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Near miss/Dangerous Occurrence Report Form This form may be used by any member of staff, student, visitor or member of the public. It should be used to bring to the attention of the University any
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How to fill out near-missdangerous occurrence report form

01
Start by carefully reading the near-miss/dangerous occurrence report form to understand the required information.
02
Provide your personal details such as name, contact information, and job title.
03
Fill in the date and time of the near-miss/dangerous occurrence.
04
Describe the location where the near-miss/dangerous occurrence happened.
05
Clearly state what happened and provide a detailed description of the incident.
06
Mention the potential hazards or risks associated with the near-miss/dangerous occurrence.
07
Indicate any injuries or damages caused by the incident.
08
Provide suggestions for preventing similar incidents in the future.
09
Sign and date the form to confirm the accuracy of the information provided.
10
Submit the completed form to the designated authority or department as instructed.

Who needs near-missdangerous occurrence report form?

01
Near-miss/dangerous occurrence report forms are required by individuals or organizations who want to report incidents that had the potential to cause harm, injury, or damage but fortunately did not result in significant consequences. It can be used across various industries such as construction, manufacturing, transportation, and healthcare. Both employees and employers may need to fill out these forms to promote a safer work environment and prevent future accidents.
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Near-miss/dangerous occurrence report form is a document used to report incidents that almost caused harm or resulted in harm to people, equipment, or the environment.
All employees and contractors who witness or are involved in a near-miss or dangerous occurrence are required to file the report form.
The form typically requires details such as date, time, location, description of the incident, individuals involved, and any corrective actions taken.
The purpose of the form is to identify potential hazards, investigate the root causes of incidents, and implement measures to prevent future occurrences.
Information such as the nature of the incident, contributing factors, and recommendations for preventing similar incidents in the future must be reported.
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