UAUC Observation
Spot an unsafe act or unsafe condition at workplace and rectify accordingly. Send us the report by fill up the form below.
Name / Nama
*
First Name
Last Name
Staff Number / Nombor Kakitangan
Untuk kakitangan BPHB dan subsidari sahaja
Company / Syarikat
*
Company Name
Department / Jabatan
*
Department/Division
Email / Emel
example@example.com
Date / Tarikh
*
/
Month
/
Day
Year
Date
Location / Lokasi
*
Type Of Observation / Jenis Pemerhatian
*
Unsafe Act / Kelakuan Tidak Selamat
Unsafe Condition / Keadaan Tidak Selamat
Safe Act / Kelakuan Selamat
Safe Condition / Keadaan Selamat
Observation Description / Keterangan Pemerhatian
*
Action Taken / Tindakan Yang Diambil
*
Upload Picture / Muatnaik Gambar
*
Browse Files
Cancel
of
Submit
Should be Empty: