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Template

Accident and Near Miss Report Form

by Harriet Bigg, from the Community

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Use this accident and near miss report form to document incidents quickly and accurately. Capture key details including date and time, site location, persons involved, narrative of events, immediate response, first aid provided, and supporting photos. Standardizing reporting helps teams analyze trends, meet compliance obligations, and put corrective actions in place to prevent recurrence. Suitable for construction and other high risk work environments.

With SafetyCulture you can

Digitize any process, procedure or policy
Eliminate mistakes made by paper-based processes
Create and share professional reports instantly
Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy
Eliminate mistakes made by paper-based processes
Create and share professional reports instantly
Confirm accountability and compliance with a digital log

About author

Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.