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Worksheets

Incident Reporting

Total questions: 10

Worksheet time: 5mins

Name
Class
Date
1.

what is Hazard

a)

A potential source of harm

b)

Likelihood of harm to occur

c)

Rating of consequences

d)

Relation between severity and probability

2.

A near miss is

a)

an unwanted event that happened and resulted in harm or damage

b)

an unwanted event that happened but didn`t cause any harm or damage

c)

the severity of the incident

3.

the picture is an example for

a)

Near miss

b)

Accident

c)

Unsafe Act

d)

Unsafe Condition

4.

the picture is an example of

a)

unsafe act

b)

unsafe condition

c)

accident

d)

nearmiss

5.

Accident reports are considered as

a)

Leading indicator

b)

Lagging indicator

6.

Safety tours are considered as

a)

Leading Indicator

b)

Lagging Indicator

7.

PPM plans are considered as

a)

Active Monitoring

b)

Reactive Monitoring

8.

Why do we investigate and report incidents

a)

for moral reasons

b)

identifying root causes

c)

financial reasons

d)

all of the above

9.

This picture is an example of

a)

Unsafe Condition

b)

Near Miss

c)

Accident

d)

Unsafe Act

10.

This picture is an example of

a)

Accident

b)

Near Miss

c)

Unsafe Act

d)

Unsafe Condition