№ files_lp_3_process_7_032919
File format: docx
Character count: 1178
File size: 50 KB
Structured workplace health and safety incident report form for recording details of accidents or near misses and assessing reporting obligations under RIDDOR.
Document Type:
Incident report form
Subject:
Workplace accident and near miss reporting
Applicable Regulation:
RIDDOR
Reporting Requirement:
Indication whether incident is reportable under RIDDOR
Information Collected:
Personal details of injured person and reporter
Incident Details:
Date, time, location and description of incident
Injury Details:
Description of injuries sustained
Witness Information:
Names and roles of witnesses
Authorization:
Signature of employer or person in charge
Intended Users:
Employers, responsible persons, health and safety officers
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The product description is provided for reference. Actual content and formatting may differ slightly.
Note:
Year
Note:
Year
Region / City:
Abu Dhabi
Topic:
Safety Incident Report
Document Type:
Incident Report
Organization / Institution:
Abu Dhabi Ports
Description:
Detailed report on land-based incidents, including first aid, near misses, and environmental impacts within Abu Dhabi Ports areas, requiring immediate action and follow-up.
Year:
2023
Region / City:
University, MS
Topic:
University ID card issuance
Document type:
Application form
Institution:
University of Mississippi
Author:
ID Center Staff
Target audience:
Current and incoming students of the University of Mississippi
Action period:
From orientation onward
Approval date:
4/25/2023
Revision date:
4/25/2023
Year:
2025
Region / city:
South Carolina
Subject:
Recognition
Document Type:
Resolution
Author:
South Carolina House of Representatives
Target Audience:
General public, South Carolina residents
Period of validity:
2025
Date of approval:
02/11/2025
Date of amendments:
Not specified
Context:
A legislative resolution recognizing Annsley Vick for her achievements as International Junior Miss for 2025, highlighting her poise, talent, and community contributions.
Year:
2025
Region / City:
Albuquerque, New Mexico, U.S.A.
Subject:
Miss Indian World Pageant
Document Type:
Application Form
Organization / Institution:
Gathering of Nations Ltd.
Author:
Gathering of Nations Ltd.
Target Audience:
Indigenous young women from North America
Effective Period:
April 22-26, 2025
Approval Date:
March 20, 2025
Date of Changes:
N/A
Note:
Year
Theme:
Marine Incident, Navigation, Cargo Operation
Document Type:
Report
Organization / Institution:
Abu Dhabi Ports
Target Audience:
Vessel operators, maritime safety personnel
Incident Type & Consequences:
Near Miss, Navigation, Cargo Operations
Severity:
Minor, Recordable Incident
Investigation Required:
Yes
Emergency Level:
Category 1 (IMT)
Location:
Abu Dhabi Ports, Port Water Limits
Year:
2021
Region / City:
Minnesota
Topic:
Beauty Pageant
Document Type:
Application Form
Organization / Institution:
Miss Rodeo Minnesota Association
Author:
Kallie Corrington, Jody Richters
Target Audience:
Potential Contestants for Miss Rodeo Minnesota 2021
Effective Period:
Summer 2020 (Application Deadline: June 15, 2020)
Approval Date:
Not specified
Modification Date:
Not specified
Year:
2023
Event Date:
May 13, 2023
Time:
11am
Related Event:
Dorchester Day Parade, June 4, 2023
Organizing Body:
Dorchester Day Parade Committee
Location:
First Parish Church, 10 Parish Street, Meetinghouse Hill, Dorchester, MA 02125
City:
Dorchester
State:
Massachusetts
Country:
United States
Type of Document:
Contest announcement and application form
Eligibility:
Residents of Dorchester; girls aged 7–9 (Little Miss) and 10–12 (Young Miss) on the day of the contest
Submission Deadline:
May 5, 2023
Required Documents:
Completed application, written response, photo; birth certificate for winner and runners-up
Contact Person:
Annissa Essaibi George
Mailing Address:
32 Mayhew Street, Dorchester, MA 02125
Contact Phone:
(617) 594-1841
Contact Email:
[email protected]
Year:
2024
Location:
Norwich, New York
Theme:
Pride Pageant
Document Type:
Event Application
Organization:
CW Productions NY, VFW Post #2782
Author:
Roland C. Shea, Jr.
Target Audience:
Participants in the Chenango County Pride Pageant
Period of Validity:
April 22, 2024 (Entry Deadline)
Approval Date:
Not specified
Modification Date:
Not specified
Context:
Event application form for contestants participating in the Mr. & Miss Chenango County Pride Pageant 2024, detailing competition rules, categories, and prizes.
Year:
2018
Region / City:
Rottnest Island
Subject:
Environment, Health and Safety, Visitor Risk
Document Type:
Procedure
Organ / Institution:
Rottnest Island Authority
Author:
Internal Audit & Risk Management
Target Audience:
Rottnest Island Authority Staff, Contractors, Visitors
Period of Validity:
Ongoing
Approval Date:
2018
Date of Changes:
None
Year:
2024
Region / City:
Ambo Town, Oromia, Ethiopia
Topic:
Maternal health, Obstetrics and Gynecology
Document Type:
Thesis
Institution:
Ambo University
Author:
Dr. Leta Tolesa
Target Audience:
Academics, healthcare professionals
Period of Action:
2024
Approval Date:
March, 2025
Date of Revision:
March, 2025
Year:
2023
Region / City:
British Columbia
Document Type:
Event Information
Organization / Institution:
Grand Guardian Council of British Columbia
Author:
Miss Gail Gilmore
Target Audience:
Young women eligible for the Miss BC Job’s Daughters Pageant
Period of Validity:
From February 1, 2023, to July 29, 2023
Approval Date:
February 1, 2023
Date of Changes:
N/A
Year:
2018-2019
Region / City:
Wilber
Theme:
Czech-Slovak culture
Document Type:
Event Schedule
Organ / Institution:
Miss Czech-Slovak US Queen Pageant
Author:
Unspecified
Target Audience:
Contestants, parents, pageant board, public
Duration:
August 4th - August 6th, 2018
Date of Approval:
Unspecified
Date of Changes:
Unspecified
Year:
Not specified
Region / City:
Not specified
Theme:
Archaeology, Excavation
Document Type:
Educational Material
Organization / Institution:
Not specified
Author:
Not specified
Target Audience:
Students
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Choreographer:
Stefano Civa (IT) - October 2017
Count:
48
Wall:
2
Level:
Intermediate
Type:
Line Dance
Target Audience:
Dancers, Country Dance Enthusiasts
Date of Creation:
October 2017
Duration:
5:00
Dance Style:
Country
Contact:
Stefano Civa
Email:
[email protected]
Website:
http://valcenocountry.com
Facebook:
Stefano Civa Valceno Country
Context:
Line dance choreography for the song "Gonna Make You Miss Me" by Trace Adkins, aimed at intermediate dancers.
Year:
2022
Region / City:
Radford, Virginia; Blacksburg, Virginia; New Castle, Virginia; Roanoke, Virginia; Bristol, Tennessee
Theme:
Summer Camps for Youth with Disabilities
Document Type:
Program Information
Author:
Not specified
Target Audience:
Families of children with disabilities
Period of Action:
Summer 2022
Approval Date:
Not specified
Amendment Date:
Not specified
Note:
Year
Note:
Year
Region / City:
Abu Dhabi
Topic:
Safety Incident Report
Document Type:
Incident Report
Organization / Institution:
Abu Dhabi Ports
Description:
Detailed report on land-based incidents, including first aid, near misses, and environmental impacts within Abu Dhabi Ports areas, requiring immediate action and follow-up.
Year:
2023
Region / City:
Lebanon, Tennessee
Theme:
Infrastructure, Safety Improvements, Economic Development
Document Type:
Official Statement
Organization / Institution:
Lebanon City Council
Author:
Mayor Rick Bell
Target Audience:
Citizens of Lebanon
Effective Period:
Ongoing
Approval Date:
April 1, 2023
Date of Changes:
N/A
Year:
2026
Jurisdiction:
South Carolina, United States
Type of Document:
Legislative Bill
Legislative Session:
126th Session, 2025-2026
Bill Number:
H. 4974
Sponsors:
Reps. Gilliam, Rankin, Yow, C. Mitchell, Haddon
Committee:
House Committee on Medical, Military, Public and Municipal Affairs
Subject:
Restrictions on foreign ownership of land near military bases
Effective Date:
Upon approval by the Governor
Companion Bill:
3343