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  • Near Miss Report

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    adil khan
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    This near miss report describes an incident that occurred at an unspecified project location. While no actual injuries, damage, or losses were sustained, the report estimates what could have occurred and analyzes the contributing factors. It recommends corrective actions to prevent future recurrence. The supervisor reviewed the report, which aims to document and learn from near misses to enhance safety.

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    This near miss report describes an incident that occurred at an unspecified project location. While no actual injuries, damage, or losses were sustained, the report estimates what could have occurred and analyzes the contributing factors. It recommends corrective actions to prevent future recurrence. The supervisor reviewed the report, which aims to document and learn from near misses to enhance safety.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    18 views1 page

    Near Miss Report

    Uploaded by

    adil khan
    This near miss report describes an incident that occurred at an unspecified project location. While no actual injuries, damage, or losses were sustained, the report estimates what could have occurred and analyzes the contributing factors. It recommends corrective actions to prevent future recurrence. The supervisor reviewed the report, which aims to document and learn from near misses to enhance safety.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    NEAR MISS REPORT

    INCIDENT DETAILS

    Project:

    Date: Time: Location/Plant/Equipment:

    Near Miss Description (Explain What happened – Use attachment if needed.

    ESTIMATE OF LOSS POTENTIAL (What injuries or losses might have occurred)

    Injuries:

    Property/Equipment Damage:

    Environmental Damage:

    Other:
    ANALYSIS (Why did it happen (List unsafe acts, unsafe conditions, wrong procedures/equipment or other factors)

    CORRECTIVE ACTION (What must be done to prevent recurrence – List recommendations)

    REVIEWER INFORMATION
    Reviewed by Supervisor or above (Name / Title / Badge):

    Page – 1 of 1 NP/HSE/24/00

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