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Health Safety Environment Near Miss

This observation card from an Africa Q-HSE department documents a potential health, safety, or environmental issue. It collects information about the location, nature, and description of the observation as well as any immediate actions taken and further actions suggested. The card also categorizes the observation under topics like people, work environment, tools/equipment, PPE, environment, and procedures to help analyze the root cause.

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dnmule
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143 views1 page

Health Safety Environment Near Miss

This observation card from an Africa Q-HSE department documents a potential health, safety, or environmental issue. It collects information about the location, nature, and description of the observation as well as any immediate actions taken and further actions suggested. The card also categorizes the observation under topics like people, work environment, tools/equipment, PPE, environment, and procedures to help analyze the root cause.

Uploaded by

dnmule
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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AFRICA Q-HSE DEPARTMENT

OBSERVATION CARD
Document N°: BLX-AFR-HSE-F-0600 Rev 01
Name: People
Department: Date and Time: Planning / Communication Positions / Handling / Lifting
Procedure not enforced Other
Location of Observation:
Work Environment
Nature of     Near Noise / Heat / Ventilation
Observation: Health Safety Environment Miss Ergonomics
Lighting / No barriers & signs
Work Surfaces / Area
Description of Observation: Hygiene / Health
Other
Housekeeping
Tools and Equipment
Selection / Use
Other
Condition / Maintenance
PPE
Head / Face / Eyes / Ears
Hands / Arms
Reflector
Immediate actions taken: Trunk / Feet / Legs
Fall protection
Other
Respiratory System
Environment
Trash not disposed Material incorrectly stored or
Energy / Water Waste labeled
Air Emissions / Spills Other
Procedure and training
Further Actions Suggested: Unsuitable procedure
Other
Procedure not known
Positive Comment
Positive Comment

Document N°: BLX-AFR-HSE-F-0600 Rev 01


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