Information
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Document No.
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VPL NEAR HIT/MISS REPORT
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Prepared by
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Conducted on
WHAT IS A NEAR HIT/MISS?
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A near hit/miss is any unplanned event that could have had the potential for injury, ill health, damage or other loss. Unsafe working conditions, unsafe employee work habits, improper use of equipment or use of malfunctioningojnkikkkklkokpkokokl,kolk
Typhus equipment have the potential to cause work related injuries.
It is everyone's responsibility to report and/or correct these potential accidents/incidents immediately.
HOW DO I REPORT A NEAR HIT/MISS?
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You have 4 options to report a Near Hit/Miss:
1. Call 0800 333 008 or 09 3521111, select option 8 (available 24/7) or
2. Email a Near Hit/Miss Incident report to vplseqnz@visionstream.co.nz or
3. Submit a Near Hit/Miss Incident report to a VPL representative or
4. Submit your report here using iAuditor and email it to vplseqnz@visionstream.co.nz
INFORMATION REQUIRED
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Select date and time of potential incident/hazard :
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Attach any supporting documents/photos:
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Environment
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Vehicle/Plant/Equipment
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Underground Services
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If the potential incident/hazard involved an underground service, please select which one:
- Gas
- Electrical
- Water
- Sewer
- Stormwater
- Telecommunications
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If the potential incident/hazard involved an underground service, please select how:
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If other, enter here:
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If an asbuilt is provided, utility service deviations will be notified to the appropriate Asset Owner.
PREVENTATIVE ACTIONS:
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List any immediate action taken to make the area safe or eliminate reoccurrence.
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What would have made it safer?
