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Near Miss & Incident Reporting August 2014Site Housekeeping & Safety HSEQ Campaign www.tracoilandgas.comService Service Safety Quality Innovation InnovationThink Safety! Think Safety! Luis 0 in last
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How to fill out a near miss and incident form:

Ensure you have the necessary information:

01
Date and time of the near miss or incident
02
Location where the near miss or incident occurred
03
Description of what happened and any contributing factors
04
Identification of individuals involved or witnesses

Provide a detailed description:

01
Clearly explain the near miss or incident in a concise manner
02
Include specific details such as equipment involved, actions taken, and potential consequences
03
Avoid speculation or assumptions, stick to facts and observations

Document any root causes or contributing factors:

01
Analyze the incident and identify any underlying causes or factors that led to it
02
Consider factors such as human error, equipment malfunction, or inadequate procedures
03
This step helps in identifying areas for improvement and preventing future incidents

Include any corrective actions taken:

01
Describe any immediate or short-term corrective actions taken to mitigate the risk or prevent recurrence
02
Document any follow-up actions required or already implemented
03
The goal is to address the root causes and prevent similar incidents in the future

Add any additional notes or comments:

01
Include any additional relevant information that may be important for understanding the near miss or incident
02
Provide any recommendations or suggestions for improvement

Who needs near miss and incident information:

Health and safety representatives:

01
They can analyze near miss and incident data to identify trends and patterns
02
This information helps in developing strategies to improve overall safety and prevent accidents

Management and supervisors:

01
Near miss and incident forms provide valuable data to assess the effectiveness of safety protocols
02
They can allocate resources and make necessary changes to prevent future incidents

Employees and workers:

01
By sharing near miss and incident information, workers can learn from each other's experiences
02
This promotes a safer work environment and encourages reporting of potential hazards
In summary, filling out a near miss and incident form requires providing detailed information, identifying root causes, documenting actions taken, and including any additional relevant notes. The information collected is important for various stakeholders, including health and safety representatives, management, supervisors, and employees, to improve safety practices and prevent future incidents.
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Near miss is an unplanned event that did not result in injury, illness, or damage but had the potential to do so. An incident is an event that resulted in injury, illness, or damage.
All employees and contractors are required to file a near miss or incident report.
Near miss and incident reports can be filled out using the designated form provided by the company. The form should include details of the event, potential hazards, and any actions taken.
The purpose of reporting near misses and incidents is to identify potential hazards, prevent future accidents, and improve safety measures.
Information such as date, time, location, description of the event, potential hazards, and actions taken must be reported on a near miss or incident report.
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