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    Flash Report Template

    Uploaded by

    Malefane Cortez Tlatlane
    This 3 sentence summary provides the key details about the incident reporting form: The incident reporting form is used to document health and safety incidents in the workplace, and includes sections to describe the date and time of the incident, who reported it and to whom, the incident category and risk level, a description of what happened, any immediate actions taken, the immediate causes, and recommended preventative actions. The form collects signatures and aims to ensure incidents are properly reported to required authorities when necessary.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Flash Report Template

    Uploaded by

    Malefane Cortez Tlatlane
    1K views2 pages
    This 3 sentence summary provides the key details about the incident reporting form: The incident reporting form is used to document health and safety incidents in the workplace, and includes sections to describe the date and time of the incident, who reported it and to whom, the incident category and risk level, a description of what happened, any immediate actions taken, the immediate causes, and recommended preventative actions. The form collects signatures and aims to ensure incidents are properly reported to required authorities when necessary.

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    This 3 sentence summary provides the key details about the incident reporting form: The incident reporting form is used to document health and safety incidents in the workplace, and includes sections to describe the date and time of the incident, who reported it and to whom, the incident category and risk level, a description of what happened, any immediate actions taken, the immediate causes, and recommended preventative actions. The form collects signatures and aims to ensure incidents are properly reported to required authorities when necessary.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    1K views2 pages

    Flash Report Template

    Uploaded by

    Malefane Cortez Tlatlane
    This 3 sentence summary provides the key details about the incident reporting form: The incident reporting form is used to document health and safety incidents in the workplace, and includes sections to describe the date and time of the incident, who reported it and to whom, the incident category and risk level, a description of what happened, any immediate actions taken, the immediate causes, and recommended preventative actions. The form collects signatures and aims to ensure incidents are properly reported to required authorities when necessary.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Title of Document Subject / Category

    Incident Reporting Form Health and Safety


    Document Owner

    HEALTH AND SAFETY FLASH REPORT


    Date & Time of incident: Who reported the incident:

    Date & Time incident was reported: To whom was the incident reported:

    Section: Incident Reference No:


    Area / Department / Contractor:
    A. INCIDENT INFORMATION

    Incident Category (Mark with X): Safety X Health

    Property Community Near Miss


    Explosive Fire Damage/Vehic First Aid
    Incident Incident
    les
    Incident Level of Risk Category Low X Moderate High Extreme
    (Mark with X):
    Description of the incident including task/s and actions just before incident occurred (What, Where, When, Who
    and How): Illustration with photos.
    On the 15…

    Immediate actions taken:



    Immediate Cause/s of the incident:

    Recommended immediate actions taken to prevent a recurrence of the same incident:
    Preventative action: Responsible Person Name: Target Date: Signature:

    Has this incident, if required, already been reported to the required Authorities e.g. Dept. of Labour : YES NO

    Signature…………................
    Title of Document Subject / Category
    Incident Reporting Form Health and Safety
    Document Owner

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