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The Pony Club Association N.S.W. Inc. The Pony Club Association of N.S.W. Inc. Phone: (02) 4229 8977 Fax: (02) 4229 8966 Email: admin plans.org.AU Fax: (02) 4229 8966 Email: admin plans.org.AU Phone:
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How to fill out hazard near miss form
How to fill out a hazard near miss form:
01
Start by providing your personal details, such as your name, job title, and contact information.
02
Clearly describe the hazard or near miss incident that occurred. Include information about when and where it happened, what caused it, and any contributing factors.
03
Provide details about any witnesses or individuals who were present during the incident. Include their names, job titles, and contact information if available.
04
Use the provided sections or spaces to document any injuries, damages, or potential consequences resulting from the hazard or near miss.
05
If applicable, outline any actions taken to mitigate or address the hazard or near miss. This can include notifying supervisors, implementing temporary control measures, or seeking medical attention if necessary.
06
Consider including any lessons learned or recommendations for preventing similar incidents in the future.
07
Finally, make sure to sign and date the form to indicate your commitment to reporting and addressing hazards and near misses.
Who needs a hazard near miss form?
01
Employees: Hazard near miss forms are essential for employees who have experienced or witnessed a hazard or near miss incident. Filling out this form allows them to report the incident and provide valuable information that can contribute to the overall safety of the workplace.
02
Employers: By encouraging the use of hazard near miss forms, employers can create a culture of safety and accountability. These forms help employers identify and address potential hazards or near misses, reducing the risk of accidents and injuries in the workplace.
03
Safety officers: Safety officers or professionals responsible for monitoring and maintaining workplace safety should also have access to hazard near miss forms. These forms provide them with valuable data that can be used to identify trends, develop safety protocols, and implement necessary improvements.
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