Construction Site Incident Report

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How to draft a Construction Site Incident Report? An easy way to start completing your document is to download this Construction Site Incident Report template now!

Every day brings new projects, emails, documents, and task lists, and often it is not that different from the work you have done before. Many of our day-to-day tasks are similar to something we have done before. Don't reinvent the wheel every time you start to work on something new!

Instead, we provide this standardized Construction Site Incident Report template with text and formatting as a starting point to help professionalize the way you are working. Our private, business and legal document templates are regularly screened by professionals. If time or quality is of the essence, this ready-made template can help you to save time and to focus on the topics that really matter!

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Description continued on attached sheets: ‰ Step 3: Why did the incident happen Unsafe workplace conditions: (Check all that apply) ‰ Inadequate guard ‰ Unguarded hazard ‰ Safety device is defective ‰ Tool or equipment defective ‰ Workstation layout is hazardous ‰ Unsafe lighting ‰ Unsafe ventilation ‰ Lack of needed personal protective equipment ‰ Lack of appropriate equipment / tools ‰ Unsafe clothing ‰ No training or insufficient training ‰ Other: Unsafe acts by people: (Check all that apply) ‰ Operating without permission ‰ Operating at unsafe speed ‰ Servicing equipment that has power to it ‰ Making a safety device inoperative ‰ Using defective equipment ‰ Using equipment in an unapproved way ‰ Unsafe lifting ‰ Taking an unsafe position or posture ‰ Distraction, teasing, horseplay ‰ Failure to wear personal protective equipment ‰ Failure to use the available equipment / tools ‰ Other: Why did the unsafe conditions exist Why did the unsafe acts occur Is there a reward (such as “the job can be done more quickly”, or “the product is less likely to be damaged”) that may have encouraged the unsafe conditions or acts ‰ Yes ‰ No If yes, describe: Were the unsafe acts or conditions reported prior to the incident ‰ Yes ‰ No Have there been similar incidents or near misses prior to this one ‰ Yes ‰ No 4 Step 4: How can future incidents be prevented What changes do you suggest to prevent this incident/near miss from happening again ‰ Stop this activity ‰ Guard the hazard ‰ Train the employee(s) ‰ Train the supervisor(s) ‰ Redesign task steps ‰ Redesign work station ‰ Write a new policy/rule ‰ Enforce existing policy ‰ Routinely inspect for the hazard ‰ Personal Protective Equipment ‰ Other: What should be (or has been) done to carry out the suggestion(s) checked above Description continued on attached sheets: ‰ Step 5: Who completed and reviewed this form (Please Print) Written by: Tit


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