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Incident, Accident and Near Miss Details

by Dart Services Safety Admin, from the Community

Downloads: 30+
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Use this incident, accident, and near miss report template to capture critical details after an event. Log location, date and time, people involved, and a clear description. Classify the type of loss, assess severity for health, environmental impact, and property damage, and specify affected assets. Identify direct causes, substandard actions and conditions, and analyze root causes across personal and job factors. Plan corrective actions with follow-up and target dates, and complete management review and sign-off to close out the report and improve safety performance.

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

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

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.

Incident, Accident, and Near Miss Report Template | Free Template