NEAR MISS REPORT
NEAR MISS DETAILS
Date and time of the near miss
:
05/02/2023 10:30 AM
Location of the near miss
:
ADF – IP Zone 2 Water Cascade Area (WF5)
Describe the near miss
:
Steel rebar falls down at Water Cascade Area near steel worker.
NEAR MISS CATEGORY
Select the appropriate category for the near miss:

Slip, Trip, or Fall

Equipment or Machinery Malfunction

Unsafe Work Conditions

Hazardous Material Exposure

Communication Failure

Procedural Error

Other (specify):
ACTIONS TAKEN
Describe any immediate actions
taken to prevent an incident after
the near miss
: Foreman conducted toolbox talk prior to near miss at the area.
REPORTED BY
Name
:
Narciso Dizon
Job Title / Role
:
HSE Officer