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SafetyCulture
Template

Team Industries Near Miss Report

by TATUM LAUE, from the Community

Downloads: 10+

Use this near miss report template from Team Industries to capture and investigate potential incidents before they become injuries. Log employee details, shift, and the department where the event occurred. Classify the event type (hazard ID, unsafe act/behavior, unsafe condition or equipment) and link it to categories such as powered industrial trucks, rigging and cranes, PPE, wagons and trailers, hand and power tools, cutting and grinding, machinery, LOTO, confined space, fall protection, and material handling. Add a detailed description, assign corrective actions, note coaching and follow-up needs, and attach photos. For serious near misses, escalate with a full incident report. Designed for manufacturing operations to strengthen safety culture and compliance.

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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.