Please fill in all required fields
All data entered must be in English
Date Created:
11-Aug-2022
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 --
Raizen PQ2024 Project - Home office Milan
Alexandra Road Office
Arkema Symphony Project (Singapore)
Arkema Symphony Project (Thailand)
Brisbane Office
Bryanston Office
Bukom Assets Sale Program (BASP)
Bukom Shell Maxsphalt
China - Beihai
China - Guangdong Huizhou Office
China - Hainan Refining and Chemical EPC Project
China - Jieyang Project
China - Jinshan
China - Lianhetech PMC project
China - Other Projects
China - Second Phase Jingbo Project
China - Shanghai petrochemical tank project
China – Shenghong Refinery
China - SMYL Project
China - SZPE AMEC GLRP Project
China - Xinpu Chemical PMC Project
China - Xuhui
China - Yinchuan
China- Zhuhai Raizen Module management project
China-HANAS Putian LNG PMC project
China-Qidong Module Management Project
Chonburi Office
CM - GCGV Project - Exxon Mobil
COPL Wave 3
Côté Project
Covestro DES15 Project
DMC Centinela AMSA
Duqm Refinery Project
EM Crisp
EM JLEP Project
ENTER Almalyk
ENTER Bukhara
Esso Euro V
Evonik SIMEX
Exxon Mobil SUP
FEP Wave 1 - Sulfonates Project
HAOR Baku
HCK - Petroineos
IFF-RAYONG ADDITIONAL DRYER PROJECT
INEOS OSB EPCm
INEOS Project One IPMT
Kemerton Project
KNPC Clean Fuels Project
KNPC New Refinery Project
KNPC PEMS (Kuwait)
Kuwait GT5
Kuwait Support Office (Shuaiba)
Lima Office
Livent Project Thailand
Lyondell Chimie France
Madrid Office
Marmato
MdA Expansion Phase 1
Mexico - Bulkmatic
Mexico - Lyondell
Mexico - Monterrey Office
Mexico - Other
Mexico - PEMEX Cadereyta Project
Midor Projct Expansion - PMC Services
Milan Office
Moscow Office
Oakville Office
Paris Office
PD - Corporate OH
PD - Houston (Facilties / Campus)
Pensana Rare Earths EPCm
Pensana Rare Earths FEED
Perth Office
Petrom CDR Project
Petrom IPDHT Project
Petrom NAC Project
Preem HVO FEED
Preem HVO IPMT
PREEM Synsat Revamp EPCm
PRL Refinery Expansion and Upgrade Project
Raizen PQ2024 Project - Yard Supervision Services
Rocanville Mill 1
SABIC – Alliance
SABIC – GDF
SABIC Teesside Improvement Project EPCm
Sadara Enterprise
Salt Lake
SAMREF FCC Project
Santiago Office
Sappi Vulindlela Project
Saskatoon Office
Saudi - LSTK (P&C)
Secunda – Replacement of Compressor Control Stage 2B Project
Shell JI & Terminal
Shell Maxsphalt
Sinopec Tianjin EPC
Sonatrach LAB
South Africa - Anglo
South Africa - Northam Project
SPRITZ Project
T3 Commissioning & Start up support project
T4/T5 Early Construction Activities
Teck FRO
TEVA Genesis
Tharisa Vulcan Project
Trail Office
UCF & HMU2 Project
US & LATAM - AXION Energy DCU
US & LATAM - Calgary Office
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 - PAMC Stormwater 2B (FEL-3)
US & LATAM - RAIZEN Argentina PQ2024
US & LATAM - REG Geismar Project ISBL & OSBL
US & LATAM - Valero
US & LATAM - YCI - Office
Vancouver Office
WAH Office Based Project (<5k MH)
-- Select One --
TEVA Genesis - 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
Craft:*
--Select One---
Anonymous
Civil
Commissioning
Electrical
Logistics
Mechanical
Office
QC/Survey
Safety
Site Civil
Subcontractor
SWPP
Visitor
Could this have caused a life-changing injury, fatality, or stopped work at the site or location?:*
--Select One---
No
Yes
Does this observation relate to a task that was planned, included a risk assessment, and was subject to a task briefing?:*
--Select One---
No
Yes