POTENTIAL INCIDENT / NEAR MISS REPORT

NMPI REPORTING CLOSURE ACTION

Reporting by
No. Site Name Date/Time Descriptions Photo Before Action Taken Photo After Date Closed PINM Category PI/NM
Who
 Summary NMPI Report Compilation For the Month
No NMPI Category Frequency
1
2
3
 Total NMPI in 2016 in Shell Sites
NMPI number
Barricade 0
Tripping 0
Electrical 0
Entanglement 0
PPE 0
Fall object 0 Barricade
Sharp edge 0 Tripping
Housekeeping 0 Electrical
Fire safety 0 Entanglement
Hording 0 PPE
Protruding object 0 Fall object
Unsafe act 0 Sharp edge
Equipment Housekeeping
0
Damage Fire safety
Incomplete Hording
0
scaffold Protruding object
Unsafe act
Equipment Damage
Incomplete scaffold