Do you have the courage to care about preventing incidents? Complete this card when you find a hazard or a risk - a potential incident, injury or illness - that has (or could have) resulted in a loss. Thank you for helping us communicate/correct this potential incident. Your action helps ensure that everyone goes home safely, everyday!
×
Scan this QR code to use this paper checklist on your smartphone or tablet or visit https://safetyculture.com/
Information
Organization Unit.
Conducted on
Optional: Enter your name, Service Ticket #, Job #, and/or Project #.
Close Call
Briefly describe the (potential) incident.
List cause(s) - find facts, not fault.
Suggest a solution to make it safe.
Bonus: Take a picture of the (potential) incident and/or corrective action.
'Courage to Care' Card
Do you have the courage to care about preventing incidents? Complete this card when you find a hazard or a risk - a potential incident, injury or illness - that has (or could have) resulted in a loss. Thank you for helping us communicate/correct this potential incident. Your action helps ensure that everyone goes home safely, everyday!
©SafetyCulture 2022
