INM00003 – OF0023 – Incident and Near Miss Reporting form – 12/11/2023

OF0023 – Incident and Near Miss Reporting form

Unique ID
  INM00003
Details of the Incident/Near miss
Person Reporting Incident
  Rifki Rasyid
Reporter Email
  rifkizainir@gmail.com
Reporter Phone
  (046) 062-5107
Short Description of Incident
  Vacuum pipe hitting a tenant car
Date of incident
  11/10/2023
Location of Incident
  Unit 19
43 Kurrajong Drive
East Side, Northern Territory 0870
Australia
Map It
Job or work order number associated
  J5399
Name of Person/s Injured?
  None
Injuries Sustained
  None
Witnesses and Contact details
 

  • Rifki Rasyid (0460625107)

Full Description of Incident
  arrived at the site on Friday, 10th November 2023 at 8 am, and started working on the big complex unit 32 Kurrajong Drive. While we were in the process of completing Unit 19 and preparing to move to the next ones, unfortunately, there was an incident where a pipe snapped and hit a tenant's car bonnet. This happened at around 10:15 am.
As soon as the incident occurred, we immediately informed both the client and our insurance brokers to address the situation promptly.
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Recommendations
  Fix the bonet to assist site clients the best way possible
Signature