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First Aid & Near Miss Incident Investigation Report

This document is an investigation report template for non-reportable accidents, first aid incidents, and near misses at Transrail Lighting Limited. It includes sections for documenting details of the incident, findings, causes, witness information, and recommended corrective actions. The report emphasizes the importance of worker participation and compliance with corrective measures.

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SHAHNAWAZ HAIDER
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0% found this document useful (0 votes)
34 views1 page

First Aid & Near Miss Incident Investigation Report

This document is an investigation report template for non-reportable accidents, first aid incidents, and near misses at Transrail Lighting Limited. It includes sections for documenting details of the incident, findings, causes, witness information, and recommended corrective actions. The report emphasizes the importance of worker participation and compliance with corrective measures.

Uploaded by

SHAHNAWAZ HAIDER
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOC, PDF, TXT or read online on Scribd
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Integrated Management System

Transrail Lighting Limited

Non-Reportable Accident /First Aid Incident/Near Miss Incident Investigation Report


F/Const./FOR/009A
Revision:01
Name of Site / Line /Factory: ________________________________________

Accident Investigation Report No. : Date of Investigation:

Date of accident: Time of accident:

Plant/Site: Location:

Shift: Department:

Company Employee/Contractor:

Name of
Injured Employee: Designation:

Incidence:

Findings:

Immediate cause:

Basic cause:

Name of witness:

Workers’ participation and consultation:


1)

2)

Recommendation/Corrective Action:

-------------------- -------------------- ---------------------- -------------------


Worker/Worker Representative Safety Officer HOD (Concerned/ Regional Head/
Site incharge) Factory Head

 All concerns are requested to comply corrective action immediately.


 Risk Register to be review accordingly to the activities/operations found.

Format No : F/Const./FOR/009A Revision No : 01


Issued By : HSE Head Date : 18.01.2022
Approved By : Management Representative Page No : 1 of 1
CONTROLLED

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