Title Page
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Site conducted
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Client / Site
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Tool Box Talk
Near Misses / Incidents Briefing Record
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A near miss is an unplanned event that did not result in injury, illness, or damage - but had the potential to do so. Only a fortunate break in the chain of events prevented an injury, fatality or damage.
Near Misses happen frequently in construction work
You drop a tool from overhead from it falls harmlessly, missing workers below
You trip and fall over a piece of lumber but don't get injured
You drive a pickup truck into the work area and park, only to find that you missed a coworker by inches
These are just a few scenarios of events that happen on a daily on construction projects. It seems like no big deal at the time but if circumstances was different these events could have disastrous results
Five Key Questions - Who, What, When, Where and Why
All incidents whether a near miss or an actual injury related event, need to be investigated. Investigating a near miss incident will allow you to recover the reason for the incident and take steps to prevent this from happening again. ( with more tragic results)
A near miss is an injury that could have happened
Near misses should always be evaluated
Near misses should always be taken seriously
Recommendations
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Recommendations
Confirmation
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Full Name and Signature of Inspector
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By signing this, you confirm that the information discussed during this meeting were fully understood.
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Signee
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Full Name and Signature of Participant