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Safety Observation

Report a safety observation on the rig

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Task & Work Area

Task / Activity Being Performed

Work Area / Location

Is this observation currently open or resolved?

Select all that apply

🛑Stop Work Authority

✓

✅Safe Condition / Act

✓

⚡Unsafe Act

✓

⚠️Unsafe Condition

✓

💥Near Miss

✓

Safety Observation

Immediate Corrective Action Taken

Further Actions Required

Observer Name

Company / Contractor

Observation Date