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Safety
Good Catch Form
A Good Catch
is the identification of an incident, event, or condition that has the potential to cause injury to persons, property, and/or the environment if not corrected immediately.
Reporter Name:
Date of Event:
Project Supervisor:
Time of Event:
Project Name:
Location:
Oklahoma
Texas
New Mexico
Other
Type of Event:
Unsafe Act of Behavior
Unsafe Condition
Unsafe Equipment
Unsafe Use of Equipment
Safety Policy Violation
Level of Potential Severity:
Catastrophic- Irreversible injuries or property damage
Critical- Serious injuries or property damage
Marginal- Moderate injuries or property damage
Negligible- Little to no injuries or property damage
Unknown or unsure
Describe the potential hazard/concern and possible outcome:
What corrective actions were taken following the event?
What recommendations or steps can we take to prevent a similar incident?
Insert picture:
Upload File
Upload supported file (Max 15MB)
Insert picture:
Upload File
Upload supported file (Max 15MB)
Submit
Thank you! We’ll be in touch.
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