Information
-
Title (Remember to start title with NM or PSO ) This make is easy for SERE to manages incoming mails
-
Event date
-
Sector or department
-
Location (Hall, maschine, place)
NEAR MISS DETAILS
-
Describe the NEAR MISS
-
Photos
-
Depending on severity please choose / Afhængig sikkerhed risiko vælg <br>NM with BUBAK ( Works must be stooped until managers informed and have decided action<br>NM ( Near Miss)<br>PSO (Proaktiv Safety observation)
-
Action taken Med det samme / Containment
-
Action taken På kort sigt / Corrective
-
Action taken På lang sigt / Preventivep
Hazards and behavior - duplicate
-
Select the Circumstances for the NM
- Ergonomic risk
- Road Safety (drivers, pedestrian)
- Fires- explosions- heat exposure
- Natural or industrial disaster
- Cut or blow to body part
- Confined space
- Falls- slips and trips
- Falls from height
- Falling object or collapsing structure
- Machine/Equipment/Tool
- Crane and hoist
- Chemical biological and radiations exposure
- Electrical risk
- Powered Industrial Truck (PIT)
- Energy loss
- Other
-
Type of Hazards
- Collision with equipment
- Collision with Person
- Person Safety, or risk
- frayed electrical cords
- Material handling
- Mechanical
- Pressure
- Temperature
- cleaning products and solvents
- vapors and fumes
- carbon monoxide or other gases
- gasoline or other flammable materials
- unguarded machinery
- exposed moving parts
- constant loud noise
- vibrations
- Working from ladders
- Working scaffolding or heights
- spills
- tripping hazards non marked equipment
- poor lighting
- improperly adjusted workstations and chairs
- frequent lifting, repetitive or awkward movements
- Eye Strain
-
Behaviors
- Using machinery or tools without authority
- "Using defective tools or equipment or using tools or equipment in unsafe ways
- Removing or disabling guards or other safety devices on machinery or equipment
- Operating at unsafe speeds or in violation of safe work practices
- Using hands or body instead of tools or push sticks
- Standing or working under suspended loads, scaffolds, shafts, or open hatches.
- Creating unsafe, unsanitary or unhealthy conditions by improper personal hygiene, poor workplace maintenance or by smoking in unauthorized areas
- Overloading, crowding or failing to balance materials or handling materials in other unsafe ways, including improper lifting
- Failing to use and/ or maintain, or improperly using PPE or safety devices
