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NEAR MISS REPORT MCB Hawaii File Number: 1. I believe a condition or behavior exists which is a safety or health hazard to our personnel or property. I am a: Civilian Military Employee Representative
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How to fill out near miss report
How to fill out a near miss report:
01
Start by providing your name, date, and contact information at the top of the report form.
02
Clearly describe the near miss incident in detail, including the date, time, and location.
03
Explain the potential hazards or risks that were involved in the near miss.
04
Identify any contributing factors or root causes that may have led to the near miss.
05
Include any witnesses or other individuals who were present during the incident.
06
Outline any corrective actions that were taken or recommended to prevent similar incidents in the future.
07
Submit the completed near miss report to the appropriate person or department for review and action.
Who needs a near miss report:
01
Employers and managers: Near miss reports help them identify potential risks and hazards in the workplace, allowing them to take proactive measures to prevent accidents and improve safety.
02
Safety committees: Near miss reports provide valuable information for safety committees to analyze trends, identify patterns, and make recommendations for improvements in workplace safety.
03
Employees: It is important for employees to report near misses as it helps create a culture of safety and ensures that potential hazards are addressed promptly.
Overall, anyone who is concerned about workplace safety and wants to prevent accidents should fill out a near miss report.
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