Safety Observation Form

Reporter's Name:
Location: Select an option HMW LMW Stabling Area Office Warehouse Other
Location Details:
Reporting Company: Select an option CRRC ELTEL ALSTOM CRTG TEVEL NTA
Type of Observation: Select an option Near Miss Unsafe Act Hazard Positive Feedback
Type of Hazard: Select an option Electrical hazard Working at height Mechanical Slips, trips, and falls Fire Chemical Noise Other
Detailed Description:
Immediate Actions Taken:
Suggestions for Improvement:
Attached file: