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    Near Miss 055

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    bryan
    Near miss report

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

    Near Miss 055

    Uploaded by

    bryan
    5 views1 page
    Near miss report

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Near miss report

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    5 views1 page

    Near Miss 055

    Uploaded by

    bryan
    Near miss report

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Form# ESH-001

    Royal Commission & SABCO


    Rev # 2
    Jubail Project - ES&H Department
    Date: 24.04.17

    PO TEN TIA L IN C ID EN T R EPO R T (PIR )


    D a t e O b se r ve d : AP R IL 0 7, 201 9 Report # 055 P r o je c t # 0 21 - C O 9

    L o c a t i o n : Ca t e g o ry 2 b l d g . 2 O b s e r ve r N a me : J a de A . T a n
    R i s k R at i n g ( P r ob a b i l i t y X P ot e n t i a l S e v er i t y ) – P l e as e r ef er t o R i s k A s s es s m e n t M at r i x

    H i g h ( 10 t o 25 ) Medium (5 to 9) L ow ( 1 t o 4 )
    Ris k As s e s s m e nt Ma t r ix
    P o t e nt i a l P r ob a b i li t y ( P )
    S e ve r i t y ( S ) 1. Impro bab le 2. Remote 3. Occasio nal 4. Probable 5. Fr eq ue nt
    1. Neg lig ib le 1 2 3 4 5
    2. Marginal 2 4 6 8 10
    3. Critical 3 6 9 12 15
    4. Severe 4 8 12 16 20
    5. Catastrophic 5 10 15 20 25

    H A Z A RD DE SC R IPT I O N C a t e g o ry
    P l e a s e w r i t e w h a t y ou s aw a n d w h er e i t t o ok p l ac e P l e a s e T i c k (  ) i n t h e a p p r o p r i at e b o x

    W or k i n g at h e i g h t T ools & Eq uipm ent.

    Env ir onm ent M an u a l H a n d l i n g


    O n Ap ril 07 , 2 01 9 , a r o u nd 9 :3 0 AM Mr . Li a qa t a
    S c af f o l d i n g a n d or
    r i gg e r wa s r i g gi n g t h e mo b il e cr a n e 7 5 t o n t o MEPI
    F a l s e w or k
    i n st all p r e ca st pa n el i n 2 n d flo o r o f ca t e g o r y 2
    L i f t i n g O p er at i o n s P er m i t
    b l d g. 2 . W hil e i n sta lli ng t h e pr e ca st p a n el wa s
    C on f i n e d S p ac e
    mo ve si d e b y si d e a nd i t al mo st h i t o n e wo r ke r W el f ar e
    w or k
    o f q a n b ar . L u ckil y no t hi n g ha p p e n.
    H ou s ek e e p i n g T r ai n i n g

    Any Other:

    W e r e y o u a bl e to c o r r ec t th e p r o bl em ? Ye s  No

    W ha t ac ti on wa s ; Taken  S u gg es t ed
     Sa f e t y o f fi ce r i nf o r me d t h e co n ce rn e d f o r e ma n a t t h e sa me t i me i n f o r m t h e r i gg e r
    t h a t h e mu st b e ve r y car e f ul on wh a t h e i s d oi n g an d n o t t o all o we d a n y wo r ke r
    n e a r b y.

    I s De t ai l e d I nv es ti g a ti on Re q ui r e d? Ye s No 
    I f D e ta i l ed I nv es ti ga t i o n R e qu i re d Na me of T e am
    Me m b e rs (A s s i g ne d b y Si t e i n -c ha r g e ) :

    SL R e c o m m e nd a t i o n ( s) Actio n b y Target Date

     T h e ri gg e r mu st h a ve a vali d th ir d p art y ce r ti fi ca t e .
    I n sp e ct t h e ri g g er d ail y ch e ckli st .
    F o r e ma n
     F o r e ma n mu st co n d u ct a d ail y ST ARRT ca r d t al k O n d ai l y b as i s
    S af e t y Of f i c e r
    t o wa r d s h i s wo r ke r r el a t e d t o t h e h a za r d o f th e
     a ct i vi t y.

    R ev i e we d B y : N a me D e s i gn a ti on Date S i g n a tu r e

    S i te In - c ha r g e Mr .W a r i s A l i F o r e ma n 0 7 - 0 4 -2 0 19

    H SE I n -c ha r g e Mr.Jade A. Tan S af e t y Of f i c e r 0 7 - 0 4 -2 0 19

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