ABB Senatobia Hazard Report

• Send all reports to Nadia Earle at nadia.earle@us.abb.com

• Status

  Employee

  Contractor

  Other

• Location

• Conducted on

  Date

• Prepared by

• Position (Job Title)

• Phone Number

• Experience in the Job (years/months)

• Witness Name

• Supervisor

• An unsafe act or condition is an unsatisfactory action or physical condition in a workplace environment that varies from a normal accepted safe actions and condition and can result in injury, death, or property damage , if not corrected properly.

• Type of Incident

  Unsafe Act

  Unsafe Condition

Risk Potential

• Severity

  Major/Fatal

  Serious/Non-Fatal

  Minor

• Probability

  Frequent

  Occasional

  Rare

Description of Incident

• Description of the Event or Situation

• Immediate Action Taken

• Suggestions for Additional Corrective Action