Stop Work / Good Catch Form
Stop Work / Good Catch is not to get any individuals in trouble. It's to keep the TEAM safe while encouraging a positive safety culture. These are recorded and maintained so we can learn and adjust keeping Centurion a safe place to work.
Date of Good Catch
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Is this a Near Miss?
Yes
No
Name of Person Calling This Good Catch
First Name
Last Name
Email Address
example@example.com
Company individual above works for.
Project
AWS#1
Pontotoc, Oklahoma
AWS#2
Carpenter Wind
Ostrea Solar
Tower Solar
CMH 205
CMH 220
AWS #3
What happened?
Take picture of condition
Upload Image
What was done to prevent re-occurrence?
Location Coordinates
*
Save
Submit
Should be Empty: