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Near Miss Report Form Department/Location: ___ Date: ___ Time: ___ AM PMP lease check all appropriate conditions: Unsafe act Unsafe equipment Unsafe condition Unsafe use of equipmentDescription of

How to fill out ehsokstateedusite-filesdocsnear-miss report form

How to fill out ehsokstateedusite-filesdocsnear-miss report form

1. Start by downloading the near-miss report form from the ehs.okstate.edu website.
2. Once downloaded, open the form using a PDF reader application.
3. Begin by filling out the basic information section at the top of the form, including the date, time, and location of the near-miss incident.
4. Move on to the description section and provide a detailed account of what happened, including any contributing factors or potential hazards involved.
5. Use the checkboxes or provided fields to indicate the type of near-miss incident (e.g., slip or trip, equipment malfunction, etc.).
6. If applicable, provide contact information for any witnesses or individuals involved in the near-miss incident.
7. Check the appropriate box to indicate whether further investigation is recommended or required.
8. Finally, review the completed form for accuracy and completeness before submitting it to the appropriate department or supervisor for further action.

Who needs ehsokstateedusite-filesdocsnear-miss report form?

1. Anyone who experiences or witnesses a near-miss incident on the Oklahoma State University campus needs to fill out the near-miss report form. This includes students, faculty, staff, and visitors. Capturing and documenting near-miss incidents helps identify potential hazards and prevent accidents from occurring in the future.

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What is ehsokstateedusite-filesdocsnear-miss report form?

The ehsokstateedusite-filesdocsnear-miss report form is a document used to report incidents that were close to causing harm or damage.

Who is required to file ehsokstateedusite-filesdocsnear-miss report form?

All employees and contractors are required to file the ehsokstateedusite-filesdocsnear-miss report form when they witness or are involved in a near-miss incident.

How to fill out ehsokstateedusite-filesdocsnear-miss report form?

The ehsokstateedusite-filesdocsnear-miss report form can be filled out by providing detailed information about the near-miss incident, including what happened, where it occurred, and any contributing factors.

What is the purpose of ehsokstateedusite-filesdocsnear-miss report form?

The purpose of the ehsokstateedusite-filesdocsnear-miss report form is to identify and address potential hazards before they cause harm or damage.

What information must be reported on ehsokstateedusite-filesdocsnear-miss report form?

The ehsokstateedusite-filesdocsnear-miss report form must contain information such as date and time of the incident, location, description of what happened, and any corrective actions taken.