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Definitions:
NEAR MISS: Is an undesirable event, which under different circumstances, could have resulted in
harm/injury to people, damage to property, loss of process or damage to environment.
ACCIDENT: Is an undesirable event, which results in harm/injury to people, damage to property, loss of
process or damage to environment.
o
o
The observer or person involved in the near-miss/accident completes section (A) and gives
the form to the Master/Diving supervisor.
Where necessary the Master/Diving Supervisor will assist in completing section (A).
The Master/Diving Supervisor reviews section (A) and discusses with the concerned people to
initiate immediate corrective action and/or proposes recommendations in section (B).
The report is to be forwarded to the Head Office within 24Hrs of the event for review, comments
and analysis.
The QHSE department will complete section (C) to categorize the event as an accident, near-miss,
substandard condition, sub standard practice, categorize the Near-miss potential depending on
probability & severity, and provide causation analysis within 24hrs of receiving report.
The QHSE Dept then forwards the report to the concerned Departmental Head for his review and
comments.
D Management Review
On receipt from the QHSE Department, the concerned Department Head approves the
recommendations and categorization of the event, allocates the responsibilities for corrective action
with target dates and states long term action as appropriate.
The Dept head shall ensure initiation of actions and follow up until all outstanding actions are
complete.
For accidents and high potential near misses, the General Manager will state his comments; decide
the need for further investigation or analysis.
The report is then sent to the QHSE Department for registering in a database and for carrying out trend
analysis.
After Management review a copy of the report will be sent to the respective vessel for information and
any further action.
DCN/FRM/PRO9.1 Rev B
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Serial No.:
NM
SC
SP
Hi Po
Location: SARAB 1
CH.380
By Whom
Date
Div
Supervisor
Sarab Marine
control
DCN
07 Aug
13
07 Aug
13
07 Aug
13
Master/Diving Supervisor:
(Name & Signature)
SUMER SINGH CHAUHAN
D - Management Review
Dept Head Comments/ Long Term Action
Substandard Acts/Practices
Title:
Date:
Signature:
DCN/FRM/PRO9.1 Rev B
Date:
Inadequate leadership
Inadequate engineering
Inadequate tools, equipment materials
Inadequate maintenance
Abuse or misuse
Inadequate supervision
Inadequate purchasing
Wear and tear
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