Capture near-miss incidents fast with this concise report form. Record date and time, location, unsafe acts or conditions, equipment issues, environmental risks, corrective actions, and photos. Encourage proactive reporting and address hazards before they become incidents. Suitable for facilities, construction, manufacturing, and other operations aiming to improve 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.