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Template

Vindex Systems Incident and Near Miss Report Form

by Mark Fenton, from the Community

Downloads: 10+
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Use this incident and near miss report form to capture essential details after an event on site. Sections include site and job information, person involved, employment status (employee, subcontractor, public), PPE and site induction checks, event date, location, and narrative. Rate severity including near miss, minor, medium, or major injury (RIDDOR), document corrective actions, and record signatures and consent. Designed to streamline reporting and support safety and compliance reviews.

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

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.