COP-21- PTW Systems
OSHAD COP-22- Barricading of Hazards
OSHAD COP-23-Working at Height
OSHAD COP-24- LOTO
OSHAD COP-26-Scaffolding
OSHAD-COP-27-Confined Space
OSHAD-COP-28-Hot Work
OSHAD- COP-29-Excavation
OSHAD-COP-31-Working on, over or Adjacent to Water
OSHAD-COP-33-Working on or Adjacent to a Road
OSHAD-COP-34-Safe use of Lifting Equipments
OSHAD-COP-35- Portable Power tools
OSHAD-COP-36-Plant and Equipment
OSHAD-COP-37-Ladders
OSHAD-COP-40-False Work
OSHAD COP-43-Temporary Structures
OSHAD COP-47-Machine Guarding
OSHAD COP-48-Spray Finishing
OSHAD COP-49-Compressed Gases
OSHAD 53-OHS Management during Construction Work
OSHAD-COP-54-Waste Management
Action plan to be implemented
Person responsible for implementation
Time frame for Implementation
Signature of person responsible
*
I agree to take responsibility in implementing the corrective action in order to close the observation and ensure that proper supervision is in place to prevent it from happening again.
Signature of Safety Advisor
Submit
Should be Empty: