DAILY SAFETY OBSERVATION REPORT
Safety Officer Name
MOHD AWEES.S.S
Site Name
Sagar Ratna
Date of Report
03-04-2024
1.Daily Rig tour report (Unsafe acts/unsafe conditions/near
misses)
Observation Permit number Deviation observed Corrective action taken
Location (if any)
Shale shaker One of the grating near Informed shift incharge and
area the shale shaker area was the grating was kept in
removed and kept aside proper location,
2.Safety awareness & pre job safety meeting Conducted.
Name of person ID number (Aadhar Card / Company Time of
PAN Card/ Driving License Induction
number)
3.Tool Box Talk/JSA Conducted.
Permit number No. Of Activity Work Specific Hazards,
(if any) Participants Supervisor/place controls discuss
4.Work permit issued:
Permit number Type of permit (Hot work, Location Observation if any
Confined Space, etc.)
Hot work AC UNIT
Hot work FWD STBD
side
cold work PLT tank
Hot Work Engine Room
5.Emergency Response Drill conducted
Type of Location Start Time Injury if Is the emergency
Emergency any over or still on
going
6.Safety alerts/ safety advisories report discussed.
Total attendees Company
7.Specific instruction or follow-up in next shift: -
Signature
(Name of Safety Officer)
- Signed Hard copy will be filed and maintained for records
- Signed Soft copy to be emailed to Site HSE Contact person on daily basis