WUPKAR Card Online
"W.U.P.K.A.R." Program
Wake Up Plan Knowingly Avoid Risk
Condition*
SAFE HAZARD
Near Miss Event?
Yes No
STOP Work Authoriity Initiated?
Yes No
Potentials SAFE or HAZARD*
X
Housekeeping
Fall Hazard
Material Handling
Chemicals
Environment
Pinch Points
Equipment
P.P.E.
Tools
Other
** IF "OTHER" SELECTED ABOVE, PLEASE MAKE SURE TO IDENTIFY THE POTENTIAL IN THE "Observation" FIELD **
Process*
Observation*
Corrections Initiated*
Project Manager
Superintendent E-Mail
Observation Date*
Month Day Year
Observer Name (OPTIONAL)
First Name Last Name
Location*
Client
Customer Not Listed
Should be Empty:

WUPKAR Card Online