4 The near-miss investigation process
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Statutory Documents - IMO Publications and Documents - Circulars - Maritime Safety Committee-Marine Environment Protection Committee Circulars - MSC-MEPC.7 Circulars - MSC-MEPC.7/Circular.7 – Guidance on Near-Miss Reporting – (10 October 2008) - Annex – Guidance on Near-Miss Reporting - 4 The near-miss investigation process

4 The near-miss investigation process

  4.1 As a minimum, the following information should be gathered about any near-miss:

  • .1 Who and what was involved?

  • .2 What happened, where, when, and in what sequence?

  • .3 What were the potential losses and their potential severity?

  • .4 What was the likelihood of a loss being realized?

  • .5 What is the likelihood of a recurrence of the chain of events and/or conditions that led to the near-miss?

  4.2 The answer to these questions will determine if an in-depth investigation is needed, or if a cursory report will suffice. An in-depth investigation is required of those near-misses which are likely to recur and/or which could have had severe consequences.

  4.3 Once a decision has been taken to proceed with a full investigation, further decisions are taken about levels of staffing required, who should be responsible, and what resources are required for the investigation to be completed successfully. The main steps in the investigation are:


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