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HSE Observation and Near Miss reporting submission Submitter (Name) *Are you an ENGIE Employee? *YesNoEmployee Number *Date *Time *12 Hr Format: Hour – Min – PeriodSelect applicable entity *Select the applicable entityENGIE Services SingaporeENGIE Property ServicesENGIE South East AsiaENGIE Services MalaysiaKerianMegajanaENGIE Services PhilippinesPROMEIENGIE RCSENGIE ITSENGIE LabClusters *Choose ClusterAirport SolutionsHealthcareGovernment, Commercial & BusinessMobilityOperationsHQOther ClusterSelect Site (Airport Solutions) *Select SiteM872 – CAASM886 – SICC 1M887 – SICC 2 & 2+M230001 – AFLM230008 – Changi Airport T2M230009 – Changi Airport T3Select Site (Healthcare) *Select SiteM250025 – KKHM250026 – CGHM250027 – WOODLANDS HEALTHM250028 – NG TENG FONG GEN HOSPITALSelect Site (IS – Government, Commercial & Business) *Select SiteM038 – Design Consultancy & Project MGTM200 – COM-FMM854 – STT MediaHubM862 – Fairprice /CheersM863 – Fairprice Hub/Fairprice OfficeM864 – Fairprice Group – Food ServicesM869 – NTUC Hawker Centre MgtM876 – Keppel Corporation LimitedM877 – STB ASSETSM893 – Family Justice CourtsM894 – State CourtsM895 – SengKang MallM899- Ministry of Home AffairsM230003 – CaterpillarM230005 – National Heritage BoardM230007 – STBM240011 – AmazonM240013 – Marina @Keppel BayM240016 – M1 LimitedM250023 – NLBM250024 – GivaudanP969 – Keppel Bay TowerP970 – Ocean Financial CentreSelect Site (Mobility) *Select SiteM848 – BOMBARDIER – BPLRT OCC (2020)M030D – MobilityM812 – LTA-R152 TRACK CIRCUIT SYS NSEWL (2018)Select Site (Operations) *Select SiteA002 – PDD-DCS-SITJ001 – PDD-DCS-JTCM881 – Pfizer Cub O&MM230000 – Pfizer Non-Cub ActivityE230500 – Science Centre Board-Omni- Theatre O & ME234001 – Lumileds CHW-PVE237000 – NLB GESPE244002 – SATS (C1 & C2)E244003 – CapitalandE244010 – DYSON – CHWM030H – Operations and MaintenanceM230002 – Lumileds CWS & Solar OMEM230004 – SOLAR PV OMEM230010 – Lycra Chilled Water O&MM240014 – NTUC Benoi Hub CWS O&MM250020 – PDD-DCS-JTC O&MM250021 – SIT – O&MM300 – O&M MISC PROJECTSM400 – Project Delivery DepartmentSelect Site (HQ) *Select SiteE030E – Energy EfficiencyE100 – Energy EfficiencyGACON – ContractsGAFIN – FinanceGAHRM – Human Resources ManagementGAITS – Information Technology SupportGAMDO – Managing Director OfficeGAPRO – ProcurementGAREG – Real Estate & General ServicesGTEHS – Environment, Health and SafetyGTQUA – QualityM033 – EngineeringM035 – Facilities Maintenance & EngineeringM860 – Energizer -Chilled Water Plaint ExpM867 – Smart O&MN009 – MINDEF (PM)S0003 – Selling – Onsite ThermalS0008 – Selling – Integrated ServicesSelect Site (Engie Services Malaysia) *Select SiteMolnlycke KH – UtilitiesMolnlycke KH – SolarMolnlycke KK – UtilitiesIpoh Parade – UtilitiesUAC – UtilitiesSaint Gobain – SolarMycron – SolarMelewar – SolarKuantan City Mall – SolarFeiti Lot 16 – SolarFeiti Lot 20 – SolarIskandar Malaysia – SolarKamen Steel – SolarUAC-SolarCP2OtherSelect Site (Engie Services Philippines) *Select SiteHEAD OFFICEThe Palms Country Club (TPCC)FSCI Plant 3FSCI PANT 1Schneider Electric CAV 2Schneider Electric CAV 3ENTRATAPBCOMFilinvest Cyberparks, Inc (FCBC)FILINVEST 100 WESTDCS NorthgateCLARK LIPAD INTERANTIONAL AIRPORT – PLANT SIDECLARK LIPAD INTERANTIONAL AIRPORT – AIR SIDECPIA PM TEAMCPIA CLUSTER 1CPIA CLUSTER 2CPIA CLUSTER 3CPIA CLUSTER 4 – FLI AND FRTFILINVEST 100 WESTWACK WACKCPI CEBUFilinvest Cyberparks, Inc (FCBC)MACTAN INTERNATIONAL AIRPORT -BHSMACTAN INTERNATIONAL AIRPORT -PBBMACTAN INTERNATIONAL AIRPORT -CIVIL AND PLUMBINGMACTAN INTERNATIONAL AIRPORT -MECHANICALMACTAN INTERNATIONAL AIRPORT -ELECTRICALMERASENKO CORPORATION – CEBUFESTIVAL MALLCEMEXNEXPERIAGREENHILLS ORTIGASAYALA TOWN CENTEROtherIndicate Project/Site *Indicate your site type *SiteProject Site (Construction)Observation Location/Description *i.e. project title, building number, etc..Submission Type *ObservationNear Miss ReportingObservation Category (Choose 1) *PositiveBreak FlangeConfined SpaceErgonomicElectricalEmergencyEnvironmentExcavatorGrit BlastingHand ToolsHealthHot WorksHousekeepingHydro JettingLiftingMaterialPersonal Protective Equipment (PPE)Process Line related activityPermit to Work (PTW)Rope AccessScaffoldMotor vehicle / MovementWorking at Heights (WAH)Forklift OperationRoutine MaintenanceFormwork activityAccessFire Protection SystemSubcategoryBreak Flange *Line of fireMissing or lack of ContainmentImproper TighteningLine not free of productNo SpadePPENo Barricade provided during line break activityNo Safety SignageImproper toolsBreak into worn pipelineNo zero energy check done before line breakWrong first break point I.E not break at the bottom of flangeNo LOTO doneImproper LOTO DoneNot trained personnelConfined Space *Access/EgressConfined space attendant not present during CSE activity or not providedBarricade not providedEquipment damagedGas TestingIncompatible activity carried out next to confined spaceInadequate Lighting inside confined spaceNo 2 Steps authorisation in the permit (Gas tester and Permit issuer authorisationNo Rescue PlanPositive isolation not provide or inadequate – No spade or air gapPPETool/Equipment not in good working conditionElectrical cable/equipment Touching WaterSlip, Trip and Fall hazards present inside confined spaceConfined space attendant not providedIncompatible activity carried out inside confined spaceNo Rescue Plan inadequateNo Lighting inside confined spaceNo Ventilation providedInadequate ventilation providedNo calculation of ventilation planShort circuit of ventilation providedVoltage used is higher than allowed in confined space i.e. More than DC 110V or AC 50VNo LOTO doneImproper LOTO DoneNot trained personnelErgonomic *Line of FireAccess/EgressLoad on HandManual HandlingOver-reachingPoor PostureWork desk postureNo mechanical equipment to aid in manual handlingNo Safety SignageNo proper work deskElectrical *Poor Cable ManagementBarricade not provided or inadequateEarthing provided is inadequateEarthing not providedELCB in sequenceInspection of equipment/tool not doneNo Deadman switch on hand held power toolCable Not SecuredOverloading of power distribution boardTool/Equipment not in good working conditionInadequate Rubber mat on the floorRubber mat on the floor not providePPENo Safety SignageElectrical cable/equipment Touching WaterTool/Equipment is damagedWrong thickness of rubber mat on the floorNo high voltage electrical PPE providedNo LOTO doneImproper LOTO DoneNot trained personnelEmergency *Emergency Call Points damagedCall Points Glass damagedFrist aid box not availableEmergency equipment not InspectedMustering PointEmergency Safe Route not availableFire extinguisher not InspectedEmergency Safe Route not displacedPersonnel do not know the Emergency Safe RouteEmergency Bell not workingEmergency exit light not workingFirst aid box not inspected and updatedNo Emergency signageEnvironment *Waste Segregation not availableSecondary Containment not availableDrainageOil Sheen in the drainSpill Protection kit not available or inadequateStagnant waterSecondary Containment inadequateEBM not availableMuddy water release into storm drainExcavator *Access/EgressArea Contaminated with excavated soilBanksman not provided for excavator operationNo hard Barricade around excavated pitConfined SpaceExcavationFalling ObjectsInsufficient ShoringNo Buffer Zone between excavated pit and shoreProtruding SectionSharp ObjectsWrong PlacementShoring not adequateLine of fireNo Safety SignageShoring not providedOverload of the bankThings are stored too close to the excavated pitNot trained personnelGrit Blasting *Area ContainmentNo BarricadePPETools/Equipment damagedWork Platform damaged/ improperNo lance protectorNo Safety SignageNo back out preventorNo dump valveTwo seperate person operating the lance trigger and the dumb valveGrit blast dust protection not providedHand Tools *Wrong toolsPoor containment of toolsTool are damagedFalling objectsHand tool are not kept in bags or containerHousekeepingModified toolsTool in poor working conditionHealth *Inadequate/ no Water SupplyLack of BreaksChemical HandlingWork FitnessFood/drinkWorking long hoursHeat related disorderCryogenic conditionsmuscular skeletal disorderExposure to chemicalExposure to NoiseHot Works *Sparks ContainmentLack of BarricadePoor Cable ManagementNo or lack EarthingFire Extinguisher not providedNo Fire WatchmanGas MonitoringIncompatible worksLine of FireNo Inspection of hot work equipmentPit Not CoveredPPETool/EquipmentFlashback arrestor not inspectedWelding in wet conditionsCombustible materialsFlammable materialsNo Safety SignageInadequate Fire ExtinguisherInadequate Fire WatchmanFlashback arrestor not providedGas test not doneGas hose not inspectedNo/ Inadequate fireboxNo LOTO doneImproper LOTO DoneNot trained personnelHousekeeping *Surface Condition wet/slipperyNo BarricadeBlocking AisleCable ManagementPoor ContainmentDrainage blocked or lack of drainageMaterials stacking/ storingPresence of combustible materialsProtruding SectionTool/Equipment not stored safelyTool Box ConditionSlip, Trip and FallHydro Jetting *Access/EgressNo BarricadeWhiplash arrestorFalling ObjectsLine of FireNo Safety SignageTools and Equipment not in good working conditionLifting *Incorrect RiggingLifting area barricade not providedInadequate BarricadeCrane OperationsIncorrect Crane SettingDamaged lifting equipment/gearEarthing for crane not provided/InadequateNo Lifting SupervisorIncorrect Lifting techniqueLifting Gears not inspectedLine of FireLoad Handling incorrect techniqueNo Inspection record of craneNo/Wrong lifting planworking Under Suspended LoadWrong PlacementNo Safety SignageIncorrect Safety factor calculationNo SignallerIncorrect lifting signals by SignallerNo/Inadequate Steel plates provided for the outriggersUse of lorry crane for lifting installation operationsNot trained personnelMaterial *No BarricadeAccess/EgressPoor/ Inadequate/ContainmentHaphazard stackingBlockage of emergency passagewayOverloading of racks/ structurePPEProtruding SectionSurroundingstorage of incompatible chemicalsStorage of heavy load on higher elevationNo Safety SignagePersonal Protective Equipment (PPE) *Eye/Face protectionBody protection i.e. clothingChin StrapFoot protectionFire retardant clothingHand protectionFull body safety HarnessHead protectionHearing protectionHigh-vis VestRespiratory protectionProcess Line related activity *LeaksNo BarricadeNo/Inadequate ContainmentCorroded pipe/structure/pipe supportDamagedFalling ObjectsInsulation/ CladdingLightingLOTOMaterials/Hose ManagementMissing SectionNot SecureProtruding SectionNo LOTO doneImproper LOTO DonePermit to Work (PTW) *WrongConditionPermit not approvedPermit lack of informationMS & RAIncompatible activitiesNo LOTO doneImproper LOTO DoneNot trained personnelRope Access *2 points AttachmentsInadequate Anchor PointRope protection/cushioningExclusion Zone barricadeHousekeepingIncompatibleLevel 3 not presentLine of FirePPERope AccessRope ConditionRope Rescue PlanSafety Rope inadequateTool Lanyard inadequateTool/Equipment in not good working conditionNot trained personnelWorking Rope damagedScaffold *Protruding componentsAccess/EgressNo BarricadeCastor Wheelsearthing not provided/InadequateFalling ObjectsGin WheelsOverloading of scaffoldPE CertificationTags not displayedWork PlatformNot trained personnelNot approved Scaffold contractorNo inspection of scaffoldScaffold inspection not recorded on tag clearlyScaffold supervisor not presentInsufficient bracingScaffold standards not adequateNo base plateNo toe boardNo toe placeNo breaks in-between two scaffold platformsScaffold ladders built inside of scaffoldMotor vehicle / Movement *No earthing for vehicleNo BarricadeDamaged/worn out tiresGas MonitoringPassenger not wearing seat beltLeaks of engine/hydraulic oilsNo Maintenance record of vehicleNo fire extinguisher in vehicleNo Inspection of vehicleNot Secured vehicle with handbrakesImproper parkingNo Stopper on wheelsNo banksmanUnqualified driverSpeedingReversing of long vehicle without banksmanDriver not wearing seat beltJaywalkingNo/Inadequate head lightsRunning on road or vehicle pathWork at Height (WAH) *Falling ObjectsAccess/EgressAnchoring point inadequateArea ControlSoft BarricadesContainmentNo 3-Points ContactInadequate ScaffoldUnauthorised Grating RemovalWork Platform poor conditionOpen sideOpening in the floorSignages not adequateNo signage providedHard barricade Not providedSlip, Trip and FallNo Anchoring pointInadequate Hard barricadeLadder not inspectedLadder inspection not availableNo life pine providedInadequate life line providedVertical ladders of more than 2 meters without cageForklift operation *Forklift not inspectedTires damagedNo honkNo reverse alarmNo headlightsForklift operated not qualifiedFork of forklift spread is not 1:3 ratio arrangement for load carriedOverloading of forkliftSpeeding of forkliftRiding on forkliftNo maintenance record of forkliftModified forksRoutine Maintenance *LeaksLights spoliedPoor LightingDamaged doorDamaged locksetRotating equipment faultyRotating or spining part of equipment/ machine not guardedFan belt not securedFan belt exposedCoveyor belt damageConveyor chain damageNo guard on moving parts of machineryWarning sign damagedWarning sign fadedCeiling Board damagedWall damagedGlass wall damagedDrain chokageDrain water pondingFormwork activity *No PE design for formworkFormwork supervisor not trainedFormwork worker not trainedFormwork unsafe stackingFormwork has unsafe accessFormwork has no guardrail protectionAccess *Handrail damagedNot holding handrail going up or down the staircaseExit light not lit or spoiledFire escape door obstructedFiremen access obstructedDoor access area poor litWalkway poorly litTripping hazard on the floorWet surface potential slipWet staircaseVertical ladder more than 3m without cage protectionNo three point contact when climbing up or down the verical ladderUneven surfaceFire Protection System *Fire exit damagedFire exit not lit upFire alram spolied not soundingFare call point damaged glasssFire extinguisher not good conditionFire extinguisher missingFire extinguisher low pressureFire extinguisher on the floorSmoke detecor faultyFire panle alarm faultFire panel faultyFire hose reel blockedFire hose reel leakingFire hydrant leakFire hydrant blockedFire hydrant damagedGas detection system faultyGas suppression system faultyDo you want to report a Life Saving Rule? *YesNoDoes this observation / near miss involve a Life Saving Rule Breach? *YesNoApplicable Life Saving Rule *Clip on your harness while working at heightStay out of the path of moving vehicles, plant and equipmentOnly enter a trench if the appropriate wall supports are in place.Test that the atmosphere is safe before entering a confined space and monitor it as you work.Verify that there is no life energy before starting work.Do not perform hot work until the fire or explosion risks have been eliminatedDo not walk or stand under a loadDo not work under the influence of alcohol or drugs including drivingDo not manipulate your phone or any other communication device while drivingDescribe the Life Saving rule *Observation of Activity *Describe what you observedIs this incident a HiPO? *YesNoNear miss incident description *Describe the near miss incidentUpload image of observation * Drag & Drop Files, Choose Files to Upload Max 1 File up to 10Mb. 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