Posted By Darren J Fraser
Have tried to e-mail you direct, but bounces back, if you send me a blank e-mail will reply.

However instead of just redesigning the form, have you thought of relaunching the entire near miss scheme.
I was in the same situation in Jan 06, very few near miss reports coming through, since then we have highlighted the importance of near miss reporting, through various posters, toolbox talks and general information and we have had more reports in this year to date than for the previous 2 years combined.

It is equally important for employees to see that what they are reporting is being investigated and resolved asap.

Posted By Incolumitas
We do not make a distinction. Everything that, in simplest terms, is not as it should be is reported on the same, simple, incident report form.

Rather than have a report form which asks for lots of detailed information, we ask for date, time and place; a brief description and the names of those involved and the capacity in which they were involved. This is just 1 side of a sheet of A4

The simplicity encourages quick reporting to those charged with investigation, who in turn are properly trained to acquire the necessary detailed information.

This also elevates near misses, hazards seen etc to the same level as serious accidents - they are all safety incidents and all need to be looked into on the basis of POTENTIAL severity rather than severity of outcome.

Posted By The Gibbon of Fishville
Thanks Andy

Have got your form.

In terms of changing the near misses in general the whole system will be launched as part of a new initiative, with support of local area safety reps.

Thanks

JV (The G of fishville)

Posted By Ron Hunter
There are numerous Forms available via Google, the issue is making the system work. I read somewhere lately (can't remember where)of an Organisation which had set up a system of a charitable donation for every near miss report received. This seemd to spark the imagination of the workforce and the Employer was delighted with the results. Employees should be involved in chosing charities.