Dangerous Occurrences, Incidents and Near Miss Report
by Tim Dixon DipNEBOSH,CMIOSH,MFireE,IFPO, from the Community
Use this comprehensive incident report template to document dangerous occurrences, incidents, and near misses. Capture site, date, time, location, and people involved (personnel, patient, public, contractors, outside agencies). Record environmental conditions (inside/outside, lighting, wet/dry, level/slope) and classify the event, including near miss, injury types, and hazard categories such as slip/trip, ergonomics/handling, fire, electrical, working at height, construction, driving, equipment/mechanical, lone working, confined space, water, environmental factors, and animal/insect. Assess outcomes and note if the incident is RIDDOR reportable, including HSE Form 2508 types. Document injuries, affected body parts, full event details, and remedial actions to make safe and prevent recurrence. Suitable for healthcare and general workplace safety reporting.
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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.