Serious Near Miss Report
Serious Near Miss Report
Serious Near Miss Report
EXACT LOCATION
ACCIDENT BRIEF
DESCRIPTION:
(Activities, Equipment,
Condition Involved)
IMMEDIATE ACTIONS TAKEN
ROUTE CAUSE
RESULTING DAMAGES
(if any)
Damages / Persons/
Equipment/
Building/Materials /Product
Actions
Assess the risk before starting critical activities
through risk assessment. Communicate the same
risk to involve working people. Operator must be
competent.
Area where lifting and shifting activities to be
carried out must be even and compact. So that
undesirable incident could be averted.
The job Supervisior must access the risk and be
present through out the job execution.
Two hydras are ban for any lifting and shifting. It
also bans to shift heavy materials by hydra. Use
trailer instead of hydra for shifting of materials.
REPORTING OF ACCIDENT
By Whom, Name of HOD &
Dept
REPORT INVESTIGATED BY
By whom, Name (s)
Resp.
Target Date
Immediate
Vasva Engineering
Vasva Engineering
Immediate
Vasva Engineering
Immediate.
Vasva Engineering
Immediate.