This Highmark Near Miss Report template helps teams capture and learn from near miss events before they lead to injuries, equipment damage, or environmental incidents. Record key details including location, description of the event, witnesses, and incident type such as unsafe act, unsafe condition, action of nature, or third-party actions. Evaluate risk by rating severity (major, serious, minor) and probability (frequent, occasional, rare). Add photos, note corrective actions, and use the information to drive preventive measures and improve safety performance across worksites.
With SafetyCulture you can
Digitize team workflows
Turn your workflows into digital templates or checklists so your team can conduct inspections efficiently and access them from any device.
Reduce manual errors
Help your team complete tasks more accurately with digital templates that minimize errors from manual processes.
Create and share inspection reports
Generate inspection reports and share them with your team and stakeholders to keep everyone informed.
About author
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.