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  • Accidents / Incidents / Near Miss Record

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    Arul Edwin
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    This document is a record form for accidents, incidents, and near misses at a company. It includes fields to log the date, time, details of the event, any affected personnel and their injuries, involved machines or equipment, the cause of the event, and corrective and preventive actions taken with signatures of the preparer and approver. The form is numbered and allows for logging of up to 12 events.

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    This document is a record form for accidents, incidents, and near misses at a company. It includes fields to log the date, time, details of the event, any affected personnel and their injuries, involved machines or equipment, the cause of the event, and corrective and preventive actions taken with signatures of the preparer and approver. The form is numbered and allows for logging of up to 12 events.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    33 views1 page

    Accidents / Incidents / Near Miss Record

    Uploaded by

    Arul Edwin
    This document is a record form for accidents, incidents, and near misses at a company. It includes fields to log the date, time, details of the event, any affected personnel and their injuries, involved machines or equipment, the cause of the event, and corrective and preventive actions taken with signatures of the preparer and approver. The form is numbered and allows for logging of up to 12 events.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    of 1

    Format No: PE/DIN/HR/07

    Accidents / Incidents / Near Miss Record Revision No.: 0


    Revision Date.: 01.04.2021

    Sl. Which Machine / Cause of the Corrective and


    Date Time Accident Details Affected Person Type of Injured Signature
    No. Equipment Accident Preventive action

    10

    11

    12

    PREPARED BY APPROVED BY

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