This HSE Near Miss Report template helps teams log and analyze near-miss incidents to prevent future harm. Record site, date, observer, and document number, then describe the hazardous act or condition observed. Note whether the issue was corrected, identify root causes, and document corrective actions taken. Indicate if further investigation is required and finalize with a sign-off by the QHSE Manager. Designed to support proactive safety and environmental protection across operations, this template facilitates consistent reporting and action tracking to reduce injuries, illness, and environmental impact.
With SafetyCulture you can
Digitize team workflows
Turn your workflows into digital templates or checklists so your team can conduct inspections efficiently and access them from any device.
Reduce manual errors
Help your team complete tasks more accurately with digital templates that minimize errors from manual processes.
Create and share inspection reports
Generate inspection reports and share them with your team and stakeholders to keep everyone informed.
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.