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INC-2026-0115

MEDIUMClosed

Reported by Sarah Williams — HSE Coordinator

27 January 2026 at 01:15 amProcessing Plant — Level 3Near MissWorking at HeightsDay Shift

Incident Description

Worker accessed roof area without fall protection. Was observed by supervisor walking on fragile roof sheeting without safety mesh below. Worker stated he was unaware of the requirement.

Immediate Actions Taken

  • 1Worker stopped immediately
  • 2Contractor company issued formal warning
  • 3Roof access procedure briefing conducted

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?
01:00 am

Pre-start meeting completed

01:15 am

Incident occurred

01:20 am

Incident reported to supervisor

01:25 am

Area secured and barricaded

01:35 am

HSE team notified and on-scene

02:00 am

Initial investigation commenced

02:15 am

Report filed in SafetyScribe AI

Incident Details

Date & Time

27 January 2026 at 01:15 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

  • Contractor — Unidentified
Clear weatherMorning
Roof Access Equipment

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