A near miss report form is used by the organization to report any kind of incident that had potential to cause harm, but in didn't do so. In the work field near miss incidents occur more than loss causing events. The loss causing events can be from minor severity to high severity.
Mostly accidents occur due to non-reporting of near miss incidents. Near miss incidents are neither reported nor corrected right after their occurrence, and ultimately they result in severe accidents.
The attached report form can be used for this purpose. Reporting Near Miss accident is the first stop towards prevention of accident. The report form can be used to report incidents like;
- Physical Damages
- Wrong Working Method
- Work Without PPEs
- Wrong Tool Use
- Unauthorized Tool Introduction on Worksite
- Environmental Aspects and Impacts
- Any Hazardous Condition
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