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NEAR MISS SAFETY REPORT
Near Miss Definition: A situation whereby an employee on the Durham Board property experiences a noninjury incident
where there was the potential for serious injury, or damage
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How to fill out near miss safety report

How to fill out a near miss safety report:
01
Begin by providing your personal details such as your name, job title, and contact information.
02
Describe the near miss incident in detail, including the date, time, and location. Be sure to include any contributing factors or conditions that may have led to the near miss.
03
Indicate the potential consequences of the near miss and the potential severity of the incident if it had escalated.
04
Describe any corrective actions that were taken immediately following the near miss to prevent it from happening again.
05
Include any additional information or observations that may be relevant to understanding the incident.
06
Sign and date the report to indicate that you have completed and submitted it.
Who needs a near miss safety report:
01
Employers: Near miss safety reports are essential for employers as it helps them identify potential hazards or weaknesses in their safety protocols. By examining near miss incidents, they can implement preventive measures to ensure the safety of their employees.
02
Employees: Near miss safety reports are crucial for employees as it allows them to contribute to a safer working environment. By reporting near misses, employees can help raise awareness about potential hazards and prevent similar incidents in the future.
03
Safety Committees: Safety committees within an organization rely on near miss safety reports to assess the overall safety performance and identify areas where improvements can be made. These reports provide valuable data for conducting risk assessments and implementing corrective measures.
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What is near miss safety report?
Near miss safety report is a report that documents incidents where an accident could have occurred but did not, providing valuable information for preventing future accidents.
Who is required to file near miss safety report?
All employees are required to file a near miss safety report when they witness or are involved in a near miss incident.
How to fill out near miss safety report?
Fill out the near miss safety report form with details of the incident, including date, time, location, people involved, and a description of what happened.
What is the purpose of near miss safety report?
The purpose of near miss safety report is to identify potential hazards and implement preventive measures to improve safety in the workplace.
What information must be reported on near miss safety report?
Information such as date, time, location, description of the near miss incident, individuals involved, and any corrective actions taken should be reported on the near miss safety report.
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