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Safety Observation and Recognition Card
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First name
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Last name
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Location
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Date
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Time
*
Hours
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Minutes
Type of observation
*
Safety recognition
Unsafe
Safety suggestion
Unsafe
*
Unsafe behaviour
Unsafe condition
Enivironmental/chemical hazard
What did you observe?
Photo observed
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Did you stop the job?
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Status
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What can be done about it?
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