Professional Documents
Culture Documents
Sr No. 01 Name, age, sex, & designation of the injured person (In case of near- miss, please ignore this information)
02
03
04
Mr.Mukesh Berman 24 years Male CL Blood group: B +ve Shift G shift Accident time 10 :30 Am Name of the contractor / agency M/s: Operational Energy Group India Pvt,Ltd Sub Contractor: M/s: Sunil Singh Date & time of near-miss incident 31/01/2012 / accident / fire case 10:30 am First-Aid Location / area of the near miss Nearby Silo area, phase- I incident / accident / fire case Nature & location of injury or First-Aid details of material loss / property damage
06
07
Nearby Silo area at ground level, phase- I The cause of accident found as:1. The victim was not worn cotton hand gloves, while cutting the Ms pipe.
09
Probable root cause of near miss incident / accident / fire case (whether unsafe act or unsafe condition)
10
2. The victim was doing job carelessly. Remedial measures to be taken to 1. The Mechanical operator & prevent the recurrence of such safety steward has to be cases checked PPE before starting the job. 2. The Contractor should be provided PPE all workers compulsory & victim must be worn PPE, while working.