Near Miss Report Template

Near miss report template is often used in incident report form.

Near miss report template. This near miss report can be used for incidents in the workplace such as non injurious accidents or malfunctions. This near miss reporting template is powered by dashpivot project management software. Record the date and time of the near miss event. Download free printable near miss reporting form samples in pdf word and excel formats.

This form should be completed whenever a near miss occurs that is an incident without injury to person or damage to property. Access and use your near miss report from anywhere on laptop computer mobile or tablet. 15 ways to get more near misses hazards reported. If personnel or property were injured or damaged during the incident do no use this form.

2 near miss reporting form free download. It is used by safety teams to perform the following. Ive spoken to 50 safety professionals in the last six months about near miss and hazard reporting and there is a common challenge with under reporting. Fillable and printable near miss reporting form 2020.

It also includes a color coding system which can be useful in determining an appropriate response and identifying major workplace hazards. Near miss report form shared by crowleychris in report forms free police incident report template the police incident report form allows citizens to report a non urgent incident or matter providing the information of date time location and any further details of the issue. Do you know about every single near miss that happened in your company in the last month. If we dont have enough visibility we cant fix the problems.

This near miss report template is used to document near miss incidents to mitigate the risk and prevent recurrence. Free to download and print. The university of western australias 2 minute near miss report form tackles one of the biggest objections around near miss reporting.