• Lage von Near Miss gemeldet
  • Teammitglieder Name:

  • Supervisors Name:

  • Schwere Verletzungen Fatality (S.I.F.)?

  • Schwere Verletzungen Fatality S.I.F. (Precursor)

  • Art der Umgebung von Miss gemeldet?

  • * Wenn andere bitte auflisten hier

  • Beschreibung der Umgebung von Miss gemeldet:

  • Legen Fotografie Near Miss, die hier gemeldet

  • Beschreibung der sofortigen KorrekturmaƟnahmen

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