Template

Maritime Hazard Report and Near Miss Form

by Flemming Julsdorf, from the Community

10+

Use this maritime hazard report template to capture positive safety observations, unsafe acts or conditions, and near misses across shipyards and vessels. Record the hazard description, how it poses a risk, and add photos. Assess consequence and likelihood to produce a risk rating from low to catastrophic. Select relevant categories such as housekeeping, electrical, scaffolding, lifting equipment, working at heights, confined space, PPE, traffic, environmental, noise, and more. Document immediate controls, assign corrective actions, inform supervisors and safety representatives, and track follow up. Standardize HSE reporting across projects, yards, vendors, and subcontractors to improve safety performance.

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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

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
FT Hazard Report HMD
Use this hazard reporting template to log positive HSE observations, unsafe acts or conditions, and near-miss events in the field. Capture detailed hazard descriptions, photos, and locations; assess consequence and likelihood to produce a risk rating; and document corrective actions with evidence. Covers common categories including housekeeping, fire and explosion hazards, machinery, hazardous substances, electrical, environmental, slips, trips and falls, PPE, scaffolding, barriers and signs, ambient conditions, working at heights, dropped objects, lifting equipment, pressure testing, permits to work, confined spaces, noise, vibration, radiation, access and walkways, traffic, manual handling, and other hazards. Assign actions to contractors or HSE reps and track follow-up to improve safety performance.
by Flemming Julsdorf, from the Community
Downloads: 10+
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Template
FT Hazard Report for Retrofit Projects
Use this FT Hazard Report template to support Maersk retrofit projects and similar maritime works. Record positive HSE observations, unsafe acts or conditions, and near misses across yards, vessels, and project areas. Capture hazard descriptions, photos, risk ratings, and foreseeable outcomes. Assign corrective actions, notify supervisors or safety reps, and document immediate fixes. Categories include housekeeping, fire and explosion hazards, electrical, confined space, working at heights, lifting equipment, traffic, manual handling, and more.
by Flemming Julsdorf, from the Community
Downloads: 10+
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Template
FT Hazard Report at HHI
This maritime hazard report template supports shipyard and vessel projects at HHI. Use it to document hazards, positive observations, and near misses, add photos, and describe how each issue poses a risk. Rate risk by consequence and likelihood, then plan controls and corrective actions. Track immediate fixes by reporters or contractors, notify supervisors and HSE representatives, and capture evidence of corrective work. Categories include housekeeping, fire and explosion, mechanical, hazardous substances, electrical, environmental, slips and falls, PPE, scaffolding, barriers and signs, ambient conditions, working at heights, dropped objects, lifting equipment, pressure testing, permits and procedures, confined spaces, noise, vibration, radiation, access and walkways, traffic, and manual handling.
by Alex Kim, from the Community
Downloads: 40+
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Template
FT Hazard Report - Retrofit
This FT Hazard Report - Retrofit template supports maritime retrofit and shipyard projects, including MAERSK vessels. Use it to capture positive safety observations, hazards, unsafe acts, near misses, foreseeable outcomes, and risk ratings, then document corrective actions taken. Categories include housekeeping, electrical, hazardous substances, working at heights, lifting, confined spaces, PPE, traffic, noise, and more to strengthen HSE compliance.
by Flemming Julsdorf, from the Community
Downloads: 30+
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Maritime Hazard Report and Near Miss Form

About author

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FT Hazard Report HMD

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