D7 SAFETY & NEAR MISS REPORT
Safety is paramount in our home and on our rigs. Utilize this online form to point out missed opportunities.
Name of observer:
What is the hazard?:
Where is the hazard located?
Recommended action to be taken:
Immediate action you took to correct the hazard, if any:
Check all that apply:
The safety issue has been resolved by my actions
The safety issue needs immediate attention from the Safety Committee
This is a repeat of this, or a similar safety hazard
This safety hazard prevents employees from working in the immediate area
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