IFS

Report:

Printed by:

Current Date:

Incident Details

IFSAPP

5/4/16

Comment:

Execution Time:

Job Id:

May 4, 2016 11:05:20 AM

Ordered by:
IFSAPP

Order Time:

May 4, 2016 11:05:20 AM

Report Conditions:
Incident Case Id:

Report:

Incident Details

22

IFS Applications

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IFS

Details
Incident Case No
Company ID
Class
Incident Date/Time
Res Org
Person In Charge
Status
Detailed Description

Created:

22
10
Near Miss (NM)
5/2/16 1:28:00 PM

Incident Ref Name

Project
Type
Reported By

B-MFG-1
100 - John Smith
Prepared

Reported Date
Severity

Incident Cause Analysis

Incident Causes
Immediate Causes (Unsafe Acts)
Indirect Causes (Personal Factors)
Basic Causes
Substandard Conditions
Job Factors
Assessment
Assessor
Assessment Date
Remark
Incident Risk Assessment
Probability
Frequency
Incident Severity
Risk Potential

May 4, 2016 11:05:20

Incident in Warehouse

ALEX - Alexander
Danielsson
5/4/16
Minor

Probability Value
Frequency Value
Severity Value

Recommendation
Corrective Action
Preventive Action
Source of Help
Remark
Safety Department
Reviewer
Reviewer Date
Remarks

Report:

Incident Details

IFS Applications

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2 (2)