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Near Miss Report

Complete this form and Email it to:


NearMiss.SafetyManagement@pmis.ashghal.gov.qa
Item
Reported By (Company Type):
Company Name:
Project Number:
Date of Near Miss:
Near Miss Category:
Brief Description of Near Miss:

Detail
Contractor

Project Location:

Industrial Area P06

Hazard Description:

LV Cable insulator was scratched, causing the exposure of an LV Cable.

Action Taken:
Details of Your Action

Yes
Repaired scratched insulator and strict CAT scan before any earth works.TBT to engineers/workmen for strict
implementation of Earth works safe working procedure. Lesson learnt communicated to workmen.

Problem Corrected:

Yes

QS001-P06
25/08/2016
Cat-2 Minor
On the above day at around 10.30 AM,an excavator operator scratched the insulator of an LV cable, immediately
the work was stopped.

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