After recording Near Miss Report Form, we should proceed further for investigation for prevention and take control measures according to details provided in format.
Definition :
- It is an unintentional event that takes place and has potential to cause damage, harm but does not result in to damage, harm.
- It is also known as “Near Hit”, “Closed Call”.
- If it is not reported, there may have chance that it will be converted in accident.
Near Miss Report Form details:
| Date: |
| Time: |
| Project/Site Name: |
| Location of Incident: |
| Description : |
| What may happen? |
| Suggestions/Recommendations for prevention: |
| Reported By: |
| Full Name: |
| Employee ID: |
| Contact Details: |
| Department And Designation: |
| Signature with date: |
Document Distribution: Original to Safety Department or You can put in drop box available in department and inform to Safety personnel immediately.
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