Use this Incident and Near Miss Report template to capture key details about accidents and near misses on site. Log the date, time, job, location, description of the event, injuries, property or equipment damage, and photos. Identify likely causes, add annotations of the surrounding environment, and record corrective actions to stop recurrence. Include signatures for preparer and site manager or supervisor once actions are implemented and monitored. Designed for workplace safety programs, especially on construction sites, this template supports consistent reporting and investigation to improve safety outcomes.
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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.