Template

Good Catch and Near Miss Report

by Ryan Hacke, from the Community

Use this Good Catch and Near Miss Report template to capture and communicate safety observations before they become incidents. Record site information, project name, location, date, and preparer. Describe the event, identify contributing factors, and outline discussion points with the team. Define corrective actions, assign responsibility, and specify how actions will be implemented to remove hazards and prevent recurrence. This practical template helps standardize reporting, support safety culture, and drive continuous improvement on projects and jobsites.

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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.

Template
JR Good Catch and Near Miss Report
Use this Good Catch and Near Miss Report template to record potential incidents and hazards before they cause harm. Capture what happened, why it happened, the nature of the incident, and a severity rating from 1 to 10. Document corrective actions, crew awareness of changes, and steps to prevent recurrence. Include location, personnel, date and time, and a filer signature to create a complete, auditable safety record for the job site.
by Jocelyn Ruston, from the Community
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Template
Safe Catch Notification Form
Use this Safe Catch Notification Form to document potential hazards and safe catches before incidents occur. Capture key details including title, client or site, observation date, location, personnel and the task performed at the time. Record the type of safe catch, describe the hazard, identify primary and contributing causes, and document corrective actions such as removal, replacement, repair or retraining. Attach photos or media to support the report and streamline follow up. This practical template helps teams standardize near miss and hazard reporting and strengthen a proactive safety culture across operations.
by Jeremy Lund, from the Community
Downloads: 10+
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Template
Good Catch Report Template
This Good Catch Report template helps teams capture and act on safety observations and near misses before they become incidents. Document severity using Red, Yellow, or Green levels, record the specific area, time, and date, and provide a clear, concise description of the event. Note whether Company Safety was informed and, if desired, include who reported it. Add lessons learned and actions taken to drive continuous improvement. For Red-level events, root cause analysis is required. Use this template to strengthen hazard awareness and prevent future occurrences.
by Pablo Sanchez, from the Community
Downloads: 10+
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Template
GEO PACIFIC SERVICES Good Catch
Use the GEO PACIFIC SERVICES Good Catch template to capture near-miss events and positive safety observations on site. Record job location, date and time, foreman, and the person making the good catch. Describe the item or situation observed, provide suggestions to improve the system, and attach photos for context. This simple form supports continuous improvement and proactive safety across construction projects.
by John Sullivan, from the Community
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Good Catch and Near Miss Report

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