LBT Incident, Hazard or Improvement Report
Use this form to report incidents that have occurred and for reporting hazards and improvements.
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When incident occurred or when a hazard or improvement was identified
Where did the incident occur? Where is the hazard? Where can improvements be made?
Incident, Hazard or Improvement:
What happened? What hazard have you identified? What improvement can you suggest?
What immediate steps were taken to respond to the incident or reduce the hazard? Did you make any immediate improvements?
What steps do you suggest to reduce the chance of a similar incident occurring again or for further reducing a hazard? What can LBT do to make further improvements?
Who was involved or can provide additional useful information?:
Report prepared by:
Reviewed by: LBT Committee or someone nominated by the Committee
Date of review:
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