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    DAMAGED GLASS BY SLIDING GLASS INSTALLER OCT 14, 2024

    Uploaded by

    Jaime jr Millan
    Incident report

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    DAMAGED GLASS BY SLIDING GLASS INSTALLER OCT 14, 2024

    Uploaded by

    Jaime jr Millan
    3 views3 pages
    Incident report

    Copyright

    © © All Rights Reserved

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    DOCX, PDF, TXT or read online from Scribd

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    Incident report

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    3 views3 pages

    DAMAGED GLASS BY SLIDING GLASS INSTALLER OCT 14, 2024

    Uploaded by

    Jaime jr Millan
    Incident report

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    1 PROJECT NAME:

    ACCIDENT/ INCIDENT LANDERS SUPERSTORE DAVAO INC.

    REPORT WAIR NO.: KPI-OSH-SM-24-025


    Use this form to report accidents, injuries, medical situations, criminal activities, traffic incidents, authority related and behavior incident. Report must be done
    within 24 hours.

    DETAILS OF INVOLVED PERSON:

    Name : ARNEL L. ARNAIZ Place Of Work :LANDERS SUPERSTORE DAVAO INC.

    Company : SUBCON Age :ESTIMATED 23 TO 29 YRS OLD.


    Occupation : SLIDING DOOR INSTALLER Gender :MALE

    DETAILS OF REPORTING PERSON:

    Name :JAIME M. MILLAN JR Department : Safety,Health & Environment


    Occupation :Safety Practitioner / PCO Date of Report : October 15, 2024

    ACCIDENT/INCIDENT DETAILS:

    Date : October 14, 2024 Time Of Incident : 3:00 pm


    Name Of Witness : ENGR RICO,ENGR Occupation Of Witness : PM,OPERATIONS MGR, QC ENGR, SITE ENGR., CAD
    ALI,ENGR GULAM, ENGR OPTR.
    ATO, & REBAINA

    CATEGORY OF INCIDENT/ACCIDENT:
    NEARMISS MINOR INJURY MAJOR INJURY PROPERTY DAMAGE CATASTROPHE AUTHORITY RELATED
    `

    DESCRIBE THE INCIDENT/ACCIDENT:


    At around 3:00 pm, sliding glass door installers were trying to install the frame and fit it to the glass but accidentally they hit the edge of the
    glass caused it to broke the sliding glass.Kindly see attached photos.
    2 PROJECT NAME:
    ACCIDENT/ INCIDENT LANDERS SUPERSTORE DAVAO INC.

    REPORT WAIR NO.: KPI-OSH-SM-24-025


    Use this form to report accidents, injuries, medical situations, criminal activities, traffic incidents, authority related and behavior incident. Report must be done
    within 24 hours.

    COST OF ACCIPDENT/INCIDENT

    DESCRIPTION OF COST QUANTITY REMARKS


    1. Damaged sliding glass
    2.
    3.

    IMMEDIATE ACTIONS:
    1. Immediate removal of the boken sliding glass

    PREVENTIVE ACTION:
    1. Follow one point lesson or review glass installation SOP prior to installing.
    2. Follow SOP or work standard related to the sliding glass installation
    3. Charge to employee.

    REPORTED BY : REVIEWED AND NOTED BY:

    JAIME M. MILLAN JR ENGR, RICO S. DULAP


    Safety Practitioner/ PCO Project Manager
    3 PROJECT NAME:
    ACCIDENT/ INCIDENT LANDERS SUPERSTORE DAVAO INC.

    REPORT WAIR NO.: KPI-OSH-SM-24-025


    Use this form to report accidents, injuries, medical situations, criminal activities, traffic incidents, authority related and behavior incident. Report must be done
    within 24 hours.

    PHOTOS:

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