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INJURY / INCIDENT/NEAR MISS SUMMARY Revised 4/12/10, 06/06/11, 10/26/11, 12/07/11, 03/16/12, 7/28/14, 9/17/14 Injury Incident Near Miss For info only First Aid Recordable Primary injured or involved
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How to fill out injury incidentnear miss summary

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How to fill out an injury incident/near miss summary:

01
Start by providing the necessary details: Begin by entering the date and time of the incident or near miss. It is crucial to accurately record this information to ensure proper tracking and follow-up.
02
Describe the incident or near miss: Clearly explain what occurred, providing a detailed account of the event. Include relevant information such as the location, individuals involved, and any contributing factors.
03
Identify the cause: Analyze the incident or near miss to determine the underlying causes. Look for factors such as equipment malfunctions, human error, insufficient training, or unsafe working conditions.
04
Assess the severity: Evaluate the potential or actual severity of the incident or near miss. This assessment helps in understanding the level of risk involved and prioritizing actions to prevent future occurrences.
05
Document injuries or damages: If any injuries or damages occurred, record them accurately. Include details such as the nature of injuries sustained, medical treatment required, or property damage caused.
06
Identify corrective actions: Determine the appropriate corrective actions to prevent similar incidents from happening in the future. These may include improved training programs, equipment maintenance, changes in work procedures, or implementing additional safety measures.
07
Review and submit: Review the completed summary to ensure accuracy and completeness. Seek any necessary approvals before submitting it to the appropriate personnel or department responsible for incident reporting and analysis.

Who needs an injury incident/near miss summary?

01
Employers: Employers need injury incident/near miss summaries to fulfill their legal and ethical obligations to provide a safe working environment. These summaries help employers identify patterns, hazards, and areas for improvement to prevent future incidents.
02
Employees: Employees should be involved in incident reporting and data collection, as they are often the individuals affected and can provide valuable insights into the contributing factors. Their participation ensures that hazards are promptly identified and corrective actions are implemented.
03
Safety professionals: Safety professionals use incident/near miss summaries to conduct detailed investigations and analyze trends. This information helps them develop effective safety programs, policies, and training to prevent workplace injuries and minimize risks.
04
Regulatory agencies: Regulatory agencies, such as OSHA (Occupational Safety and Health Administration), may require organizations to submit incident/near miss summaries for compliance purposes. These agencies use the reported data to identify industry-wide trends and develop appropriate safety regulations.
Overall, injury incident/near miss summaries serve as essential tools for understanding and preventing workplace incidents. By following the proper process for completing these summaries, organizations can improve safety, protect their employees, and reduce the risk of future accidents.
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The injury incident/near miss summary is a report that summarizes any incidents or near misses that have occurred in the workplace.
Employers are required to file the injury incident/near miss summary.
To fill out the injury incident/near miss summary, employers must provide details of the incident or near miss, including the date, time, location, and any contributing factors.
The purpose of the injury incident/near miss summary is to track and analyze incidents and near misses in order to prevent future accidents.
The injury incident/near miss summary must include details such as the date, time, location, description of the incident or near miss, and any corrective actions taken.
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