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.
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