P&om safety observation card system checklist
Benefits - positive actions can be recorded and acknowledged -proactive focus on “at risk” actions and unsafe conditions -basic reporting gives essential statistics -“owned” by all the employees -teams manage their own issues “in house” -decisions made, action taken, move on! -focuses office attention where it is needed
What does this form include?
This form contains 21 sections:
P&O MaritimeSafety Observation Card System
Date & Time (remember to change if reporting later) =====> Date
Vessel/area
Observation Type
Positive
- Positive
- "At Risk" action
- Unsafe Condition
- Near Miss
Stop Work Authority Exercised
- Stop Work Authority Exercised
Area (further detail /other side)
Activity
If activity was not mentioned in the list, please write here:
Potential - High (permanent disability/fatality/major spill/serious damage)
- Potential - High (permanent disability/fatality/major spill/serious damage)
Safety Actions and Observations - choose from relevant options
Personal Behavior
Lifting/Pulling/Pushing/Carrying
- Lifting/Pulling/Pushing/Carrying
- Eyes on task
- Safe working position (line of fire)
- Use of PPE (selection and condition)
- Environment (Housekeeping,lighting,stable surface,other jobs in area,etc)
- Equipment (Right for the job,isolation in place,fall harnesses,ladders,etc)
- Procedures (PTW,Risk Assessment, aware of procedure,observing the rules,etc)
Reason for Behavior
Observation Details
Action Taken / Recommended
Request HSEQ comments
Observer Name
Observer Company (If not P&O)
Signature. Name or unique ID + sign to the right. =========>
Push the "export" button, and e-mail the report to marivic.burgos@pomaritime.com DO NOT push the "Fin
Use this template