CONEX ENERGY-Near-Miss Incident

Report
Near-Miss Incident Report Form

Country
9 Responses- 6 Empty

Sierra Leone 7 78%

Liberia 2 22%

0 2 4 6 8
Near-Miss Incident Report Form

Employee completing this form. Title/Role

13 Responses- 2 Empty 13 Responses- 2 Empty

Data Responses
IT Assistant 9 69%

Pessen Koroma 13

IT Manager 3 23%

Treasurer 1 8%

SFS Cordinator 0 0%

Kissy Depot Ma… 0 0%

Other entries 0 0%

0 2 4 6 8 10
Near-Miss Incident Report Form

Department Type of Near Miss Occurance

12 Responses- 3 Empty 13 Responses- 2 Empty

Finance 10 83% Unsafe Act

62%

Marketing 1 8%
8

Operations 1 8%

Management 0 0%
1 Unsafe Condition
8%

HR 0 0% 1

2 1 Unsafe Process/Procedu
8%
Others 0 0%
Unsafe use of Equipment Unsafe Condition of Area
15% 8%

0 0%

0 2 4 6 8 10 12 Unsafe Act Unsafe use of Equipment Unsafe Condition of Area

Unsafe Process/Procedure Unsafe Condition of Equipment
Near-Miss Incident Report Form

In which location do you work? Location of the Near- Miss:

13 Responses- 2 Empty 13 Responses- 2 Empty

HQ 7 54%
HQ 9 69%

Wilberforce FS 2 15%
Kissy Depot 2 15%

Lungi Depot 1 8%

Lungi Depot 1 8%

Congo Cross FS 1 8%

Little Canada P… 1 8%
Wilkinson Road… 1 8%

0 0%
Other entries 1 8%

0 2 4 6 8 10 0 2 4 6 8
Near-Miss Incident Report Form

Date of Near Miss: Describe the Near-Miss including any events leading to or
15 Responses immediately following the Near-Miss. What happened:
13 Responses- 2 Empty
Data Responses
Data Responses
03-02-2023 08:46 AM 1
Jdirirjri 1
01-02-2023 01:32 PM 1
Jdjrjrj 1
31-01-2023 07:17 PM 1
Yfje of d I sjeek 1
29-01-2023 02:53 PM 1
Bdiri 1
27-01-2023 05:57 PM 1
Jeurirj 1
27-01-2023 05:20 AM 1
Udjrj 1
12-01-2023 09:05 AM 1
bad stearcase, almost slip down 1
11-01-2023 09:52 AM 1
sfrfdf 1
11-01-2023 09:49 AM 1
seere 1
Near-Miss Incident Report Form

Describe how the incident could potentially resulted in a serious Please indicate how the incident can be prevented from
or life-threatening situation. What could have happened: reoccurring again:
13 Responses- 2 Empty 13 Responses- 2 Empty

Data Responses Data Responses

Uehdizijafzj 1 Kzgsyehdy 1

Jfjfktmt 1 I tignfj 1

Usheirrn8 1 Txudjrro 1

Kdjtjtj 1 Idifjftj 1

Jsjei 1 Jai3k 1

Jfhrh 1 Jfhdy 1

could have cause damage someone would cut their skin 1 professional metal work 1

fbsdrtwe 1 vfef 1

3543646 1 rewfb dbc 1

Near-Miss Incident Report Form

Please provide any other comments below:

13 Responses- 2 Empty

Data Responses

Jzydhfjrj 1

I fkfk 1

Hdydirk 1

Jdj totj 1
Question for this chart was deleted
Isirj 1

Ur73hej 1

sta needs to be aware 1

vdfsef 1

fdfdr3r3 1
 Type of Near Miss Occurance
13 Responses- 2 Empty

Unsafe Act
62%

1 Unsafe Condition
8%
1
2 1 Unsafe Process/Proce
8%
Unsafe use of Equipment Unsafe Condition of Area
15% 8%

Unsafe Act Unsafe use of Equipment

Unsafe Condition of Area Unsafe Process/Procedure
Unsafe Condition of Equipment
 Thank You!
Near-Miss Incident Report Form