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INCIDENT & NEAR MISS REPORTING POLICY & PROCEDURE Equality Considerations This policy has been screened in accordance with the HSBC s statutory duty and is not considered requiring a full impact assessment.

How to fill out incident and near miss

How to fill out an incident and near miss report:

1. Begin by providing the date and time of the incident or near miss. This information is essential for tracking and investigation purposes.
2. Clearly describe the location where the incident or near miss occurred. This could include the specific area, address, or department.
3. Provide a detailed account of what happened, including any contributing factors or circumstances leading up to the incident or near miss. Be sure to use clear and concise language to accurately convey the information.
4. If there were any witnesses present, include their names and contact information. Their statements may be important for further investigation or validation of the incident.
5. Describe any injuries, damages, or near-miss situations that occurred as a result of the incident or near miss. Include the names of those affected and the severity of their injuries, if applicable.
6. Offer any suggestions or recommendations for preventing similar incidents or near misses in the future. This could involve improvements to procedures, equipment, or training programs.
7. Finally, sign and date the incident or near miss report to certify the accuracy of the information provided.

Who needs incident and near miss reports?

1. Employers: Employers need incident and near miss reports to identify potential hazards in the workplace, assess the effectiveness of safety measures, and implement corrective actions to prevent future incidents or near misses.
2. Employees: Employees play a crucial role in reporting incidents and near misses to ensure their own safety and the safety of their colleagues. By reporting, they contribute to creating a safer work environment.
3. Safety committees or representatives: Safety committees or representatives rely on incident and near miss reports to investigate incidents thoroughly, analyze trends, and make recommendations for improvements in workplace safety.
4. Regulatory agencies: Regulatory agencies use incident and near miss reports to assess compliance with safety regulations, identify trends, and determine if further investigations or enforcement actions are necessary.
5. Insurance companies: Insurance companies may request incident and near miss reports to assess risk, determine insurance coverage, and adjust premiums accordingly.

In summary, the process of filling out an incident and near miss report involves providing necessary details, describing the event, suggesting preventive actions, and signing the report. Incident and near miss reports are crucial for various stakeholders, including employers, employees, safety committees, regulatory agencies, and insurance companies, as they help identify hazards, improve workplace safety, and ensure compliance with regulations.

For pdfFiller’s FAQs

What is incident and near miss?

Incident is an unexpected event that can cause harm, while near miss is a close call that could have resulted in harm.

Who is required to file incident and near miss?

All employees and contractors are required to file incident and near miss reports.

How to fill out incident and near miss?

You can fill out incident and near miss reports electronically or on paper forms provided by the company.

What is the purpose of incident and near miss?

The purpose of incident and near miss reports is to identify hazards, prevent future incidents, and improve safety measures.

What information must be reported on incident and near miss?

The information that must be reported includes details of the incident or near miss, location, date and time, individuals involved, and any corrective actions taken.

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