Observer Details Name*
First
Please key-in your full name
Eg : Ali Bin Abu
Your Unit ?* MD's Office Business Support Services (BSS) GF1 Production (GF1 Prod) M4 Production M5 Production GF1 Maintenance (GF1 Maint) M4 Maintenance M5 Maintenance Technical Shared Services (TSS) Finance Occupational Safety & Health (OSH)
Email*
Please key in your email. We will send you a copy of your observation once you have submitted.
Staff ID*
Please key-in your full staff ID
Eg : 10093832
Eg : 91000832
Date*
Date Format: MM slash DD slash YYYY
BBS Audit Location* M1234 M5
Please select your current reporting area.
Audit Location (M1234)* Audit Location (M5)* BBS Selfie/Wefie* Do share your BBS audit moment for our memories.
Who do you observe ?* Please choose one.
(F) PERSONNEL F1: Keep eyes on work/path F1:Safe
F1:Unsafe
F1:Feedback* 1-1: Hazard not recognized 1-2: Forgot 2: Disagreement on safe practices 3-1: Personal choice: rushing 3-2: Personal choice: short distance 3-3: Personal choice: discomfort 4: Personal factor. Eg : Disease 5: Culture : no routine yet 6: Unclear instruction 8-1: Facilities lacking 8-2: Facilities cannot be used 8-2: PPE not provided 8-2: PPE defective 8-2: Tool not provided 9: No person to give feedback
Please select the feedback reference that suit barrier selection. If you have more than 1 unsafe behavior, please select multiple feedback. Eg : 2 unsafe behaviors, give 2 feedback.
F2: Awkward position/static posture F2:Safe
F2:Unsafe
F2:Feedback* 1-1: Hazard not recognized 1-2: Forgot 2: Disagreement on safe practices 3-1: Personal choice: rushing 3-2: Personal choice: short distance 3-3: Personal choice: discomfort 4: Personal factor. Eg : Disease 5: Culture : no routine yet 6: Unclear instruction 8-1: Facilities lacking 8-2: Facilities cannot be used 8-2: PPE not provided 8-2: PPE defective 8-2: Tool not provided 9: No person to give feedback
Please select the feedback reference that suit barrier selection. If you have more than 1 unsafe behavior, please select multiple feedback. Eg : 2 unsafe behaviors, give 2 feedback.
F3: Resting and smoking at dedicated areas F3:Safe
F3:Unsafe
F3:Feedback* 1-1: Hazard not recognized 1-2: Forgot 2: Disagreement on safe practices 3-1: Personal choice: rushing 3-2: Personal choice: short distance 3-3: Personal choice: discomfort 4: Personal factor. Eg : Disease 5: Culture : no routine yet 6: Unclear instruction 8-1: Facilities lacking 8-2: Facilities cannot be used 8-2: PPE not provided 8-2: PPE defective 8-2: Tool not provided 9: No person to give feedback
Please select the feedback reference that suit barrier selection. If you have more than 1 unsafe behavior, please select multiple feedback. Eg : 2 unsafe behaviors, give 2 feedback.
F4: Apply PFW for high voltage electrical works F4:Safe
F4:Unsafe
F4:Feedback* 1-1: Hazard not recognized 1-2: Forgot 2: Disagreement on safe practices 3-1: Personal choice: rushing 3-2: Personal choice: short distance 3-3: Personal choice: discomfort 4: Personal factor. Eg : Disease 5: Culture : no routine yet 6: Unclear instruction 8-1: Facilities lacking 8-2: Facilities cannot be used 8-2: PPE not provided 8-2: PPE defective 8-2: Tool not provided 9: No person to give feedback
Please select the feedback reference that suit barrier selection. If you have more than 1 unsafe behavior, please select multiple feedback. Eg : 2 unsafe behaviors, give 2 feedback.
F5: Apply PFW for entering confined space F5:Safe
F5:Unsafe
F5:Feedback* 1-1: Hazard not recognized 1-2: Forgot 2: Disagreement on safe practices 3-1: Personal choice: rushing 3-2: Personal choice: short distance 3-3: Personal choice: discomfort 4: Personal factor. Eg : Disease 5: Culture : no routine yet 6: Unclear instruction 8-1: Facilities lacking 8-2: Facilities cannot be used 8-2: PPE not provided 8-2: PPE defective 8-2: Tool not provided 9: No person to give feedback
Please select the feedback reference that suit barrier selection. If you have more than 1 unsafe behavior, please select multiple feedback. Eg : 2 unsafe behaviors, give 2 feedback.
(E) LEADERSHIP E1: Intervening when needed E1:Safe
E1:Unsafe
E1:Feedback* 1-1: Hazard not recognized 1-2: Forgot 2: Disagreement on safe practices 3-1: Personal choice: rushing 3-2: Personal choice: short distance 3-3: Personal choice: discomfort 4: Personal factor. Eg : Disease 5: Culture : no routine yet 6: Unclear instruction 8-1: Facilities lacking 8-2: Facilities cannot be used 8-2: PPE not provided 8-2: PPE defective 8-2: Tool not provided 9: No person to give feedback
Please select the feedback reference that suit barrier selection. If you have more than 1 unsafe behavior, please select multiple feedback. Eg : 2 unsafe behaviors, give 2 feedback.
(D) ROAD SAFETY D1: Driving/riding within speed limit D1:Safe
D1:Unsafe
D1:Feedback* 1-1: Hazard not recognized 1-2: Forgot 2: Disagreement on safe practices 3-1: Personal choice: rushing 3-2: Personal choice: short distance 3-3: Personal choice: discomfort 4: Personal factor. Eg : Disease 5: Culture : no routine yet 6: Unclear instruction 8-1: Facilities lacking 8-2: Facilities cannot be used 8-2: PPE not provided 8-2: PPE defective 8-2: Tool not provided 9: No person to give feedback
Please select the feedback reference that suit barrier selection. If you have more than 1 unsafe behavior, please select multiple feedback. Eg : 2 unsafe behaviors, give 2 feedback.
D2: Parking (reversed) at dedicated place D2:Safe
D2:Unsafe
D2:Feedback* 1-1: Hazard not recognized 1-2: Forgot 2: Disagreement on safe practices 3-1: Personal choice: rushing 3-2: Personal choice: short distance 3-3: Personal choice: discomfort 4: Personal factor. Eg : Disease 5: Culture : no routine yet 6: Unclear instruction 8-1: Facilities lacking 8-2: Facilities cannot be used 8-2: PPE not provided 8-2: PPE defective 8-2: Tool not provided 9: No person to give feedback
Please select the feedback reference that suit barrier selection. If you have more than 1 unsafe behavior, please select multiple feedback. Eg : 2 unsafe behaviors, give 2 feedback.
D3: Use safety belt D3:Safe
D3:Unsafe
D3:Feedback* 1-1: Hazard not recognized 1-2: Forgot 2: Disagreement on safe practices 3-1: Personal choice: rushing 3-2: Personal choice: short distance 3-3: Personal choice: discomfort 4: Personal factor. Eg : Disease 5: Culture : no routine yet 6: Unclear instruction 8-1: Facilities lacking 8-2: Facilities cannot be used 8-2: PPE not provided 8-2: PPE defective 8-2: Tool not provided 9: No person to give feedback
Please select the feedback reference that suit barrier selection. If you have more than 1 unsafe behavior, please select multiple feedback. Eg : 2 unsafe behaviors, give 2 feedback.
(C) WORKING ENVIRONMENT C1: Avoid standing under suspended load C1:Safe
C1:Unsafe
C1:Feedback* 1-1: Hazard not recognized 1-2: Forgot 2: Disagreement on safe practices 3-1: Personal choice: rushing 3-2: Personal choice: short distance 3-3: Personal choice: discomfort 4: Personal factor. Eg : Disease 5: Culture : no routine yet 6: Unclear instruction 8-1: Facilities lacking 8-2: Facilities cannot be used 8-2: PPE not provided 8-2: PPE defective 8-2: Tool not provided 9: No person to give feedback
Please select the feedback reference that suit barrier selection. If you have more than 1 unsafe behavior, please select multiple feedback. Eg : 2 unsafe behaviors, give 2 feedback.
C2: Protect open holes with cover or barricade C2:Safe
C2:Unsafe
C2:Feedback* 1-1: Hazard not recognized 1-2: Forgot 2: Disagreement on safe practices 3-1: Personal choice: rushing 3-2: Personal choice: short distance 3-3: Personal choice: discomfort 4: Personal factor. Eg : Disease 5: Culture : no routine yet 6: Unclear instruction 8-1: Facilities lacking 8-2: Facilities cannot be used 8-2: PPE not provided 8-2: PPE defective 8-2: Tool not provided 9: No person to give feedback
Please select the feedback reference that suit barrier selection. If you have more than 1 unsafe behavior, please select multiple feedback. Eg : 2 unsafe behaviors, give 2 feedback.
C3: Clear walkway from material and spillage C3:Safe
C3:Unsafe
C3:Feedback* 1-1: Hazard not recognized 1-2: Forgot 2: Disagreement on safe practices 3-1: Personal choice: rushing 3-2: Personal choice: short distance 3-3: Personal choice: discomfort 4: Personal factor. Eg : Disease 5: Culture : no routine yet 6: Unclear instruction 8-1: Facilities lacking 8-2: Facilities cannot be used 8-2: PPE not provided 8-2: PPE defective 8-2: Tool not provided 9: No person to give feedback
Please select the feedback reference that suit barrier selection. If you have more than 1 unsafe behavior, please select multiple feedback. Eg : 2 unsafe behaviors, give 2 feedback.
(B) TOOLS B1: Use good chain block, lifting belt & wire rope B1:Safe
B1:Unsafe
B1:Feedback* 1-1: Hazard not recognized 1-2: Forgot 2: Disagreement on safe practices 3-1: Personal choice: rushing 3-2: Personal choice: short distance 3-3: Personal choice: discomfort 4: Personal factor. Eg : Disease 5: Culture : no routine yet 6: Unclear instruction 8-1: Facilities lacking 8-2: Facilities cannot be used 8-2: PPE not provided 8-2: PPE defective 8-2: Tool not provided 9: No person to give feedback
Please select the feedback reference that suit barrier selection. If you have more than 1 unsafe behavior, please select multiple feedback. Eg : 2 unsafe behaviors, give 2 feedback.
(A) PERSONAL PROTECTIVE EQUIPMENT A1: Wear safety helmet with strap ON A1:Safe
Please key-in in numeric format instead of you normally do on manual observation form. Eg : Key-in number 3 instead of 111 observations.
A1:Unsafe
Please state below why the person that you observe do the unsafe behaviour?
A1:Feedback* 1-1: Hazard not recognized 1-2: Forgot 2: Disagreement on safe practices 3-1: Personal choice: rushing 3-2: Personal choice: short distance 3-3: Personal choice: discomfort 4: Personal factor. Eg : Disease 5: Culture : no routine yet 6: Unclear instruction 8-1: Facilities lacking 8-2: Facilities cannot be used 8-2: PPE not provided 8-2: PPE defective 8-2: Tool not provided 9: No person to give feedback
Please select the feedback reference that suit barrier selection. If you have more than 1 unsafe behavior, please select multiple feedback. Eg : 2 unsafe behaviors, give 2 feedback.
A2: Wear safety shoe with zip ON A2:Safe
A2:Unsafe
A2:Feedback* 1-1: Hazard not recognized 1-2: Forgot 2: Disagreement on safe practices 3-1: Personal choice: rushing 3-2: Personal choice: short distance 3-3: Personal choice: discomfort 4: Personal factor. Eg : Disease 5: Culture : no routine yet 6: Unclear instruction 8-1: Facilities lacking 8-2: Facilities cannot be used 8-2: PPE not provided 8-2: PPE defective 8-2: Tool not provided 9: No person to give feedback
Please select the feedback reference that suit barrier selection. If you have more than 1 unsafe behavior, please select multiple feedback. Eg : 2 unsafe behaviors, give 2 feedback.
A3: Wear safety harness and attached to lifeline A3:Safe
A3:Unsafe
A3:Feedback* 1-1: Hazard not recognized 1-2: Forgot 2: Disagreement on safe practices 3-1: Personal choice: rushing 3-2: Personal choice: short distance 3-3: Personal choice: discomfort 4: Personal factor. Eg : Disease 5: Culture : no routine yet 6: Unclear instruction 8-1: Facilities lacking 8-2: Facilities cannot be used 8-2: PPE not provided 8-2: PPE defective 8-2: Tool not provided 9: No person to give feedback
Please select the feedback reference that suit barrier selection. If you have more than 1 unsafe behavior, please select multiple feedback. Eg : 2 unsafe behaviors, give 2 feedback.
A4: Wear earplug/earmuff at mandatory area A4:Safe
A4:Unsafe
A4:Feedback* 1-1: Hazard not recognized 1-2: Forgot 2: Disagreement on safe practices 3-1: Personal choice: rushing 3-2: Personal choice: short distance 3-3: Personal choice: discomfort 4: Personal factor. Eg : Disease 5: Culture : no routine yet 6: Unclear instruction 8-1: Facilities lacking 8-2: Facilities cannot be used 8-2: PPE not provided 8-2: PPE defective 8-2: Tool not provided 9: No person to give feedback
Please select the feedback reference that suit barrier selection. If you have more than 1 unsafe behavior, please select multiple feedback. Eg : 2 unsafe behaviors, give 2 feedback.
A5: Use N95 dust mask at mandatory area A5:Safe
A5:Unsafe
A5:Feedback* 1-1: Hazard not recognized 1-2: Forgot 2: Disagreement on safe practices 3-1: Personal choice: rushing 3-2: Personal choice: short distance 3-3: Personal choice: discomfort 4: Personal factor. Eg : Disease 5: Culture : no routine yet 6: Unclear instruction 8-1: Facilities lacking 8-2: Facilities cannot be used 8-2: PPE not provided 8-2: PPE defective 8-2: Tool not provided 9: No person to give feedback
Please select the feedback reference that suit barrier selection. If you have more than 1 unsafe behavior, please select multiple feedback. Eg : 2 unsafe behaviors, give 2 feedback.
A6: Wearing crash helmet while riding motorcycle A6:Safe
A6:Unsafe
A6:Feedback* 1-1: Hazard not recognized 1-2: Forgot 2: Disagreement on safe practices 3-1: Personal choice: rushing 3-2: Personal choice: short distance 3-3: Personal choice: discomfort 4: Personal factor. Eg : Disease 5: Culture : no routine yet 6: Unclear instruction 8-1: Facilities lacking 8-2: Facilities cannot be used 8-2: PPE not provided 8-2: PPE defective 8-2: Tool not provided 9: No person to give feedback
Please select the feedback reference that suit barrier selection. If you have more than 1 unsafe behavior, please select multiple feedback. Eg : 2 unsafe behaviors, give 2 feedback.
Summary of your BBS observation Please state any relevant feedback about your BBS observation today. If you don't have anything to add, just leave this space blank. Your feedback is very precious in improving our safety culturally.
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