Observation Entry

Draft

1. Date Location / Area

2. Observation Type 3. Observation Description

4. Responsible Person 5. Hazard Identified

6. Risk Assessment

Rate severity and likelihood from 1 to 5. Risk is calculated automatically.

Severity

Likelihood

9

Medium

Severity 3 x Likelihood 3

1–4 Low
5–9 Medium
10–16 High
17–25 Critical

Immediate Corrective Action

Before Photo

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After Photo

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Status

Remarks

A4 Report Preview

210 x 297 mm

Health, Safety & Environment

Daily Safety Observation Report

Report No.

DOR-DRAFT

Site / Project—

Safety Officer—

Date—

Shift—

Location / Area—

StatusOpen

Observation

Type—

Responsible Person—

Hazard Identified—

Description

Enter observation details in the form. The report updates live.

Risk Assessment

Severity 3

Likelihood 3

Risk Rating MEDIUM · 9

Risk = Severity x Likelihood on a 5 x 5 matrix. 1–4 Low · 5–9 Medium · 10–16 High · 17–25 Critical.

Immediate Corrective Action

—

Photo Evidence

No before photo

Before

No after photo

After

Remarks

—

SENTINEL DOR · Controlled HSE record · Print on A4 · Page 1 of 1

Observation Register

Report No.	Date	Type	Hazard	Responsible	Risk	Status

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