Template

Risk and Hazard Notification Form

by Alexey Skachkov, from the Community

50+

This risk and hazard notification form helps workers and witnesses quickly report unsafe conditions and potential incidents. Capture key details such as date and time, witness job title and department, shop floor or area, a clear description of the situation, attached photos, and assessed risk. Designed for fast reporting on the shop floor, it supports proactive hazard identification and near-miss documentation to drive corrective actions and improve workplace safety and compliance across manufacturing and other operations.

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.

Template
Baileys Hazard Spotting and Near Miss Reporting Form
This hazard spotting and near miss reporting form helps teams quickly capture unsafe conditions or incidents, suggest corrective actions, and document manager follow up to ensure timely resolution. Sections include site and date, reporter details, description of the hazard or near miss, recommended actions, and confirmation that the issue has been resolved with manager name, signature, and dates. Use this template to standardize reporting, improve communication, and reduce risk across projects and worksites.
by jon Hillyard, from the Community
Downloads: 0
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Safe Catch Notification Form
Use this Safe Catch Notification Form to document potential hazards and safe catches before incidents occur. Capture key details including title, client or site, observation date, location, personnel and the task performed at the time. Record the type of safe catch, describe the hazard, identify primary and contributing causes, and document corrective actions such as removal, replacement, repair or retraining. Attach photos or media to support the report and streamline follow up. This practical template helps teams standardize near miss and hazard reporting and strengthen a proactive safety culture across operations.
by Jeremy Lund, from the Community
Downloads: 10+
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Template
Incident Notification Form
Document and report workplace incidents and near misses with this incident notification form. Record key details including time, location, circumstances, machinery or equipment involved, damage or injury, and required corrective actions. Capture witness information and sign-off to support compliance and continuous safety improvement.
by Ria Dercksen, from the Community
Downloads: 10+
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Template
Mini Near Miss Report
Capture near-miss incidents fast with this concise report form. Record date and time, location, unsafe acts or conditions, equipment issues, environmental risks, corrective actions, and photos. Encourage proactive reporting and address hazards before they become incidents. Suitable for facilities, construction, manufacturing, and other operations aiming to improve safety culture and compliance.
by Alan Jones, from the Community
Downloads: 20+
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Risk and Hazard Notification Form

About author

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