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LOW (4Days) MEDIUM (2 Days) HIGH (24 Hours) VERY HIGH (Immediate)
JOB DESCRIPTION
CORRECTIVE / PREVENTIVE TARGET CLOSE STATUS OF
ITEM OBSERVATION / WORK DESCRIPTION POTENTIAL HAZARDS
ACTION REQUIRED OUT DURATION ACTION
- Vehicular accident
Trailer Dump Truck Drivers delivering sand without driver’s license, resulting to
the following trailers below: damage of As per official HSE Minutes of
property and Meeting No.1 Item No.1.9
SN. PLATE NOS. SN. PLATE NOS. SN. PLATE NOS. injured people.
1 9503-STA 11 6280-AJB 21 9432-XAA - KOLIN PMT legally “SAPMT remind KOLIN that “Heavy
2 3612-ABA 12 3345-AJB 22 8745-ZUA liable and Equipment with incomplete
1 3 3211-KBA 13 1096-ALA 23 2997-ZEA responsible as per documents shall not be used” at the
IMMEDIATE OPEN
4 9757-XBA 14 1448-BTA 24 6450-LVA for the outcome if site and Heavy Equipment Operators /
5 2572-JAB 15 4705-AZA 25 4164-XUA driver with incomplete documents are
6 9040-HAB 16 1409-NNA 26 8746-ZUA
something
happened not allowed to operate”
7 6097-XBA 17 5615-XVA 27 5071-RAA
8 4528-ERA 18 1410-NNA 28 9841-DDB involving these
9 9940-RZA 19 2336-XVA 29 5705-KRA mentioned
10 1408-NNA 20 1719-VJA 30 9871-XVA violation.
Name Lee Abada Bueno Name Ronnie Dablo Volkan Naz Name Mesut Tasar
Reported Position Sr. Safety Supervisor Approved Position HSE Manager-PKG2 HSE Manager PKG1 Position Deputy of Project Managers
Noted By:
By: By:
Signature Signature Signature