安全隐患观察卡范本.doc

Safety Observation and communication Report No: (No.Year/Site) ___________ Part 1: planned observers.(All SMOE and PTTEP employees and contractors) OBSERVED BY:_______________________________ COMPANY: ________________ POSITION:_______________________ DATE : __________________ TIME:______________________________ LOCATION:_______________________________________________________________ Please check and mark ( ) in BLOCKS Personal protective equipment Safe At risk N/A Positions of people Safe At risk N/A Head protection (helmet) Eyes and face protection (Goggles, face shield, glasses) Hearing protection (ear plugs, ear muffs) Respiratory protection (mask, filter) Hand protection (gloves) Fall protection (harness) Coverall Legs and feet protection (safety shoes) Free from striking against/being struck by objects Working in area of potential fall Safety from electric current Free from hazardous substances Working under load Procedures Safe At risk N/A Know the procedure of the job Understand content of the procedure Procedure is adequate Follow the procedure correctly Comply with permits Comply with lockout/tagout Reactions of people during observation Safe At risk N/A Is he adjusting personal protective equipment Is he changing position suddenly? Is he rearranging job? Is he changing tools? Tools and equipment Safe At risk N/A Right for the job In safe condition and ready to use Used correctly Removing machine safety guards FeedbackSafety Observation and communicationDecideStop ReportAct/discussObservation Feedback Safety Observation and communication Decide Stop Report Act/discuss Observation Safe practices: ____________________________________________________________________ ___________________________________________