Multistep Form - Dyna-Mac Engineering

Hazard Observation and Communication

Description of Hazard / Safe Practice

Name of Observer

Observer Company

Observer Department

Affected Company *

Department to inform*

Project *

Location *

Module *

Type of Hazard Observation

Safe

Unsafe

N.A

Observation *

Describe briefly the hazard observation

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Corrective Action / Recommendation

Rectify? *

Yes

Any recommendation? *

Yes

Describe the corrective action taken or your suggestion to prevent recurrence