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Safety Observation Form
Safety Observation Form
Page 1
Observation Basics
Observation ID
Observation date *
Date*
dd-mm-yyyy📅
Time
--:--🕘
Department / Area
Operations
Maintenance
Engineering
Quality Assurance
Human Resources
IT
Administration
Location
Observation Details
Observation type
Safe Act
Unsafe Act
Unsafe Condition
Good Catch
Description
Risk level
Low
Medium
High
Critical
Attachment
Click to upload a file
Immediate Controls
Immediate action taken?
Yes
No
Person notified
Requires corrective action?
Yes
No
Review
Supervisor review comments
Status
Open
Under Review
Actioned
Closed
✓
Submission complete · Safety Observation
Routed for supervisor review · CAPA drafted