Near Miss Report

Document Number: LPS-01-HS-HEXA-NM-002

Time of
Date of Incident:
Incident: 07:45
02:04:2023
am

Area where incident occurred:

Basement:01- Zone B Area

Short Description:

Work Activity:

Event Description: On the above-mentioned date, time & location. HEXATECH electrical team working in above
mention area. At the same time HBK civil team also engage in fixing Tabuk blocks in ground floor suddenly
one Tabuk is fall from ground floor opening to basement 01 zone b area. Tabuk block weight around 40Kg from
the height 5m. Its poor negligence of the mason co – worker & there is no barricading & signboards on the
work area.

Immediate Action(s) Taken

 Informed HBK HSE personnel
 Barricaded the Near miss area with warning tapes
 Advice the concern foreman (mason)

Corrective / Preventive Action(s) Plan

 Standdown meeting conducted with HEXATECH operatives along with supervisor

 Standby person must be in basements while working in ground floor opening area.

Please attach relevant photo/s.

EXW-P008-0002-HS-DEC-FO-00004_CA Page 1 of 2
Prepared by: __ _______________________ Signature: _____________ Date: ________

Approved by: __________________________ Signature: _____________ Date: _______________

Project manager/construction manager

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