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MOTIVE Training Incident and Deviation Report Date: Serial # Number of pages attached Note: Only one incident or deviation per report. Deviation Potential Deviation ! ! (Select one ref only) ! ABC

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How to fill out incident and deviation report

How to fill out an incident and deviation report:

01

Begin by providing the necessary details such as the date, time, and location of the incident or deviation. This information helps in accurately tracking and investigating the issue.

02

Clearly describe the incident or deviation, including any contributing factors or circumstances. Be objective and provide as much detail as possible to ensure a thorough understanding of the situation.

03

Specify any injuries, damages, or losses that occurred as a result of the incident or deviation. This helps in assessing the severity and potential impact of the event.

04

Identify any witnesses or individuals involved in the incident or deviation. Include their contact information if possible, as they may need to be contacted for further information or clarification.

05

Outline any corrective actions taken or proposed to prevent similar incidents or deviations from recurring in the future. This demonstrates a commitment to improving processes and keeping the workplace safe.

06

Sign and date the report, indicating your acknowledgment and agreement with the information provided. This adds credibility to the report and indicates your responsibility in the matter.

Who needs an incident and deviation report:

01

Employers: Incident and deviation reports are essential for employers as they help in identifying potential hazards, evaluating safety protocols, and implementing necessary corrective measures to prevent future occurrences. These reports aid in maintaining a safe and compliant work environment.

02

Employees: Incident and deviation reports are beneficial for employees as they provide a means to report any unsafe conditions, near misses, or deviations from standard procedures. This helps in ensuring that their concerns are addressed and appropriate actions are taken to mitigate risks.

03

Regulatory authorities: Incident and deviation reports are often required by regulatory authorities to ensure compliance with health and safety regulations. These reports assist authorities in assessing the overall safety performance of organizations and taking necessary actions if violations are found.

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