subject_line
DHI Safety BBO Card
Name
*
Email
*
Date of event
*
+
Type
*
Observation
Hazard ID
Near Hit
Region of operations
*
Disposal Facility
South TX
Permian Basin
Oklahoma
Denver DJ
Colorado Picceance
Wyoming
Bakken TF
Appalachia
Location Type
*
Customer Location
Road / Transit
DHI facility
Activity in progress at time of observation
*
S: Satisfactory
A/R: At Risk
Risk Type
Safe
Risk
Personnel hazard exposure
Safe
Risk
Protective Equipment
Safe
Risk
Crush Risk
Safe
Risk
Impact Risk
Safe
Risk
Fall Risk
Safe
Risk
Temperature Exposure
Safe
Risk
Electrical Exposure
Safe
Risk
Fire Risk
Safe
Risk
Tool Useage
Safe
Risk
Right tool
Safe
Risk
Used correctly
Safe
Risk
Signs and barriers
Safe
Risk
Competency
Safe
Risk
Body Harm Risk
Safe
Risk
Respiratory
Safe
Risk
Head
Safe
Risk
Eye / Hearing
Safe
Risk
Body
Safe
Risk
Job Safety Analysis
Safe
Risk
JSA Performed
Safe
Risk
JSA discussed
Safe
Risk
JSA Available
Safe
Risk