BDNC/HSE/1034/MGR/TPT .

V2
UA/UC/SG CARD ( Ref : BDNC/HSE/0018/SOE/SOP)
UA/UC/SG No:
UNSAFE ACT /UNSAFE CONDITION/ HSE SUGGESTION CARD
DATE: 7 February, 2019 DECLARANT NAME : Huzainah BSES UA : Unsafe Act*
UC : Unsafe Condition**
LOCATION: KD TRZ Diesel Engine Room
SG : Suggestion ***
THE UNSAFE ACT/UNSAFE CONDITION / HSE SUGGESTION IS CONCERNED BY :
Unadapted procedure, process / No lights, No ventilation … / TIADA LAMPU, PENGUDARAAN ...
Procedure not followed / TIDAK IKUT PROSEDUR Absence of collective protection (handrails, …) /
Lack of information, communication / TIADA MAKLUMAT Not ergonomic worker position / TIDAK ERGONOMIK
Lack of training or skills / Unauthorized person in restricted area /
Language problem / MASALAH BAHASA Unadapted behaviour of the worker /
Unproper access to a work area / No wearing of PPE / TIDAK MEMAKAI :
Unproper housekeeping / PENGEMASAN TIDAK DILAKUKAN Damaged PPE / PPE ROSAK
Use of inadapted tool, equipment, machine / ALATAN SALAH Unadapted PPE /
Use of damage tool, equipment, machine / ALATAN ROSAK OTHERS / LAIN-LAIN ->
Use of uninspected tool, equipment, machine / ALATAN TIDAK DIPERIKSA
DESCRIPTION OF THE UNSAFE ACT/UNSAFE CONDITION/ HSE SUGGESTION :
Improper layout of cable and hoses. Cable/hoses not in used left unattended.

IMMEDIATE ACTION TAKEN BY THE DECLARANT (if any) :

Many thanks for writting this UA/UC/SG CARD. By doing this, you actively participate to the improvement of the Health, Safety and
Environmental conditions of all BDNC workers and subcontractors.
You will be able to consult the actions decided regarding your UA/UC/SG card through the dedicated register accessible from the HSE Portal .

How to transmit your UA/UC/SG CARD ?

1/ If paper version : insert it into the dedicated boxe available at each HSE Corner.
2/ Send it by email to the following adress : HSE.Department@bdnc.com.my
* UNSAFE ACT: Act that increases risk of injury, breaking of rules and/or is against normal working conduct
KEJADIAN TIDAK SELAMAT: Perbuatan yang boleh mendatangkar risiko kecederaan, melanggar arahan dan/atau diluar kelakuan normal
** UNSAFE CONDITION: Condition that can directly or indirectly cause property damage or injury
KEADAAN TIDAK SELAMAT: Keadaan yang boleh mengakibatkan secara terus atau tidak langsung kerosakan atau kedederaan