Please fill in all required fields
All data entered must be in English
Date Created:
20-Mar-2023
Business Unit:*
-- Select One --
Consulting
Group Functions
Investment Services
Operations
plc
Projects
Business Group:*
-- Select One --
Minerals, Metals & Life Sciences
Oil, Gas & Power
Process & Chemicals
Projects Central Function
Projects India Ops
-- Select One --
Raizen PQ2024 Project - Home office Milan
Alexandra Road Office
Arkema Symphony Project (Thailand)
Brazoria County - Novis
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 - Livent
China - Other Projects
China - Shanghai petrochemical tank project
China – Shenghong Refinery
China - SMYL Project
China - synthomer OMNOVA VPL UPGRADE PROJECT
China - SZPE AMEC GLRP Project
China - Xuhui
China - Yinchuan
China- Liaoning Branch
China -Naphtha and Light Diesel Comprehensive Utilization Project
China-HANAS Putian LNG PMC project
China-Livent
China-Livent Project
China-Qidong Module Management Project
China-ROHM KPC Project
China-ROHM KPC Project
China-ROHM KPC Project
China-ROHM KPC Project
China-ROHM KPC Project
Chonburi Office
COPL Wave 3
Covestro DES15 Project
DOW PG Expansion Project (DOW Eagle)
Duqm Refinery Project
Eastern Region P&P
EM Crisp Project
EM JLEP Project
EM SOAR Project
ENTER Almalyk
ENTER Bukhara
Esso Euro V
Evonik SIMEX
Exxon Mobil SUP
Grand Prairie
HAOR Baku
HCK - Petroineos
IFF-RAYONG ADDITIONAL DRYER PROJECT
INEOS OSB EPCm
INEOS Project One IPMT
KNPC Clean Fuels Project
KNPC New Refinery Project
KNPC PEMS (Kuwait)
Kuwait GT5
Kuwait Support Office (Shuaiba)
Livent Project Thailand
Lyondell Chimie France
Madrid Office
Malbec
MdA Expansion Phase 1
Mexico - Monterrey Office
Mexico - Other
Mexico - PEMEX Cadereyta Project
Midor Projct Expansion - PMC Services
Milan Office
Moscow Office
Oman Overhead
Paris Office
PD - Corporate OH
PD - Houston (Facilties / Campus)
Pensana Rare Earths BoF
Petrom CDR Project
Petrom IPDHT Project
Petrom IPRU Project
Petrom NAC Project
Preem HVO FEED
Preem HVO IPMT
PREEM Synsat Revamp EPCm
PRL Refinery Expansion and Upgrade Project
Project LiMA -Roehm
SABIC – Alliance
SABIC – GDF
SABIC Teesside Improvement Project EPCm
Sadara Enterprise
SAMREF FCC Project
Santiago
Saudi - LSTK (P&C)
Secunda – Replacement of Compressor Control Stage 2B Project
Shell JI & Terminal
Shell Maxsphalt
Sinopec Tianjin EPC
Sonatrach LAB
SPRITZ Project
T3 Commissioning & Start up support project
T4/T5 Early Construction Activities
TEVA Genesis
UCF & HMU2 Project
US & LATAM - Argentina Office
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 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
Vancouver RE&P
WAH Office Based Project (<5k MH)
XTO PLU 23
-- 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