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NEAR HIT REPORT Job Name: Job #: Date of Near Hit: Report#: Time (Approximate): Shift (circle one): Day / Night Location: List Possible Damage/ injury: Source/Object inflicting possible damage/Injury:
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How to fill out near hit report

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How to fill out near hit report

01
Start by collecting all the necessary information such as the date, time, and location of the near hit incident.
02
Describe the near hit incident in detail, including what happened, who was involved, and any potential hazards or risks that were identified.
03
Provide information about any actions taken to mitigate or prevent the incident from escalating into a more serious accident.
04
Include the names and contact information of any witnesses who can provide additional details or support your report.
05
Evaluate the severity or potential consequences of the near hit incident based on your understanding of the situation.
06
Finally, submit the near hit report to the appropriate authority or department within your organization for further investigation or analysis.

Who needs near hit report?

01
Near hit reports are important for various stakeholders within an organization, including:
02
- Workers who directly witnessed or were involved in the near hit incident, as it helps them review and analyze the situation to prevent future accidents.
03
- Safety officers, supervisors, or managers who are responsible for maintaining a safe working environment and need to be aware of potential hazards or near misses.
04
- Health and safety committees or departments who use near hit reports to identify trends, patterns, and areas for improvement in safety procedures.
05
- Regulatory authorities or inspectors who may require near hit reports as part of compliance or auditing processes.
06
- Insurance providers who may use near hit reports as supporting evidence for risk assessments or claim investigations.
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A near hit report is a document that captures incidents that almost resulted in injury, damage, or loss.
All employees and contractors are required to file near hit reports when they encounter incidents.
Near hit reports can be filled out by providing details of the incident, such as date, time, location, description, and potential causes.
The purpose of near hit report is to identify potential risks and prevent future incidents from occurring.
Information such as date, time, location, description, potential causes, and any corrective actions taken must be reported on near hit report.
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