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Description
Document and attach photos for injury/ illness, near miss, property damage, hazard, risk.
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Free 1,000+ Workplace Checklists & Templates created by the SafetyCulture team.
This near miss template allows providing the description and photos surrounding the incident as well as inclusion of the names of other witnesses of the near miss.
Use this hazard report form to: - Identify the incident / hazard type and the level of treatment needed - Record who was injured, their contact number, and the nature of the injury - Document the task/s performed when the incident / injury occurred - Check which factors contributed to the hazard, incident, and/or injury - Specify the control type when creating corrective actions
A near miss is an unplanned event that threatens human safety or health, the environment, or the continued normal operation of the business enterprise, wherein the last protective barrier is challenged, but defeated. Use this near miss form to report a near miss incident.
Use this near miss form to quickly record the incident and indicate of work stopped or continued business as usual.
