Reporter Information
*First Name
*Last Name
*Email
*Phone
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*Department / Production Area
D&C - US Onshore Drilling
D&C - US Onshore Completions
D&C - US Onshore Workovers
US Onshore - Facility Engineering & Construction
US Onshore - Andrews - LEG
US Onshore - Artesia - DB
US Onshore - Big Lake - SMB
US Onshore - Denver City - LEG
US Onshore - Eunice - LEG
US Onshore - Field Ops. Support
US Onshore - Garden City - SMB
US Onshore - Houston Office
US Onshore - Midkiff - SMB
US Onshore - Midland Office
US Onshore - Monument – LEG
US Onshore - Pecos - DB
US Onshore - Snook - LEG
US Onshore - Sundown - LEG
US Onshore - Wildfire - SMB
Egypt - Apache Egypt
Egypt - KPC
New Ventures - All
North Sea - All
Suriname - All
*Well / Facility / Specific Location
*Type of Activity
Aviation Operations
Catering/Accommodation Services
Completions
Deck Operations
Drilling
Driving
Facilities/Construction
Inspection / Survey
Lifting/Rigging Work
Maintenance
Marine Operations
Office Administration
Production/Operations
ROV/Diving Operations
Well Services
Workover
*Date
*Category
Idea / Suggestion
Observation
*Category Subtype
*Brief Description
*Hazard / Risk
Hazardous Substance
Atmospheric / Respiratory
Mechanical
Electrical
Pressure
Temperature
Biological
Radiation
Noise/Vibration
Gravity
Vehicle
Excavation
Environmental
Safety Behaviors
PPE
Generic Deficiency/Hazard
*Hazard / Risk Subtype
Life Saving Rules
Bypassing Safety Controls
Confined Space
Driving
Energy Isolation
Hot Work
Line of Fire
Safe Mechanical Lifting
Work Authorization
Working At Height
*Stop Work Authority Initiated?
Yes
No
*Actions Already Taken
*Is further action required
Yes
No
*Suggested Actions
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