POSITIVE INTERVENTION REPORT
*
Intervention Category(pick one or both)
Physical intervention
Coaching Discussion
LOCATION
*
BU
-select-
Site - McDonnell Piling
Site - BSL
Site - BSL Major Projects
Site - Soil Engineering
Site - VibroMenard
Office - Burscough
Office - Camberley
Office - Coatbridge
Office - Leeds
Yard - BSL
Yard - Soils - Coatbridge
Yard - Soils - Leeds
Yard - VibroMenard
DATE
TIME
REPORTER
*
ROLE
-select-
Contractor / Agency
Director
Engineer
Front Line Safety Coach
Manager
Office Based Staff
Operative
Organisational Coach
Safety
Supervisor
*
What type of situation is this?
-select-
Access and Egress
COVID 19 safety
Documentation
Environmental
Equipment Leaks
Falling Object
Hand/Air tools
Hose Failure (all)
Hot works
Lifting operations
Plant Equipment Failure
Plant / Vehicle / Road Collision
Poor Housekeeping (all)
PPE
Projectile
Services (all)
Threat of violence from MOPS
Unsecure Loads / Equipment
Welfare
Work At height
Working Platform
Quality
Exclusion Zone
Good Performance
DESCRIPTION of Situation
ACTION
(Intervention or Coaching)
*
IS FURTHER ACTION REQUIRED?
- NO - I can confirm that I have taken appropriate action to rectify this situation
- YES - Further action is required to rectify this situation
Photo (optional)