Form Observasi Keselamatan (K3)

Informasi Pelapor

Nama Observer: N/A

Perusahaan: N/A

Jabatan: N/A

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Tanggal Observasi:

Observation Details

Lokasi Observasi:

Kategori Observasi:

HRA

Working from Heights

Lifting Operations

Mobile Equipment

Ground Disturbance

Driving & Off-Road Vehicles

Material Handling

Energy Isolation

Confined Spaces

Electrical

Noise

Thermal Stress

Hazardous Materials

Non HRA/Other

Animals and Insects

Barricades

Biological

Documentation

Emergency Preparedness

Environmental

Ergonomic

Fatigue

Fire Protection

Hand or Power Tools

Housekeeping

Lasers

Lighting

Line of Fire

Logistics

Manual Lifting

Office Tools and Equipment

Other

Personal Protective Equipment

Safety Culture

Sanitation

Site Access and Control

Training

Ventilation

Walking, Working Surfaces

Welding, Cutting and Grinding

Jenis Observasi:

Safe Act and Condition

Unsafe Act and Condition

Deskripsi Observasi:

Immediate Action taken and Recommendations/ Improvement Suggestions:

Unggah Foto (Opsional):