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  • Near Miss Report Form
    SafetyCulture logo
    Template

    Near Miss Report Form

    … wherein the last protective barrier is challenged, but defeated. Use this near miss form to report a near miss incident.

    by SafetyCulture
    Downloads: 3,000+
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  • Near Miss Report
    SafetyCulture logo
    Template

    Near Miss Report

    Use this template to report and document near-miss incidents, promoting a proactive safety culture by identifying and addressing potential …

    by SafetyCulture
    Downloads: 2,000+
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  • Near Miss Report
    SafetyCulture logo
    Template

    Near Miss Report

    Employees can use this form to report all work related injuries, illnesses or near miss events no matter how minor …

    by SafetyCulture
    Downloads: 700+
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  • Near Miss Notification Form
    SafetyCulture logo
    Template

    Near Miss Notification Form

    Fill out this form to report a Near Miss. Once complete be sure to hit the COMPLETE button and email …

    by SafetyCulture
    Downloads: 400+
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  • NEAR MISS REPORT CARD
    Template

    NEAR MISS REPORT CARD

    For internal use only

    by Alex Wilson, from the Community
    Downloads: 400+
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  • Near Miss Template
    SafetyCulture logo
    Template

    Near Miss Template

    This near miss template allows providing the description and photos surrounding the incident as well as inclusion of the names …

    by SafetyCulture
    Downloads: 300+
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  • Near Miss and PSO Reporting - Schneider Electric
    Template

    Near Miss and PSO Reporting - Schneider Electric

    Use this Schneider Electric Ringsted near miss and PSO reporting template to log incidents and proactive safety observations. Record title …

    by Claus Lindorff, from the Community
    Downloads: 80+
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  • Near Miss Incident Report
    Template

    Near Miss Incident Report

    … wherein the last protective barrier is challenged, but defeated. Use this near miss form to report a near miss incident.

    by shae Bryant, from the Community
    Downloads: 70+
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  • Near Miss Report V4.0
    Template

    Near Miss Report V4.0

    Please Complete When a Near Miss has Been Witnessed

    by David Burns, from the Community
    Downloads: 60+
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  • Near-Miss/Incident Form
    Template

    Near-Miss/Incident Form

    Form for reporting near misses or incidents on site

    by Mark Taylor, from the Community
    Downloads: 60+
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  • Near Miss Incident Report Template
    Template

    Near Miss Incident Report Template

    Capture and report near miss events before they become incidents. This ready-to-use template guides workers to record when …

    by Colin Porter, from the Community
    Downloads: 30+
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  • Near Miss and Dangerous Occurrence Report Form
    Template

    Near Miss and Dangerous Occurrence Report Form

    Use this weekly fire safety checks checklist to keep buildings compliant and safe. Inspect call points, verify all fire extinguishers …

    by Emma Snelling, from the Community
    Downloads: 10+
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  • Near Miss Investigation Report Template
    Template

    Near Miss Investigation Report Template

    Use this near miss investigation report template to capture critical details following a near miss event. Record the incident title …

    by Chris Blair, from the Community
    Downloads: 10+
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  • Near Miss Notice Template
    Template

    Near Miss Notice Template

    This Near Miss Notice template helps teams quickly record and report incidents that nearly caused injury, illness, damage, or environmental …

    by Alex Cruz, from the Community
    Downloads: 10+
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  • Near Miss and Hazard Spot Report
    Template

    Near Miss and Hazard Spot Report

    Capture and document near misses and hazard observations with this easy-to-use report template. Record key details such as …

    by Ian Martin, from the Community
    Downloads: 10+
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  • Near Miss and Safety Share Checklist
    Template

    Near Miss and Safety Share Checklist

    Use this near miss and safety share template to document incidents and lessons learned across fleet operations. Capture job details …

    by Casey Blackford, from the Community
    Downloads: 10+
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  • Near Miss Week Findings Report
    Template

    Near Miss Week Findings Report

    Use this Near Miss Week findings report to capture hazards, proactive near misses, and housekeeping issues across sites. Record discrepancies …

    by Mario Olmos, from the Community
    Downloads: 10+
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  • Near Miss Reporting Template
    Template

    Near Miss Reporting Template

    Use this Near Miss Reporting template to document potential hazards and incidents that did not result in injury. Capture audit …

    by Danny White, from the Community
    Downloads: 10+
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  • Meldung Beinaheunfall Vorlage (Near Miss)
    Template

    Meldung Beinaheunfall Vorlage (Near Miss)

    Diese Near-Miss-Vorlage dient zur schnellen und strukturierten Meldung von Beinaheunfällen. Sie führt durch alle relevanten Felder: gemeldet durch …

    by Dominik Laakmann, from the Community
    Downloads: 10+
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  • Near Miss Report Template
    Template

    Near Miss Report Template

    This Near Miss Report template helps construction teams quickly capture and investigate near-miss events before they cause harm. Record …

    by Chris Graydon, from the Community
    Downloads: 0
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  • Near Miss and Risk Observation Report
    Template

    Near Miss and Risk Observation Report

    Use this Near Miss and Risk Observation Report template to capture close calls and hazards before they cause harm. Record …

    by lis burrow, from the Community
    Downloads: 0
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  • Near Miss Report - Blakes Cross, M1, Huntstown
    Template

    Near Miss Report - Blakes Cross, M1, Huntstown

    Use this near miss report to document unplanned events that could have led to injury, illness, or damage at Blakes …

    by Kathryn Kennedy, from the Community
    Downloads: 0
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  • Near-Miss Report Form (DACC)
    Template

    Near-Miss Report Form (DACC)

    This DACC near-miss report form helps teams quickly document potential incidents before they become accidents. Capture key details including …

    by megan.spice@dacceurope.com, from the Community
    Downloads: 0
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  • Near Miss Template
    Template

    Near Miss Template

    This near miss report template helps teams capture and share important details about unplanned events that could have caused harm …

    by Andrea Boccabella, from the Community
    Downloads: 0
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