Team Industries Near Miss Report

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.