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DYNAMIC
INSTITUTION OF SKILL DEVELOPMENT
NEAR MISS
REPORTING
Prepared by Mohammad Naushad
Contact- www.dynamicskilldev.com
Email- go.dynamicskill@gmail.com
Program Goals
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Provide an opportunity for site management team to
share near miss cause and experiences, which can
help prevent injuries and protect the lives of others.
Collect information which can assist
in formulating strategies to reduce
the number of worker injuries
and fatalities.
Foster a safety-focused culture
that recognizes errors as an
inherent part of human behavior.
Topics
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Definition of a Near Miss
Conditions/Act
Reporting
Near miss- Management Stages
Near miss examples
Definition
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A “near miss” is an unplanned event
or situation that did not result in
injury, illness or damage - but had
the potential to do so.
Sometimes called a “near hit” or
“close call” – signals a system
weakness that if not corrected could
lead to significant consequences in
the future.
Another “Near Miss” Definition
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Opportunity to improve safety
practice based on Condition
or Act with potential for
serious consequence
In this definition, “act” or
“condition” is anything a
witness views worthy of
addressing to eliminate
potential to cause harm.
Using Condition/Act
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A wide variety of occurrences can
be near misses:
Unsafe conditions
Unsafe Act/behavior
Events where injury could have
occurred but did not
What Happens?
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Human error is commonly
an initiating event.
However, a faulty process
or system allows or
compounds the situation
and should be the focus of
improvement.
Incident Ratio Model – Heinrich’s Theory
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Serious Injury or Death
Most Accident 1
Investigations
Conducted
29
Biggest
Minor Injury percentage
of injury
Few Investigations causing
Conducted potential!
300
Near Miss
3,000
Unsafe Acts, Behaviors or Conditions
Why Report?
Reporting a near miss helps to establish and continue
safe practices within the workplace.
Information provided enables an employer to
communicate facts, causes and corrective actions to all
employees regarding near misses.
Provides valuable information to employees about how
to avoid/prevent future accidents and injuries.
Provides opportunity to improve safety, health,
environment and security of operation.
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Why Report?
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Who can submit a report and does
it need to be a recent experience?
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Any member of the site is encouraged to
submit a report when he/she is involved in,
witnesses, or is told of a near-miss event.
Regardless of when the near-miss
experience occurred, all reports contain
valuable information.
Near-Miss Management Stages
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Identification
Disclosure
Root-cause analysis
Solution identification
Dissemination
Almost!
Identification
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First stage of process
Sometimes issue is not
obvious
May not be recognized as
near miss
Need consistency in
definition and perception
When in doubt, consider as
near miss
Disclosure
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Employees need to feel comfortable reporting near
misses.
Employees should not fear disciplinary action or
peer pressure by reporting.
Organization’s safety culture is such that reporting a
near miss is important and necessary.
Direct & Root-Cause Analysis
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• When analyzing near miss, it is necessary to:
Assess the direct and underlying root causes
that contributed to an incident.
Determine corrective actions or solutions to
rectify the root cause so that recurrence is less
likely.
• Root-cause analysis techniques can be used
during near-miss investigations.
Solution Identification
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Corrective actions need to be determined for each
cause.
Ideally, corrective actions should eliminate potential
for recurrence but may not always be feasible.
Desirable that solutions reduce likelihood of
recurrence, or at least reduce potential impact in case
of recurrence.
All solutions should be scrutinized to assess whether
there are other detracting factors (e.g., expense,
employee acceptance, etc.)
Broadcasting to Implementers
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Corrective actions should be sent to all persons who
can benefit from information.
Should include individuals implementing corrective
actions at location where near miss occurred.
May also be appropriate to provide information
regarding near miss to larger audience.
Summary
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Near-miss identification and reporting is an integral
part of any good safety program.
A near-miss reporting and tracking system should be
developed and implemented.
Employees should be encouraged to report near
misses without fear of discipline or loss of job.
Reporting and tracking near misses can provide
valuable information as to where weaknesses in the
safety program exist.
Thanks
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Registered Office Add:
Shop No.-5, Majid Market, Beside SBI ATM,
Opp: Shahganj Gali, Mahendru, Patna-6, Bihar, India.
Contaact No.- 7481978997, 9693989933
mail: go.dynamicskill@gmail.com,
Web site: www.dynamicskilldev.com
