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Office of the State Fire CommissionerPennsylvania State Fire Academy Incident/Injury/Near Miss Reporting Policy No. 2006 01 February 24, 2006I. POLICY Definition of Incident: Any condition, no matter
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How to fill out near miss reporting policy

01
Familiarize yourself with the near miss reporting policy.
02
Gather all relevant information about the near miss incident, such as date, time, location, and details.
03
Determine the root cause or contributing factors of the near miss incident.
04
Fill out the near miss reporting form providing all the required information.
05
Include any supporting documents or evidence related to the near miss incident.
06
Submit the completed near miss report to the designated person or department.
07
Follow up on the near miss report to ensure appropriate actions are taken to prevent similar incidents in the future.

Who needs near miss reporting policy?

01
Any organization or workplace that values safety and aims to prevent accidents can benefit from having a near miss reporting policy.
02
Employees at all levels, from frontline workers to management, should be encouraged to report near misses.
03
Industries such as construction, manufacturing, healthcare, transportation, and mining often have higher risks and can particularly benefit from a near miss reporting policy.
04
Regulatory bodies or authorities may also require organizations to have a near miss reporting policy in place.
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The near miss reporting policy is a framework established by an organization to document and analyze incidents that could have resulted in an accident or injury but did not. It aims to identify hazards and improve safety measures.
All employees, contractors, and stakeholders within the organization are required to file a near miss report if they witness an incident that qualifies as a near miss.
To fill out a near miss report, individuals should provide a detailed description of the incident, including date, time, location, people involved, potential consequences, and any corrective actions taken or suggested.
The purpose of the near miss reporting policy is to enhance workplace safety by encouraging the reporting of incidents that could have led to accidents, thus allowing the organization to identify trends and implement preventive measures.
Key information that must be reported includes the date and time of the near miss, location, individuals involved, a description of the incident, potential consequences, and any actions taken to prevent future occurrences.
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