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OBSERVATION REPORT Employees were loading the scaffolding material in the boom truck. Job was being carried out as per procedure and all the required precautions were take, a) Work permit was taken ( Cold work permit and vehicle entry permit ) b) Outriggers of the boom truck were well positioned and ground condition was checked by the boom truck driver before positioning the outriggers C) Scaffold material was fastened with the belts before transporting. Appreciated employees Safety Attitude and compliance to the work procedures. ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ _______________________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ ____________________________________ Observer’s Name / Signature : Vivek Naik Area/Dept.: GC - 17 Date : 01.08.2010 SAFE ACTS OBSERVED ACTIONS TAKEN TO ENCOURAGE CONTINUED PERFORMANCE STOP …for Safety UNSAFE ACTS OBSERVED IMMEDIATE CORRECTIVE ACTION ACTION TO PREVENT RECURRENCE

STOP Card-Unsafe Act

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Page 1: STOP Card-Unsafe Act

OBSERVATION REPORT

Employees were loading the scaffolding material in the boom truck. Job was being carried out as per procedure and all the required precautions were take,

a) Work permit was taken ( Cold work permit and vehicle entry permit ) b) Outriggers of the boom truck were well positioned and ground condition was checked by the boom truck driver before

positioning the outriggers C) Scaffold material was fastened with the belts before transporting. Appreciated employees Safety Attitude and compliance to the work procedures.

___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Observer’s Name / Signature : Vivek Naik Area/Dept.: GC - 17 Date : 01.08.2010

•SAFE ACTS OBSERVED•ACTIONS TAKEN TO ENCOURAGE

CONTINUED PERFORMANCE

STOP…for Safety

•UNSAFE ACTS OBSERVED•IMMEDIATE CORRECTIVE ACTION•ACTION TO PREVENT RECURRENCE