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Incident and Non-Conformance Management Form Template for Indonesia

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Key Requirements PROMPT example:

Incident and Non-Conformance Management Form

I need an Incident and Non-Conformance Management Form that allows for detailed reporting of incidents, categorization of non-conformances, and includes sections for root cause analysis, corrective actions, and follow-up verification. The form should be easy to fill out, support attachments for evidence, and be compatible with our existing digital management systems.

What is an Incident and Non-Conformance Management Form?

The Incident and Non-Conformance Management Form helps organizations track and respond to workplace issues, accidents, and quality deviations. It's a key tool for Indonesian businesses to meet safety regulations under UU No. 1/1970 on Work Safety and ISO compliance requirements.

When something goes wrong - from minor quality issues to serious accidents - this form captures essential details, assigns responsibility for fixes, and documents corrective actions. It creates a clear paper trail for audits and helps prevent similar problems in the future. Many Indonesian companies use this system to align with both local OHSAS requirements and international management standards.

When should you use an Incident and Non-Conformance Management Form?

Use an Incident and Non-Conformance Management Form immediately when any workplace accident, near-miss, or quality deviation occurs in your Indonesian operation. This includes equipment malfunctions, safety violations, environmental incidents, or any situation that doesn't meet your standard operating procedures.

The form becomes essential during regulatory inspections from Indonesia's Ministry of Manpower, ISO audits, or internal quality reviews. It's particularly important in high-risk industries like manufacturing, construction, and chemical processing, where documenting incidents helps prevent future problems and demonstrates compliance with UU No. 1/1970 workplace safety requirements. Fill it out while details are fresh - ideally within 24 hours of the incident.

What are the different types of Incident and Non-Conformance Management Form?

  • Basic Safety Incident Form: Tracks workplace accidents, injuries, and near-misses as required by Indonesian safety regulations - includes witness statements and immediate actions taken
  • Quality Non-Conformance Report: Documents product or service deviations from ISO standards, focusing on root cause analysis and corrective measures
  • Environmental Incident Log: Specifically designed for recording environmental breaches, spills, or emissions issues under PROPER guidelines
  • Process Non-Conformity Form: Used in manufacturing to track production-related issues and SOP violations
  • Integrated QHSE Incident Form: Combines quality, health, safety, and environmental reporting in one comprehensive document

Who should typically use an Incident and Non-Conformance Management Form?

  • Safety Officers: Create and maintain Incident and Non-Conformance Management Forms, lead investigations, and ensure proper documentation
  • Department Managers: Review incidents, approve corrective actions, and monitor implementation within their areas
  • Quality Control Teams: Document non-conformances, analyze trends, and track resolution progress
  • HR Departments: Handle incident reports involving personnel, maintain records for compliance with Indonesian labor laws
  • External Auditors: Review completed forms during ISO certifications or regulatory inspections
  • Workers: Report incidents and participate in investigations as witnesses or affected parties

How do you write an Incident and Non-Conformance Management Form?

  • Incident Details: Gather date, time, location, and exact nature of the incident or non-conformance
  • People Involved: Document names and roles of affected workers, witnesses, and investigating officers
  • Root Cause Analysis: Identify and document the underlying factors that led to the incident
  • Immediate Actions: Record all steps taken immediately after discovery, including emergency responses
  • Supporting Evidence: Collect photos, equipment logs, maintenance records, or relevant documentation
  • Corrective Measures: Define specific actions to prevent recurrence, including timelines and responsibilities
  • Regulatory Requirements: Check Indonesian safety regulations and ISO standards for reporting requirements

What should be included in an Incident and Non-Conformance Management Form?

  • Incident Identification: Unique reference number, date, time, and location details as per UU No. 1/1970
  • Incident Classification: Clear categorization following Indonesian OSH guidelines and ISO standards
  • Risk Assessment: Severity and probability ratings aligned with OHSAS 18001 requirements
  • Investigation Details: Methodology, findings, and root cause analysis documentation
  • Corrective Actions: Specific measures, timelines, and responsible parties
  • Authorization Section: Signatures from safety officer, department head, and witnesses
  • Follow-up Protocol: Verification steps and effectiveness review procedures
  • Regulatory Compliance: References to relevant Indonesian safety laws and reporting requirements

What's the difference between an Incident and Non-Conformance Management Form and an Incident and Non-Conformance Management Policy?

The Incident and Non-Conformance Management Form differs significantly from the Incident and Non-Conformance Management Policy in both scope and application. While they work together, they serve distinct purposes in Indonesia's workplace safety framework.

  • Purpose and Timing: The Form is a reactive document used to record specific incidents when they occur, while the Policy is a proactive document that establishes the overall framework for handling incidents
  • Content Structure: The Form contains detailed incident-specific information, witness statements, and corrective actions, while the Policy outlines general procedures, responsibilities, and reporting requirements
  • Legal Status: The Form serves as evidence for regulatory compliance and insurance claims, while the Policy acts as a governing document for organizational procedures
  • Usage Frequency: Forms are completed multiple times as incidents occur, while the Policy is typically reviewed and updated annually or when regulations change

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