Safety Report Type Identification and Sign Off Level
Safety is Everyone’s Responsibility Safety Report Description Sign off Level Type Description Sections Supervisor Senior Dept Part of this responsibility is the reporting of to Supervisor Manager Complete safety incidents and issues. Not only will this Personal Hospitalisation. The injured person 1,2,3,5,6 HIGH make the workplace a safer place in which to Injury has been admitted to hospital as an in-patient. work, it will help keep people informed. Personal Medical Centre/Ambulance 1,2,3,5,6 HIGH Injury Treatment. The injured person has been treated at an off-site medical centre or has been treated by an ambulance officer either on site or Safety Report Flow Chart off site. Personal First Aid Treatment. Injured person 1,2,3,5,6 HIGH Injury has been treated at on-site first aid centre or by a first aid kit. Property Can not continue Normal & Safe 1,2,4,5,6 HIGH Damage Operation. Operations have stopped and repair costs will be greater than $5000 Property Can be Reinstated to Normal & 1,2,4,5,6 MEDIUM Damage Safe Operation. Operations have stopped but can be reinstated within 1 hour and repair costs are under $5000. Property Minor or No Interruption to Normal 1,2,4,5,6 LOW Damage & Safe Operation. Dangerous Includes – Electric Shocks & 1,2,5,6 HIGH Event Isolation Breaches. The potential will always be HIGH Illness Illnesses Occurring at Work. 1,2,6 MEDIUM Hazard Sign off will depend on potential, 1,2,5,6 LOW MEDIUM HIGH HIGH-manager, MEDIUM-senior supervisor, LOW-supervisor. Near Miss Sign off will depend on potential, 1,2,5,6 LOW MEDIUM HIGH HIGH-manager, MEDIUM-senior supervisor, LOW-supervisor. Proactive Sign off will be by level of authority 1,2,5,6 LOW MEDIUM HIGH Event for completion of work.
Potential Identification Chart
When determining Catastrophic Major Minor
Potential, consider how Injury: Admitted to Injury: Treated at an off Injury: On-site first aid likely the incident could hospital, or is a Lost site medical centre, ie., treatment only, ie., First result in injury or Time Injury (LTI) Medical Treatment. Aid Case. damage, and what Damage: Cannot would be the degree of continue normal and Damage: Can be Damage: No injury or damage. safe operation. returned to normal and interruption to normal Cost>$5000 safe operation within 1 and safe operation hour. Cost <$5000 Very Likely HIGH HIGH MEDIUM It could happen frequently. Likely HIGH MEDIUM MEDIUM It could happen occasionally. Unlikely HIGH MEDIUM LOW It could happen but rare. Very Unlikely MEDIUM LOW LOW It could happen, but probably never will.