Date And Time NEAR MISS REPORT — PROJECT / DEPARTMENT: DIB Residential Development @ JVC Project Dubai 14.12.2021 @ 0758 AM 'Name Of The Person Injured / Nationality N/A ‘Staff / Card No / Sub-Contractor Plumbing and Electrical Werkmen 'Name Of The Consultant Dewan Architect /Accident Rating / Delay In Program Nya Lost Working Hours / insurance Claim NA |ame OF The Immediate Supervisor Safety Engineer (Main Contractor) Location / Damage Ete Plot #8 ‘Type Of Injury / Nature And Severity N/A incident Location Plot #8 ‘Description Of Incident And Task Being Carried Out ‘Today @ 07:58 AM While Site Walk on the slab work in Plot # 8 One of Al Arabia Electrician reported that he has seen some fire near the fence area of the [Plot. When seen it was initial fire and we reported to the Main Contractor Safety |team about the fire and they immitiately rectify it and control the fire through Fire Extinguisher and Water and Rurmmel. |Witness Name And Statement Mohammad Aziz (Electrician) [Treatment Rendered Including Hospital Report NVA limmediate Causes Lack of Monitering. [conclusions / Findings las per the main contractor findings somebody lit the fire for glving heat to the Hand because of cold weather and he not clear the fie Properly, which created lal fire. [Detail Of Action Taken |we arranged TBr forall the workers and explain the Emergency Procedure in ase offre at site and how to handle. [Remedial Measures To Be Implemented ‘Cleared the area by the main contractor and appointed 2 security persons to check the site in the earlly morning so that it should net happened again. [Date Injured Person Returned To Work: [Date OF Rectification in Case Of Environmental Incident: N/R Signature: ) isha Zourob(Sr.Project Manager) me Date: Name: KX Ullah ca P.3/F0L Revo(L9DL140 BSH) YORIN POMS hQ porodorg