Get the free Near-Miss Form - Port of Bellingham
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Reset Footprint FormNEARMISS REPORT 1. Name of Person involved (Last, First, Middle Initial)2. Title/Position of Person Involved3. Name of Person Completing Form (Last, First, Middle Initial)4. Title
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How to fill out near-miss form - port
How to fill out near-miss form - port
01
Step 1: Obtain a near-miss form from the port authorities.
02
Step 2: Fill out the date, time, location, and description of the near-miss event.
03
Step 3: Provide details of any individuals involved or witnesses to the event.
04
Step 4: Include any contributing factors or potential hazards that may have led to the near-miss.
05
Step 5: Submit the completed form to the designated personnel for review and follow-up.
Who needs near-miss form - port?
01
Employees working in the port industry.
02
Contractors and visitors at the port.
03
Port authorities and safety officers.
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What is near-miss form - port?
Near-miss form - port is a report that documents incidents or events which could have resulted in an accident or injury but did not.
Who is required to file near-miss form - port?
All port employees and contractors are required to file a near-miss form when they witness or are involved in a near-miss incident.
How to fill out near-miss form - port?
Near-miss form - port can be filled out electronically or on paper, providing details of the incident, location, date, and any factors that contributed to the near-miss.
What is the purpose of near-miss form - port?
The purpose of near-miss form - port is to identify potential hazards and implement corrective actions to prevent future accidents or injuries.
What information must be reported on near-miss form - port?
The near-miss form must include a description of the incident, location, date and time, individuals involved, witnesses, and any contributing factors.
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