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Safety
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ACCIDENT / INCIDENT REPORTING:
When an
accident happens you should report it immediately to the
supervisor or foreman. So that they have to send the report
which position you are in and let the manager know what to
do next. Never do any thing unless you have instruction from
the safety doctor.
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Accident
reports should be rued.
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Analysis of
the accident should be done.
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Accident
investigations should be carried out immediately.
ANALYSIS OF THE
ACCIDENT |
CAUSES OF
THE ACCIDENT |
-What were
the causes of the accident?
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PRECENTAIVE
ACTIOM |
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SUGESTIONS |
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IMPORTANT
·The
accident file is now computerized; please fill this
report very carefully.
·Forward
this report to the safety department as soon as
possible along with an additional note or sketch if
necessary. |
PARTY
MANAGER |
SUPERVISOR |
Date:
.
Signature:
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Date:
Signature:
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Note: This report can only be used for damages
incidents less than $ 1000 or near misses that had potential
to cause a minor first aid injury.
Type of incident:
Near miss
Damage Canadian Nexen
Contractor
potential of incident:
Personal injury Property Business
Equipment
Injury Damage
Interruption Damage
Damage cost:
Date:
.. Time :
..
Location :
..
Incident Description:
:
..
..
..
Reported by: :
..
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Investigated by: :
.. Position
FOLLOW UP ACTION I INVESTIGATION.
Investigation Report filed:
yes
No
NOTE: if yes. this incident shall be entered on lotus notes.
Substandard:
Action: :
..
..
..
Standard Condition: :
..
Immediate Action
Taken: :
..
..
..
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Corrective Action :
..
..
Further Action Required:
Yes
No
EH & S :
..
..
Date:
..
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here
safety
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