SAFETY REPORT

All information obtained with this method, is used only by the SMS office to improve every remarcable safety marks in the AIQ. The date of the report and the name of the report isnt necessary to recolect (optional), what we need only is to know the hazard you detected, risk, consecuences, mitigation rules, likelihood and severity. We recommend to put the name and e-mail, so we can give you a fedback of the mitigation actions we did to improve Safety on the AIQ.

HAZARD: Generically defined by safety practitioners as a condition or an object with the potential to cause death, injuries to personnel, damage to equipment or structures, loss of material, or reduction of the ability to perform a prescribed function.

CONSECUENCE: As a result of potential harzard.

RISK: The predicted probability and severity of the consequences or outcomes of a hazard.


Personal Information

Event Information




REMARK THE BLANKS WITH A TICK (PROBABILITY)



FREQUENT

OCCASIONAL

REMOTE

IMPROBABLE

EXTREMELY SIMPROBABLE



IN YOUR OPINON, WHAT IS THE SEVERITY?



CATASTROPHIC

HAZARDOUS

MAJOR

MINOR

INEGLIGIBLE