D7 SAFETY & NEAR MISS REPORT
Safety is paramount in our home and on our rigs. Utilize this online form to point out missed opportunities.
Date:
MM
/
DD
/
YYYY
Name of observer:
Your answer
What is the hazard?:
Your answer
Where is the hazard located?
Your answer
Recommended action to be taken:
Your answer
Immediate action you took to correct the hazard, if any:
Your answer
Check all that apply:
Submit
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