Incident Report Details and Recovery Actions
Explore a detailed incident report, including date, violation, investigation method, and post-incident recovery action taken in a construction setting.
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Presentation Transcript
Incident report one sentence details of incident Dated
Details of the Incident Date and Time of Incident Violation of any legal requirement Method of investigation Category of incident and type of injury INCIDENT/ high potential/ dangerous occurrence /LTI Mr. YYYYYYY Name of the concerned responsible engineer Place of incident (height from ground ) Country location Name of Agency /N-Subcontractor M/s ABC123 2 Sensitivity: LNT Construction Internal Use
Description of the incident 08-07-2025 3 Sensitivity: LNT Construction Internal Use
ROOT CAUSE / what went wrong Which technique is used for investigation- 4 Sensitivity: LNT Construction Internal Use
Incident location Incident location- - include images/sketch here include images/sketch here 5 Sensitivity: LNT Construction Internal Use
Post incident recovery action taken 6 Sensitivity: LNT Construction Internal Use
Near miss incident action taken SL NO. Corrective Actions to prevent Recurrence. Type of control (hierarchy) 1. 2. 3 4 5 7 Sensitivity: LNT Construction Internal Use
Sr. no Checkpoint Action All photos compressed /pdf file 1 No name of company, staff, victim, witness written in this document 2 My GPAY details/ banking details 3 Any other details 4 Sensitivity: LNT Construction Internal Use
