SAFETY REPORTING

Report a safety observation

Record an unsafe act or condition, the action taken, and whether further follow-up is needed.

Reporter Information

Reporter Name

Reporter Category

Reporter Department

Location Details

Plant

Plant Location

Exact Location

Supervisor of the Task

Contractor Involved?

Observation Details

Observation Type

Observation Date

Observation Time

Detailed Unsafe Act / Unsafe Condition

Immediate Action Taken

Observation Closure Status

Select Open if further action is needed. Select Closed if resolved; no further closure or verification is required.

Golden Rules Violated

Select the Golden Rule(s) violated (if applicable).

Do not bypass safety controls

Obtain confined space permit

Comply with driving rules

Isolate hazardous energy

Obtain hot work permit

Avoid line of fire

Lift items safely

Obtain work authorization

Obtain working at height permit

Risk Assessment

Severity Category

Severity Level

Likelihood of Occurrence

Criticality

Criticality will appear here

Attachments (Images / Videos)

📁 Upload Files

Upload files or capture from camera.