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This form must be completed and submitted to the supervisor on the day of the incident or near-miss. It includes sections for incident details, injury types, supervisor follow-up, corrective actions, and the need for further investigation as per WorkSafeNB guidelines.

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How to fill out hs04-001-05 incident_near miss report

01

Gather all relevant information about the incident or near miss.

02

Fill out the required fields in the hs04-001-05 incident_near miss report form, such as date, time, location, description of the incident, etc.

03

Be detailed and specific in your description to provide a clear picture of what happened.

04

Include any witnesses or other involved parties in the report.

05

Submit the completed form to the appropriate department or supervisor for review.

Who needs hs04-001-05 incident_near miss report?

01

Employees who have witnessed or been involved in an incident or near miss.

02

Supervisors or managers who need to investigate and address the incident or near miss.

03

Safety officers or compliance teams responsible for tracking and analyzing incidents in the workplace.

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What is hs04-001-05 incident_near miss report?

The hs04-001-05 incident_near miss report is a document used to formally report near miss incidents in the workplace that could have potentially resulted in injury or damage.

Who is required to file hs04-001-05 incident_near miss report?

All employees who witness or are involved in a near miss incident are required to file the hs04-001-05 incident_near miss report.

How to fill out hs04-001-05 incident_near miss report?

To fill out the hs04-001-05 incident_near miss report, individuals should provide details such as the date, time, location of the incident, a description of what happened, and any witnesses' information.

What is the purpose of hs04-001-05 incident_near miss report?

The purpose of the hs04-001-05 incident_near miss report is to identify potential hazards and prevent future incidents by analyzing near misses.

What information must be reported on hs04-001-05 incident_near miss report?

The report must include the date and time of the near miss, the location, the people involved, a description of the incident, and any corrective actions taken or suggested.

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