Please fill in all required fields
All data entered must be in English
Date Created:
05-Mar-2021
Business Unit:*
-- Select One --
Consulting
Group Functions
Investment Services
Operations
plc
Projects
Business Group:*
-- Select One --
Conventional Energy
Process & Chemicals
Projects India Ops
Renewable Energy & Power
-- Select One --
Alexandra Road Office
Arkema Symphony Project (Singapore)
Arkema Symphony Project (Thailand)
BeAAT Expansion Project
Brisbane Office
Bryanston Office
Canada - Downstream - Shell Scotford
Capricornio
China - Beihai
China - Guangdong Huizhou Office
China - Hainan Refining and Chemical EPC Project
China - Jinshan
China - Other Projects
China - Second Phase Jingbo Project
China – Shenghong Refinery
China - SMFY Project
China - SMYL Project
China - SZPE AMEC GLRP Project
China - Xinpu Chemical PMC Project
China - Xuhui
China - Yinchuan
Chonburi Office
CM - GCGV Project - Exxon Mobil
Côté Project
Covestro DES15 Project
Duqm Refinery Project
EM Crisp
Exxon Mobil SUP
Fadhili
FEP Wave 1 - Sulfonates Project
GPSC RDF Power Plant Project
HCK - Petroineos
Jazan Complex Ref
Kemerton Project
KNPC Clean Fuels Project
KNPC New Refinery Project
KNPC PEMS (Kuwait)
Kuwait GT5
Kuwait Support Office (Shuaiba)
Lenzing T3 Project
Lima Office
Lyondell Chimie France
Madrid Office
Mexico - Enerser
Mexico - Mexico City Office
Mexico - Monterrey Office
Mexico - Other
Mexico - PEMEX Cadereyta Project
Mexico - Salina Cruz Project
Mexico - Sanofi - Project Azteca Vacunas 3D
Midor Projct Expansion - PMC Services
Milan Office
Moscow Office
Oakville Office
Paris Office
PD - Corporate OH
PD - Houston (Facilties / Campus)
Perth Office
PISA Project - Evonik
Rocanville Mill 1
Sadara Enterprise
Salt Lake
SAMREF FCC Project
Santiago Office
Sappi Vulindlela Project
Saskatoon Office
Saudi - GES Aramco
Saudi - OMPP Aramco
Saudi - Other Clients
Saudi - WG Internal
SGO BHP Project
Shell Bukom EFA Projects
Shell JI & Terminal
South Africa - Anglo
Synthomer Job 6
Teck EVO
Teck FRO
TEVA Genesis
Tharisa Vulcan Project
Trail Office
US & LATAM - AXION Energy DCU
US & LATAM - Deer Park Office (small projects)
US & LATAM - Houston Office
US & LATAM - Marathon Project
US & LATAM - Other
US & LATAM - P66 Hydrocracker Yield Optimization
US & LATAM - P66 Lake Charles Bayou
US & LATAM - P66 Program - All Other Projects
US & LATAM - REG Geismar Plant Project – ISBL & OSBL
US & LATAM - Valero
US & LATAM - YCI - Office
Vancouver Office
-- Select One --
Kemerton Project Site
Exact Location or Project of Act/Condition/Safe Behaviour:* Please enter accurately the detail of where the location is to allow Facilities / Projects Team to rectify any unsafe conditions i.e. Ceiling tile loose in Office No. 415, 2nd Floor, New Building, New Town. Please also capture your project details so necessary clients reports can be generated (where applicable).
Observation Type:*
-- Select One --
Unsafe Act
Unsafe Condition
Safe Behaviour
Safe Condition
-- Select One --
Wood
Client
Contractor
3rd Party
-- Select One --
Wood
Client
Contractor
3rd Party
Observation Time:*
-- Select One --
00:00
00:15
00:30
00:45
01:00
01:15
01:30
01:45
02:00
02:15
02:30
02:45
03:00
03:15
03:30
03:45
04:00
04:15
04:30
04:45
05:00
05:15
05:30
05:45
06:00
06:15
06:30
06:45
07:00
07:15
07:30
07:45
08:00
08:15
08:30
08:45
09:00
09:15
09:30
09:45
10:00
10:15
10:30
10:45
11:00
11:15
11:30
11:45
12:00
12:15
12:30
12:45
13:00
13:15
13:30
13:45
14:00
14:15
14:30
14:45
15:00
15:15
15:30
15:45
16:00
16:15
16:30
16:45
17:00
17:15
17:30
17:45
18:00
18:15
18:30
18:45
19:00
19:15
19:30
19:45
20:00
20:15
20:30
20:45
21:00
21:15
21:30
21:45
22:00
22:15
22:30
22:45
23:00
23:15
23:30
23:45
Category:*
--Select One---
Work Environment
Fire & Fire prevention
Furniture and Work equipment
Housekeeping
Lighting & Noise
Office Security
Pedestrian routes (floors, stairs etc.)
Safe Distancing
Temperature and Ventilation
Traffic routes and parking areas
Job Factors
Fatigue / Workload
Management of change
Safety critical communications
Training & Competence
Procedures and Instructions
Followed / Not Followed
Implemented / Not Implemented
Understood / Not Understood
Integrity Management
Accountability
Competence
Emergency Response
Hazard Evaluation & Risk Management
Incident Investigation and Management
Management of Change
Practices and Procedures
Protective Systems
Contractor Site safety
Barrier / Segregation
Housekeeping
Personal Protective Equipment
Procedure implementation
Safety awareness & behaviour
Safety induction and briefings
Safety planning
Signage and instructions
Travel and Safety away from the office
Electricity
Falls and Slips
Fire safety
Manual Handling
Personal Security
Sports & Leisure
Tools and Equipment
Transportation
Environment
Energy Usage
Waste and recycling
Water Usage
Tools and Equipment
Adequate / Inadequate
Correct / Incorrect tool for the job
Correct / Incorrect use
Safe / unsafe condition
N/A
N/A