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The report-writing process begins with fact finding and ends with recommendations for preventing future accidentsYou may use a special incident reporting form and it might be quite extensive.
How to write a near miss report pdf. There are many ways to describe a near miss close call or near hit. Create a clear description of the near miss. Below here are some of the most essential elements of a typical document.
Near Miss Report. In this guidance the term near miss will be taken to include dangerous occurrences. If personnel or property were injured or damaged during the incident do no use this form.
_____ Location of Event eg. And some type of action. An incident report needs to include all the essential information about the accident or near-miss.
The report should capture whether the near miss was a result of an unsafe act unsafe condition unsafe equipment or unsafe use of equipment. Provide the location of the near miss by either typing in the complete address or pinning it on the map. Include a description of the event and if needed identify a root cause associated hazards andor add images.
For step-by-step instructions on reporting near misses with the Safesite app visit our help center. What is a Near Miss. Use this near miss report form to capture a potential hazard or incident that has not resulted in any personal injury or property damage.
A near miss is an event or hazard that does not result in injury illness or damage but had the potential to do so. High priority should be given to events that resulted in significant resident harm or death and other events the facility is required by regulation to investigate. Investigate and assess the possible causes of the problem.
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