Template

HSE Observations and Near Misses Inspection

by Hossin Abualeenain, from the Community

10+

Use this HSE Observations and Near Misses Inspection form to document what was seen, where it occurred, and the type of near miss. Select hazard categories across physical, chemical, biological, and ergonomic risks, including items such as electrical shock, rotating or moving equipment, work at heights, confined spaces, radiation, dust and fumes, and poor ergonomics. Rate severity and likelihood to calculate risk, note corrective actions, and improve safety performance across projects, plants, and field operations.

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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
Safety Observation and Near Miss Report
Use this template to document safety observations and near misses in any workplace. Record what happened, where, when, and who was involved, attach notes, and outline corrective actions. Standardize reporting to identify hazards early, reduce risk, and improve compliance.
by Ryan Adia, from the Community
Downloads: 20+
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Template
Maritime Hazard Report and Near Miss Form
Use this maritime hazard report template to capture positive safety observations, unsafe acts or conditions, and near misses across shipyards and vessels. Record the hazard description, how it poses a risk, and add photos. Assess consequence and likelihood to produce a risk rating from low to catastrophic. Select relevant categories such as housekeeping, electrical, scaffolding, lifting equipment, working at heights, confined space, PPE, traffic, environmental, noise, and more. Document immediate controls, assign corrective actions, inform supervisors and safety representatives, and track follow up. Standardize HSE reporting across projects, yards, vendors, and subcontractors to improve safety performance.
by Flemming Julsdorf, from the Community
Downloads: 10+
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Template
Near-Miss/Incident Form
Form for reporting near misses or incidents on site
by Mark Taylor, from the Community
Downloads: 70+
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Template
FT Hazard Report HMD
Use this hazard reporting template to log positive HSE observations, unsafe acts or conditions, and near-miss events in the field. Capture detailed hazard descriptions, photos, and locations; assess consequence and likelihood to produce a risk rating; and document corrective actions with evidence. Covers common categories including housekeeping, fire and explosion hazards, machinery, hazardous substances, electrical, environmental, slips, trips and falls, PPE, scaffolding, barriers and signs, ambient conditions, working at heights, dropped objects, lifting equipment, pressure testing, permits to work, confined spaces, noise, vibration, radiation, access and walkways, traffic, manual handling, and other hazards. Assign actions to contractors or HSE reps and track follow-up to improve safety performance.
by Flemming Julsdorf, from the Community
Downloads: 10+
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HSE Observations and Near Misses Inspection

About author

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Safety Observation and Near Miss Report

Maritime Hazard Report and Near Miss Form

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Safety Observation and Near Miss Report

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