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Positives observed/CommentA very tidy terminal, housekeeping was top-notch. Majority staff was in PPEs, Drivers were also being checked at gate for PPEs. Proper security check.
Staff was helpful during audit, relevant in-charges cooperated, acknowledged observations & tried to rectify them on spot.
Observatio
Observation Injury
UA / UC / n Action
No. Deviations observed and location Class Responsibility
SRV* Sub Taken
Category*** Code**
Category***
One operation's staff crossed under the parked Tank lorry.
Positions of
1 UA
people
One driver was found sitting over his truck without helmet on.
2 UA
Maintenance staff was cleaning live electrical panel in Fire Pump Area
4 with Cloth drenched with Diesel. UA
Tags & locks were not placed for switching the power source.
6 UA
NOTE: Any other comments may be written at the back of the page.
* UA=Unsafe Act; UC=Unsafe condition; SRV=Safety Rules Violation;
** F = Fatality, SI = Serious Injury. MI = Minor Injury. None = No Injury.
*** Table for Observation Category / Sub Catagory. Example = For PPEs violation having potential of head injury, Cat code will be 1 and Sub Cat code will be C.
Observation Categories
No. Observation A B C D E F G H I
Eyes and Hands/ar Harness Shoes Goggles
1 PPEs Ears Head Feet/leg Resp. system
face m Belt Destroyed scratched
Positions of Electric Caught Striking
2 people Struck by Falling Temp. exp. Inhaling Absorbing Swallowing
current b/w against
Reactions of Adjusting Changing Changing Re-arranging Attaching Improper Stops
3 people Hiding Dodging
PPEs tools positions job grounds behaviour activity
Cocks/
Right for Seat belts Restraints Used Barricade/war In safe Not Not Not
4 Tools/
the job used properly correctly ning lights condn. wearing hooked certified
Equipment
used
Fire Gas test, if
W/permit Establishe Maintaine Improper Confined
5 Adequate prevention required, Knowledge
compliance d d shoring spaces
Procedures Gaps in adequate satisfactory.
Disorganiz Obstructio Obstructio
Obstruction the Potential
ed ns by Untidy work n to waste not Health
6 Housekeepi in passage passage ignition
tools/mater stairs/ place safety managed hazard
ng ways. ways/cha source
ials plateforms equipment
nnels.
PSM/2/10 Page 1 of 1 Date Prepared: Sep 26, 2017
Rev 06 Date Revised: Feb 19, 2019
Positives observed/CommentPERSON CONTACTED IS WELL AWARE OF SAFETY RULES AND VIGILLENT ABOUT SAFETY OF OTHERS
Observation Injury
UA / UC / Observation Action
No. Deviations observed and location Sub Class Responsibility
SRV* Category*** Taken
Category*** Code**
INFORMED TO
1 DCS Room emergency gate Exit light not functioning. UC Tools_Equipment Used correctly None Electrical ELECTRICAL
SUPERVISOR
INFORMED TO
Untidy work
2 Different Material like paper cloth are scatter under the Table UC Housekeeping None Admin ADMIN
place SUPERVISOR
INFORMED TO
3 Maintenance side washroom liquied soap dispencer required. UC Tools_Equipment Used correctly None Adimin ADMIN
SUPERVISOR
INFORMED TO
Untidy work
4 Maintenance side Toilet washroom need to be cleaning. UC Housekeeping None Admin ADMIN
place SUPERVISOR
NOTE: Any other comments may be written at the back of the page.
* UA=Unsafe Act; UC=Unsafe condition; SRV=Safety Rules Violation;
** F = Fatality, SI = Serious Injury. MI = Minor Injury. None = No Injury.
*** Table for Observation Category / Sub Catagory. Example = For PPEs violation having potential of head injury, Cat code will be 1 and Sub Cat code will be C.
Observation Categories
No. Observation A B C D E F G H I
Eyes and Hands/ar Harness Shoes Goggles
1 PPEs Ears Head Feet/leg Resp. system
face m Belt Destroyed scratched
Positions_of Electric Caught
2 Struck by Falling Temp. exp. Striking against Inhaling Absorbing Swallowing
_people current b/w
Reactions_o Adjusting Changing Attaching Improper Stops
3 f_people Hiding Dodging Changing positions Re-arranging job
PPEs tools grounds behaviour activity
Cocks/
Right for Seat belts Restraints Used Barricade/warning Not Not Not
4 Tools_Equip In safe condn.
the job used properly correctly lights wearing hooked certified
ment
used Gas test, if
W/permit Establishe Maintaine Fire prevention Improper Confined
5 Procedures compliance Adequate required, Knowledge
d d in
Gaps adequate shoring spaces
Disorganiz Obstructio satisfactory. Obstructio
Obstruction the
ed ns by Potential Untidy work n to waste not Health
6 Housekeepi in passage passage
tools/mater stairs/ ignition source place safety managed hazard
ng ways. ways/cha
ials plateforms equipment
nnels.