HSE Observation Report Format
HSE Observation Report Format
Project :
Report
Number:
Consultant
Main Contractor
Inspected By:
Accompanied by:
Categories Checked:
• walking,Working, surface
• barricades/signage
• First aid
• Fire precautions
• Housekeeping
• PPE
• Electricity
• Plant/Machinery
• Access/Egress
• Working at height
• Vehicles/ Heavy equipment
• Hazardous substances
• Permit systems
• Trainings
• Environmental
Hazard observations:
Sr.
No
Description of hazard
Photos
Risk Rating
Action required
Responsibility
H
M
L
Company Name
Water coolers are not working. No cool water available for workers at site.
Provide training for workers about safe work methods with abrasive machines.
Unsafe scaffolding observed at site. Absence of guard rails , ladder access, wooden boards and supports observed.
Action Plan:
Sr.No
Description of required action
Responsibility
Target Date
Closing date
Status
(Closed/Open)
Immediate
Immediate
Closed
10-11-2019
10-11-2019
Closed
Provide training for workers about safe work methods with abrasive machines.
11-11-2019
11-11-2019
Closed
Open
12-11-2019
12-11-2019
Closed
Close out By Site Execution :
Noted By HSE Department
Name:
Designation:
Signature:
Name:
Designation:
Signature:
Follow up: At a later date please attach the communication evidence & agreed solution for the rectification of non conformity.
Reviewed By HSE Manger
Name
Signature:
Date:
Comments: