Close Call or Good Call

I am reporting:*

Please tick one.

Details

Location*

Date*

Time (24HR)*

:

Describe the nature of the close call/good call:*

For close calls, describe what could have happened:

For close calls, describe what action you took:

For close calls, please select ALL lifesaving rules breached (if applicable):

Click to select which rules were broken. If more than one rule was breached, click multiple rules.

Always be sure the required plans and permits are in place, before you start a job or go on or near the line.
Always use equipment that is fit for its intended purpose.
Never undertake any job unless you have been trained and assessed as competent.
Never work or drive while under the influence of drugs or alcohol.
Always test before applying earths or straps.
Never assume equipment is isolated - always test before touch.
Never use a hand-held or hands-free phone, or programme any other mobile device, while driving.
Always obey the speed limit and wear a seat belt.

Upload Photos

Your Name

Your Phone Number

Your Company