Injury/Near Miss
Purpose
The Injury Near Miss screen is used to record information specifically relating to staff injuries (or involved in a near miss situation) together with commentary concerning the investigation and recommended action plans.
When the workflow stage for the incident report has been progressed to Queued, this screen is no longer visible to general system users. Access is restricted to users that are members of the Human Resources (HR) team.
The associated investigation and action plan fields are provided on an independent screen so that they remain accessible to general system users.
Field List
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Field
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Description
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Associated Business Process
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Property
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Case ID
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Unique identifier
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View only
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What happened?
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Free form text field
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Used to describe the incident or near-miss in detail including cause of injury and what object, substance, circumstances were directly involved
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Memorial Damage
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Checkbox
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To indicate damage sustained to a grave, crypt or cremation memorial
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Immediate Action
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Personal Injury
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Selection list: yes/no
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No indicates near miss situation
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Name of person injured or involved in near miss
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Text field
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Team
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Selection list
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Type of injury, parts of body
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Text field
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Action taken
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Selection list: yes/no
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If yes, describe action taken
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Free form text field
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Used to specify whether dangerous item was removed, staff disciplined, staff retrained, equipment repaired/modified, etc.
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First aid administered
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Checkbox
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First aid administration details (including who administered)
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Free form text field
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Sent to doctor / hospital
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Checkbox
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Doctor or hospital sent to
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Free form text field
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Who was the incident reported to
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Lookup to user (staff) list
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When was the incident reported
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Date / time field
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Who was the incident reported to? (OHS)
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Lookup to user (staff) list
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OHS: Occupational Health & Safety officer
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Reported to (Other
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Text field
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Presented on a separate screen
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Field
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Description
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Associated Business Process
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Investigation
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Is there evidence that the injured person received instructions in the safe work procedure for undertaking the task?
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Selection list
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What immediate action has been undertaken to prevent a recurrence?
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Free form text field
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Used to record actions taken at time of incident to secure and clean up the site
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Recommended Action Plan
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No action required
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Checkbox
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Used to indicate need for action specific to the named field
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Change to induction training
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Checkbox
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Change to work procedures
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Checkbox
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Change to ongoing training
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Checkbox
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Risk assessment required
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Checkbox
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Safety alert
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Checkbox
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Area clean up
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Checkbox
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Equipment repair / replacement
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Checkbox
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Equipment modification
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Checkbox
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Other (see below)
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Checkbox
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Other (please specify)
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Free form text
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To clarify other recommendations
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Recommended Action Plan implemented?
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Selection List: yes/no
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Reasons
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Free form text
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To clarify reasons for (non) compliance
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Other comments or recommendations
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Free form text
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To record other feedback and concerns
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