QBE Home
:
Accident Reporting
Near Miss Report
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Location :
Please Select
Covall Wells
Bristol
Manchester
Glasgow
Birmingham
Stafford
Leeds
Hessle
Dublin
Home Based
London Plantation Place
London 88 Leadenhall Street
London 65 Leadenhall Street
London Seething Lane
Type of Near Miss :
Please Select
Injury
Property Loss or Damage
Vehicle
Machinery
Near Miss Classification :
Please Select
Awareness
Unsafe Action
Unsafe or Defective Equipment
Failure to Secure or Warn
Work on Live Equipment
Unsafe Position
trench or Shoring
Housekeeping
Failure to use PPE
Improper Tool
Improper Use
Area of the Body Potentially Affected :
Front Of Body
Rear of Body
Head
Shoulders
Arms
Hands
Torso
rear
Legs
Buttocks
Feet
Eyes
Ears
Skin
Genitalia
Root Cause :
Potential Improvement Opportunities :
Reported By:
