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Template

TSNA Near Miss Report Form

by Gary Meighen-Watts, from the Community

Downloads: 10+

Use this TSNA Near Miss Report to document and investigate near miss incidents in the field and on site. Capture site and location details, team and supervisor names, incident type, SIF precursor questions, a clear description, photos, and immediate corrective actions. Designed for field service technicians and operations teams to improve hazard identification, prevent injuries, and strengthen safety programs.

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About author

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.

TSNA Near Miss Report Form for Field Service Technicians | Free Template