Seapeak · SHI Geoje Shipyard · SP3180P / FM2391P
Near Miss Report
SN2656–2660 · LNG Newbuilding Project
NM-NEW
—
1
Draft
2
Submitted
3
Investigating
4
Actions
5
Pending Closure
✓
Closed
Complete all required fields and submit to the HSE representative.
A. General Information
Required
B. Severity & Potential Impact Assessment
Required
Refer to Incident and Near Miss – Severity Classification Matrix (SP1031G). Level 4–5 = High Potential — requires Site Manager & Project Manager involvement.
C. Near Miss Details
Required
Attach photos of hazards where possible without risking yourself (max 5 photos).
D. Root Cause Analysis
HSE / Investigation
Refer to Root Cause Tool (RF1476G). To be completed by Superintendent – HSE following investigation.
E. Corrective Actions & Closure
HSE / Site Manager
Closure required within 60 days of report date. Extension requires Site Manager approval.
F. Audit Trail & Status History
Auto-generated
No activity yet. Submit the report to begin the workflow.
Confirm Action