Get the free Incident/Near Miss Form - Glasgow Caledonian University - gcu ac

Print Form Incident/Near Miss Form S1e To be completed in accordance with University Guidelines (Doc. Ref. H&S No1). Complete all relevant parts & send to the H&S Dept* by post or by e-mail to forms

How to fill out incidentnear miss form

How to fill out an incident/near miss form:

1. Start by filling out your personal information, including your name, contact details, and job title. This will help identify the person reporting the incident or near miss.
2. Provide the date and time of the incident or near miss. It's important to be as accurate as possible to ensure proper record-keeping and investigation.
3. Describe the incident or near miss in detail. Include any relevant information such as location, circumstances, and what happened. Be clear and concise while providing all necessary information for investigation purposes.
4. If applicable, mention any witnesses to the incident or near miss. Include their names and contact details, as their statements may be crucial in understanding the event.
5. Assess the severity of the incident or near miss. Use a rating scale or describe the potential consequences or outcomes. This will help determine the level of urgency for investigation and corrective actions.
6. Identify any contributing factors or root causes. Analyze the incident or near miss to identify any underlying issues or weaknesses that may have led to its occurrence. This will aid in preventing similar incidents in the future.
7. Recommend preventive measures. Propose practical and effective actions to avoid similar incidents or near misses from happening again. These suggestions should be specific and actionable.
8. Submit the completed form to the appropriate authority within your organization, such as the safety department or supervisor. Ensure that you follow any internal procedures for reporting incidents or near misses.

Who needs an incident/near miss form:

1. Employees in roles that involve potential risks or hazards. This includes industries such as construction, manufacturing, healthcare, and transportation.
2. Employers and managers who are responsible for maintaining a safe and healthy work environment. They need incident/near miss forms to keep track of potential risks and implement corrective actions.
3. Safety committees and regulatory authorities. Incident/near miss forms are essential for conducting investigations, identifying trends, and enforcing safety regulations.
4. Insurance companies. In the case of workplace accidents, incident/near miss forms may be required for insurance claims and settlements.

Remember, incident/near miss forms are important tools for promoting workplace safety, preventing accidents, and continuously improving working conditions.

For pdfFiller’s FAQs

What is incident/near miss form?

The incident/near miss form is a document used to report any incidents or near misses that occur in the workplace.

Who is required to file incident/near miss form?

All employees are required to file the incident/near miss form if they witness or are involved in an incident or near miss.

How to fill out incident/near miss form?

The incident/near miss form can be filled out by providing details about the incident or near miss, including date, time, location, description, and any witnesses.

What is the purpose of incident/near miss form?

The purpose of the incident/near miss form is to document and investigate any incidents or near misses in order to prevent them from happening again in the future.

What information must be reported on incident/near miss form?

The incident/near miss form must include details such as date, time, location, description of the incident or near miss, any injuries or damages, and names of witnesses.

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