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Get the free CCG INCIDENT/NEAR MISS REPORT FORM - rushcliffeccg.nhs.uk - rushcliffeccg nhs

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Appendix 1 Incident Reference: (ONE Quality Team to complete) CCG INCIDENT/NEAR MISS REPORT FORM Fill in ALL APPLICABLE SECTIONS of the form and write CLEARLY in CAPITAL LETTERS in BLACK INK Where
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How to fill out ccg incidentnear miss report

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How to fill out ccg incidentnear miss report

01
To fill out a CCG incident/near miss report, follow these steps:
02
Begin by providing your personal details, including your name, contact information, and job title.
03
Identify the date and time of the incident or near-miss event.
04
Describe the location where the incident or near-miss occurred.
05
Provide a detailed account of what happened, including any relevant details or circumstances surrounding the incident.
06
Indicate whether any injuries or damages resulted from the incident.
07
If applicable, identify any witnesses who may have observed the incident.
08
Provide information regarding any actions taken immediately after the incident to prevent further harm or mitigate risks.
09
Include any additional information that may be relevant to understanding the incident or near-miss event.
10
Review the completed report for accuracy and completeness before submission.
11
Submit the report to the appropriate supervisor or designated person responsible for incident reporting.

Who needs ccg incidentnear miss report?

01
CCG incident/near miss reports are needed by:
02
- Employees who have witnessed or been involved in an incident or near miss.
03
- Supervisors and managers responsible for overseeing safety and risk management.
04
- Safety committees or departments within an organization.
05
- Regulatory bodies and auditors who assess compliance with safety standards.
06
- Insurance companies or legal representatives in case of claims or legal proceedings.
07
- Organizations committed to continuous improvement and learning from incidents to prevent future occurrences.
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A ccg incidentnear miss report is a form used to document and report any incidents or near misses that occur within an organization.
All employees and contractors are required to file a ccg incidentnear miss report when they witness or are involved in an incident or near miss.
To fill out a ccg incidentnear miss report, individuals must provide detailed information about the incident or near miss, including date, time, location, description, and any contributing factors.
The purpose of a ccg incidentnear miss report is to identify and address potential hazards and risks in the workplace, in order to prevent future incidents.
Information that must be reported on a ccg incidentnear miss report includes details about the incident or near miss, any injuries or damages involved, and any corrective actions taken.
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