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    Near Miss 051

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    Near miss report

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    © All Rights Reserved
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    Near Miss 051

    Uploaded by

    bryan
    6 views2 pages
    Near miss report

    Copyright

    © © All Rights Reserved

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    Near miss report

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    6 views2 pages

    Near Miss 051

    Uploaded by

    bryan
    Near miss report

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Form# ESH-001

    Royal Commission & SABCO


    Rev # 2
    Jubail Project - ES&H Department
    Date: 24.04.17

    PO TEN TIA L IN C ID EN T R EPO R T (PIR )


    D a t e O b se r ve d : M ARCH 1 7, 20 19 Report # 051 P r o je c t # 0 21 - C O 9

    L o c a t i o n : M a i n t e na n ce B l d g . O b s e r ve r N a me : M o ha m m e d R uz d i
    R i s k R at i n g ( P r ob a b i l i t y X P ot e n t i a l S e v er i t y ) – P l e as e r ef er t o R i s k A s s es s m e n t M at r i x

    H i g h ( 10 t o 25 ) Medium (5 to 9) L ow ( 1 t o 4 )
    Ris k As s e s s m e nt Ma t r ix
    P o t e nt i a l P r ob a b i li t y ( P )
    S e ve r i t y ( S ) 1. Impro bab le 2. Remote 3. Occasio nal 4. Probable 5. Fr eq ue nt
    1. Neg lig ib le 1 2 3 4 5
    2. Marginal 2 4 6 8 10
    3. Critical 3 6 9 12 15
    4. Severe 4 8 12 16 20
    5. Catastrophic 5 10 15 20 25

    H A Z A RD DE SC R IPT I O N C a t e g o ry
    P l e a s e w r i t e w h a t y ou s aw a n d w h er e i t t o ok p l ac e P l e a s e T i c k (  ) i n t h e a p p r o p r i at e b o x

    At a r o u n d 0 8 :3 0 a m o n d at e d Ma r ch 17 , 2 0 1 9 a t W or k i n g at h e i g h t T ools & Eq uipm ent.


    the t e mp o r a r y e n t r a n ce ( a cce ss ) of
    Env ir onm ent M an u a l H a n d l i n g
    ma i n t e n a n ce b uil di ng a n e le ct ri cal ca b l e l a yi n g
    S c af f o l d i n g a n d or
    d o wn o n su r f a ce a n d co mi n g i n t o co n t a ct wi t h MEPI
    F a l s e w or k
    p e d e st ri an l e g f oo t wh i le wa l ki n g or cr o ssin g
    L i f t i n g O p er at i o n s P er m i t
    t h e t e mp o r a r y e n t r a n ce ( a cce ss ) . F u r t h er t o
    C on f i n e d S p ac e
    a b o ve a wo r ke r ke p t hi s l e g o n l aid do wn ca b l e W el f ar e
    w or k
    a n d sl ip p e d bu t g o t n a r ro w sca p e t o f a ll do wn ,
    H ou s ek e e p i n g T r ai n i n g
    o ccu r r e d n o h a r m, i n ju r y o r d a ma g e a n y ki nd o f
    ma t e r i a l , p r o pe r t y. Any Other:

    W e r e y o u a bl e to c o r r ec t th e p r o bl em ? Ye s  No

    W ha t ac ti on wa s ; Taken  S u gg es t ed

     A sh o r t b ri e f wa s g i ve n to cr e w me mb e r s i n r eg a r d s t o u si n g ca bl e dr u m a n d i t s
    su f f i ci en t p re ca u ti o n ar y .

    I s De t ai l e d I nv es ti g a ti on Re q ui r e d? Ye s No 
    I f D e ta i l ed I nv es ti ga t i o n R e qu i re d Na me of T e am
    Me m b e rs (A s s i g ne d b y Si t e i n -c ha r g e ) :

    SL R e c o m m e nd a t i o n ( s) Actio n b y Target Date

     F o r t e mp o r a r y wo r k u se , po we r t o ol s e t c. , u si n g
    ca b l e o r cabl e d ru m, ca b l e mu st b e u n d e r g ro u n d o r F o r e ma n
     O n d ai l y b as i s
    i n ha n di n g p o si ti o n o ve r t h e h e a d a s we l l a s S af e t y Of f i c e r

     r e q ui r ed su p er vi sio n su ch a cti vit ie s.

    R ev i e we d B y : N a me D e s i gn a ti on Date S i g n a tu r e

    S i te In - c ha r g e Mr . Mo h a mm e d I b r ah i m F o r e ma n 1 7 - 0 3 -2 0 19

    H SE I n -c ha r g e M r . M o h a m m e d R uz d i S af e t y Of f i c e r 1 7 - 0 3 -2 0 19
    Form# ESH-001

    Royal Commission & SABCO


    Rev # 2
    Jubail Project - ES&H Department
    Date: 24.04.17

    PO TEN TIA L IN C ID EN T R EPO R T (PIR )

    At t achme nt :

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