Safety training spot report template

SAFETY AND HEALTH DEPARTMENT
MINIBOSH.022411.MaximoGinezIII–mxginez3@yahoo.com
SAFETY
FIRST
Maximo Ginez III - Safety Coordinator
Frasec Ventures Corporation
Presents
MINI BOSH
TRAINING
For Deputized Safety Inspectors

SAFETY
FIRST
MODULE 3-A
SPOT REPORT

SAFETY
FIRST
A spot report is a written, narrative report that informs the higher office about
the accident / incident that happened.
It will answer the following questions:
 What accident / incident took place? (Type of Accident/Incident)
 What Date and Time it happened?
 Where did it happened? (Location)
 Who or What is involved? (person/equipment/environment)
 What is the Scenario during the time of accident? (a Short story)
 Who are the witnesses? (If applicable)
GENERAL RULES:
1. Provide one (1) copy of this report to the Head Office within 24 hours after the incident.
2. A detailed accident/incident report shall follow after the investigation within 72 hours.
3. Indicate time & date of accident, name of person or property involved, and narrate the
incident.
What is a Spot Report?

SAFETY
FIRST

SAFETY
FIRST
DT 113 hitting a platform of an overhead conveyor:

SAFETY
FIRST
It will answer the following
questions:
 What accident / incident took
place? (Type of Accident/Incident)
 What Date and Time it
happened?
 Where did it happened?
(Location)
 Who or What is involved?
(person/equipment/environment)
 What is the Scenario during the
time of accident? (a Short story)
 Who are the witnesses? (If
applicable)
Niadtong Nov.15,2010 sa alas 830 sa buntag ang DT113
nga gidala ni Jomar Parame nabangga sa poste sa conveyor
didto sa TR2 area.
Sa wala pa nahitabo ang aksidente, ang DT113 ug DT12
nga gikan sa Jetty2 nagbyahe padulong sa Mobile.
Ang DT12 nga gidala ni Alapan maoy nag-una sa byahe.
Apan gigukod kini ni Parame ug ming Overtake tungod
kay nagdali kini nga naglikay kuno sa abog.
sa dihang minglabay na sila sa may TR2, ming overtake
ang DT113 apan tungod sa kakusog sa dagan
ug lubak nga kalsada, nawad-an ug control ang manibila
nga maoy hinongdan sa pagkabangga niini.

SAFETY
FIRST
DT F13 fell from a curve going to mining area:
It will answer the following
questions:
 What accident / incident took
place? (Type of Accident/Incident)
 What Date and Time it
happened?
 Where did it happened?
(Location)
 Who or What is involved?
(person/equipment/environment)
 What is the Scenario during the
time of accident? (a Short story)
 Who are the witnesses? (If
applicable)

SAFETY
FIRST
MODULE 3-B
ACCIDENT/INCIDENT
REPORT

SAFETY
FIRST
A rule of thumb in case of an accident / incident:
Frasec Ventures Corporation requires all employees to immediately report
all accidents and incidents resulting to an injury or property damage, and all near
misses with the potential for serious injury or property damage. This report shall be
informed to their supervisor, immediate superior, safety inspectors for further action
or emergency response as needed.
Each incident shall undergo a thorough analysis to determine causes and
contributing factors and the analysis will be used to reduce or eliminate the risk of
future incidents.
As a deputized safety inspector, it is your duty to comply the required
accident/accident report in order to document such event. This report will serve as a
guide for the management to review such accident/incident in order to develop
solutions, revise procedures, create a policy for the purpose of preventing the
occurrence of such accident/incident.

SAFETY
FIRST
What should you report and investigate in case an
accident/incident occurs?
FVC requires that injuries and certain categories of accidents
must be reported. Such report should specify the following:
 what is to be reported
 to whom it will be reported
 how it is reported
 which incidents are investigated
 who will investigate them
 what forms are used
 what training investigators will receive
 what records are to be kept
 what summaries and statistics are to be developed
 how often reports are prepared

SAFETY
FIRST
DT 113 hitting a platform of an overhead conveyor:
Parame Jomar DT Driver
TR 2 N/A
N/A N/A
N/A Phoenix – Nonoc Island
N/A
x x
83015 Nov 2010 15 Nov 2010 1030
83015 Nov 2010 700
400

SAFETY
FIRST
Project Manager - RMM
The person involved was not injured
Ang DT113 ug DT12 nga gikan sa Jetty2 nagbyahe padulong sa Mobile. Ang DT12 nga gidala ni Alapan
maoy nag-una sa byahe. Apan gigukod kini ni Parame ug ming Overtake tungod kay nagdali kini nga
naglikay kuno sa abog. sa dihang minglabay na sila sa may TR2, ming overtake ang DT113 apan tungod sa
kakusog sa dagan ug lubak nga kalsada, nawad-an ug control ang manibila nga maoy hinongdan sa
pagkabangga niini.
DT12 Driver – Mr. Alapan
Mario S / Tata Bahulay RLC / RMM

SAFETY
FIRST
DT F13 fell from a curve going to mining area:

SAFETY
FIRST
Accidents and incidents are investigated so that
corrective actions will be provided for the purpose of
preventing a recurrence of a similar event. Investigation
represents an "after-the-fact" reaction for any particular
mishap.
However, under a thorough investigation conducted
by a team of inspectors & safety committee members, we
may uncover hazards, potential risks or problems that can
be eliminated "before-the-fact" for the future.
After identifying the causes, a prompt follow-up
action is required to achieve or complete the purpose of the
investigation.

SAFETY
FIRST
Thank You and Work Safely

Safety training spot report template

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