Capture and report near miss events before they become incidents. This ready-to-use template guides workers to record when and where a near miss occurred, describe what happened, attach photos, and note immediate actions taken such as isolating an area, tagging out equipment, or notifying a supervisor. Supervisors can log corrective and preventive actions, follow-up activities, and sign-off dates to close the report. Common hazards covered include slips, trips and falls, falls from height or equipment, electrical shock, hazardous substances, manual handling, falling objects, and more. Locations and departments like production, warehousing, maintenance, QA labs, dispatch, and chemical storage are supported, making it ideal for food and beverage manufacturing and other operations.
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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.