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.
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