Near Miss and Risk Observation Report

Use this Near Miss and Risk Observation Report template to capture close calls and hazards before they cause harm. Record the site, date, location, reference number, and a brief description of the event. Rate severity on a 1–10 scale before and after immediate corrective actions. Cover common risk areas including falling objects, slips, trips and falls, housekeeping, restricted access, working at height, PPE, manual handling, lifting operations, confined space, excavations, environment, plant and equipment, vehicles, utilities, and other hazards. Include exact location and actions taken to make the area safe. Reporters may submit their name or remain anonymous to encourage prompt reporting and continuous improvement in site safety.