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INC-2026-0092

MEDIUMClosed

Reported by Sarah Williams — HSE Coordinator

14 December 2025 at 06:00 amProcessing Plant — Level 3Near MissWorking at HeightsDay Shift

Incident Description

EWP (elevated work platform) operator raised basket beyond maximum rated height. Stability alarm sounded. Operator lowered immediately. Operator stated the height limiter appeared to be malfunctioning.

Immediate Actions Taken

  • 1EWP taken out of service for inspection
  • 2Height limiter recalibrated
  • 3Operator competency verified

Likelihood x Consequence Matrix

InsignificantMinorModerateMajorCatastrophic
Almost Certain
Likely
Possible
Unlikely
Rare

Likelihood

3 / 5 — Possible

Consequence

3 / 5 — Moderate

Risk Score

9/25

Failed / Breached Controls

Procedural Compliance

Standard procedure not fully followed

MEDIUM
Effectiveness
30%

Controls That Held

PPE Usage

All personnel wearing correct PPE

Effectiveness
100%

Supervision

Supervisor was present in the area

Effectiveness
75%

Priority Questions

  • Was a working at heights permit issued and current at time of incident?
  • Who verified the harness was correctly attached before work commenced?
  • What was the scaffold inspection frequency and who last inspected?

Follow-Up Questions

  • Was a toolbox talk conducted before the task commenced?
  • Are there alternative methods to eliminate the heights risk?
  • Was the worker trained and competent for this specific task?

Systemic Questions

  • What is the trend for working at heights incidents in the past 12 months?
  • Are scaffold inspection procedures adequate for multi-day tasks?
  • Should a buddy-check system be mandatory for harness attachment?
05:45 am

Pre-start meeting completed

06:00 am

Incident occurred

06:05 am

Incident reported to supervisor

06:10 am

Area secured and barricaded

06:20 am

HSE team notified and on-scene

06:45 am

Initial investigation commenced

07:00 am

Report filed in SafetyScribe AI

Incident Details

Date & Time

14 December 2025 at 06:00 am

Location

Processing Plant — Level 3

Type & Category

Near Miss

Working at Heights

Severity
Medium
Status
Closed
Shift

Day Shift

Reported By

Sarah Williams — HSE Coordinator

  • EWP Operator — External Contractor
AfternoonLight breeze
EWP (Elevated Work Platform)

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