Cool Planet - Safe Observations

To be completed by Cool Planet Personnel

Name(Required)

First Last

Email(Required)

Date(Required)

DD slash MM slash YYYY

Time(Required)

Hours

:

Minutes

AM/PM

Location(Required)

Observation Category (Tick all Applicable)(Required)

Mandatory PPE

MEWP's

Slip/Trip Hazard

Storage of Materials

Lifting Operations

Health Hazards

Electrical Hazards

Working at Heights

Ladder Safety

Access/Egress

Housekeeping

Use of Tools

Noise

Cable Management

Scaffolding

Manual Handling

Barriers

Excavations

Dust/Fumes

Mobile Plant

Permits

Other

Describe Observation:(Required)

File Upload

Max. file size: 500 MB.

Here you can Upload Images/Videos or Documents relating to Observations

Describe Action taken and any further follow-up:(Required)

Further Action Required(Required)

Yes

No

Who should this be reported to(Required)

First Last

Observers Signature(Required)