Template

Hazard / Near-Miss Reporting

by Ling Gim Jian, from the Community

1,000

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Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

Description

A structured template designed for safety professionals and managers to document and track workplace hazards and near-miss incidents. The form allows for detailed reporting of up to five separate incidents, including location details, incident descriptions, and media attachments. Each entry includes fields for follow-up documentation and closure confirmation, enabling comprehensive incident management and resolution tracking. The template supports safety compliance efforts and helps organizations maintain detailed records of potential workplace safety issues, their remediation, and preventive measures implemented. Ideal for businesses looking to improve their safety protocols and maintain thorough documentation of hazard identification and resolution processes.

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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.

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Hazard / Near-Miss Reporting

Description

About author

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