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Template

Johansen Near Miss Report

by Ryan Lancaster, from the Community

Downloads: 40+

Use the Johansen Near Miss Report to record and analyze near-miss events before they become incidents. This customizable checklist captures client or site, date and time, preparer, and location, along with a clear description of the event. Classify the type of incident (unsafe act, unsafe condition, act of nature, or third party), assess risk potential by severity and probability, and propose corrective actions. Log witnesses and supporting notes to aid investigation and prevention. Ideal for construction job sites and field operations to improve safety awareness and reduce future risk.

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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.