Indo Siren

Indo Siren: Near miss incident

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Title Page

Occurred on
Prepared by

Drill evaluation

Description
Cause
Weather conditions
Did the victim had any health issues prior to the near miss?
Details
Was a solution found?
Description
How long did it take to fix the issue after finding the solution?
Comments

Signatures

Signature of Cruise Director

Indo Siren

Indo Siren: Near miss incident

Use this Template

Print as PDF

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.