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DATE OF INCIDENTSafety Incident / Close Call Report TIME OF INCIDENTPlease read the General Instructions / Distribution information on Page 4 prior to completing this form. AM Impart 1. To be completed
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How to fill out safety incident close call

01
Gather all the necessary information about the safety incident or close call, such as date, time, location, and people involved.
02
Determine the severity of the incident or close call and prioritize the response accordingly.
03
Assess the potential hazards and risks associated with the incident or close call.
04
Investigate the root cause of the incident or close call to prevent future occurrences.
05
Implement corrective actions or preventive measures to address the identified issues.
06
Document all the details of the incident or close call using a standardized reporting form.
07
Notify the relevant authorities or departments about the incident or close call.
08
Conduct a follow-up evaluation to ensure the effectiveness of the implemented measures.
09
Communicate the findings and lessons learned from the incident or close call to relevant stakeholders.
10
Review and revise safety procedures or protocols based on the insights gained from the incident or close call.

Who needs safety incident close call?

01
Anyone involved in safety management, such as safety officers, supervisors, and employees, needs to address safety incident close calls. It is essential to report and investigate these incidents to improve safety procedures, prevent accidents, and create a safer work environment.
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A safety incident close call is an event that could have resulted in injury, damage, or loss but did not occur. It serves as an important indicator for potential risks and areas for improvement in safety protocols.
All employees, supervisors, and managers are required to file a safety incident close call whenever they witness or are involved in such an event within the workplace.
To fill out a safety incident close call, follow the organization's reporting procedure, providing specific details of the incident, including the date, time, location, involved personnel, a description of the event, and any immediate corrective actions taken.
The purpose of a safety incident close call is to proactively identify and report potential hazards, allowing organizations to implement corrective measures to prevent future incidents and enhance workplace safety.
The report must include the date and time of the close call, location, individuals involved, a detailed description of the incident, contributing factors, and any actions taken to mitigate risks.
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