March 2019

How we can help • Information at a glance • Keep track of current and up and coming projects easily • Improve your departments performance • Manage resources more efficiently • Standard or tailor made tel 01732 871 417 web www.tcardsdirect.com PERSONTAKINGRESPONSIBILITYFORACTION NEAR MISS / HAZARD ACTION ESTIMATEDCOMPLETIONDATE DETAILOFACTIONTAKEN DATE WORKREQUESTNo. (IFAPPLICABLE) CONFIRMFEEDBACKPROVIDEDTOEMPLOYEE YES CONFIRMACTIONASCOMPLETE TIME A proven management tool to help keep track, allocate and improve efficiency Special Offer System only £95.00 inc 200 T Cards + P&P and VAT • Maintenance Requests • Continuous Improvement • Staff In/out • Weekly Planners PLANTNAME REF. LOCATION BRIEFDESCRIPTIONOFNEARMISS /HAZARD DATE REPORTEDBY SUGGESTIONSFOR IMPROVEMENT TIME SHIFT A =CRITICAL B =MAJOR C =MINOR NEARMISS: (LIKELIHOODOFFATALITY, LOSSOFBODYPARTORSIGNIFICANT LOSSOFSTRUCTURE/EQUIPMENT/MATERIAL (LIKELIHOODOFSERIOUS INJURY/DAMAGE/LOSS). (LIKELIHOODOFMINOR INJURY/DAMAGE/LOSS). ANEVENTWITHPOTENTIALTOHAVERESULTED IN INJURY DAMAGEORLOSS TCardsDirect.Tel.01732871417 ReOrderRef: 13-407-4 NEAR MISS / HAZARD REPORT A B C 0003 PLANTNAME REF. LOCATION BRIEFDESCRIPTIONOFNEARMISS /HAZARD DATE REPORTEDBY SUGGESTIONSFOR IMPROVEMENT TIME SHIFT A =CRITICAL B =MAJOR C =MINOR NEARMISS: (LIKELIHOODOFFATALITY, LOSSOFBODYPARTORSIGNIFICANT LOSSOFSTRUCTURE/EQUIPMENT/MATERIAL (LIKELIHOODOFSERIOUS INJURY/DAMAGE/LOSS). (LIKELIHOODOFMINOR INJURY/DAMAGE/LOSS). ANEVENTWITHPOTENTIALTOHAVERESULTED IN INJURY DAMAGEOR LOSS TCardsDirect.Tel. 01732 871417 ReOrderRef: 13-407-4 NEAR MISS / HAZARD REPORT A B C 0002 PLANTNAME REF. LOCATION BRIEFDESCRIPTIONOFNEARMISS /HAZARD DATE REPORTEDBY SUGGESTIONSFOR IMPROVEMENT TIME SHIFT A =CRITICAL B =MAJOR C =MINOR RMISS: (LIKELIHOODOFFATALITY, LOSSOFBODYPAR ORSIGNIFICANT LOSSOFSTRUCTURE/EQUIPMENT/MATERIAL (LIKELIHOODOFSERIOUS INJURY/DAMAGE/LO S). (LIKELIHOODOFMINOR INJURY/D MAGE/LOSS). ANEVENTWITHPOTENTI LTOHAVERESUL ED IN INJURY DAMAGEOR LOSS TCardsDirect.Tel.01732871417 ReOrderRef: 13-407-4 NEAR MISS / HAZARD REPORT A B C 0001 Other Standard boards include: 11605 Near Miss A5 2pp Leaflet F_Layout 1 15/02/2012 15:27 Page 1 ENGINEERING CONNECTIONS