Template

Good Catch and Near Miss Report Form

by Chance Schuh, from the Community

10+

This CVG template helps teams report good catches near misses and safety suggestions in warehouse and logistics operations. Capture concerns related to dock doors pallets racking PPE and housekeeping and log exact locations by aisle bay level and position. Document findings source and root cause then add proposed resolutions and note if the issue is resolved. Track specific equipment and dock door numbers and identify zones such as admin battery charging outbound or inbound areas. Use this form to standardize reporting improve hazard visibility and prevent incidents across shifts.

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Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

Community

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.

Template
Good Catch, Near Miss and Incident First Report
Use this in-house first report form to document good catches, near misses, and incidents in utility field operations. Capture event details, involved crew and foreman, evidence photos, repairs, and prevention steps. Log utility notifications, contractor oversight contacts, and screening or police report requirements to speed investigation and corrective action.
by Glenn Sizemore, CHST, STS, from the Community
Downloads: 0
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Template
Good Catch Report Template
This Good Catch Report template helps teams capture and act on safety observations and near misses before they become incidents. Document severity using Red, Yellow, or Green levels, record the specific area, time, and date, and provide a clear, concise description of the event. Note whether Company Safety was informed and, if desired, include who reported it. Add lessons learned and actions taken to drive continuous improvement. For Red-level events, root cause analysis is required. Use this template to strengthen hazard awareness and prevent future occurrences.
by Pablo Sanchez, from the Community
Downloads: 10+
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Good Catch and Near Miss Report
Use this Good Catch and Near Miss Report template to capture and communicate safety observations before they become incidents. Record site information, project name, location, date, and preparer. Describe the event, identify contributing factors, and outline discussion points with the team. Define corrective actions, assign responsibility, and specify how actions will be implemented to remove hazards and prevent recurrence. This practical template helps standardize reporting, support safety culture, and drive continuous improvement on projects and jobsites.
by Ryan Hacke, from the Community
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Template
Warehouse Operations Checklist
Use this warehouse operations checklist to streamline safety and compliance across your facility. It covers aisle and racking standards, forklift and MHE requirements, battery charging controls, ladder and fall protection, chemical and electrical safety, housekeeping, and vehicle and loading dock procedures. Identify hazards, assign actions, and maintain OSHA compliant practices to keep teams and inventory safe.
by FAC Maintenance Team, from the Community
Downloads: 10+
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Good Catch and Near Miss Report Form

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Good Catch, Near Miss and Incident First Report

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