Information

  • HS/06/04/IR2 Rev 3.0 Feb 2014

IR2

NATURE OF NEAR MISS/ POTENTIAL INCIDENT.

  • BP, Booker, FSHC, HOF, Homebase or Makro

  • Store address
  • Date / Time.

  • Health

  • Safety

  • Environment

  • DESCRIPTION OF INCIDENT.

  • Picture.

  • ACTION TAKEN TO RESOLVE ISSUE IF AVAILABLE

  • Picture.

  • Job Status

  • Enter job Number raised

  • Technician signature

  • Managers signature

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