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Near miss card template. This near miss report template is used to document near miss incidents to mitigate the risk and prevent recurrence. The completed Near Miss Report Form template can be used to analyse the number an type of near misses occurring to carry out an information investigation and identify areas of weakness and improvements needed. NEAR MISS REPORT FORM Note.

The most secure digital platform to get legally binding electronically signed documents in just a few seconds. Download free printable Near Miss Reporting Form samples in PDF Word and Excel formats. In addition to giving examples of near misses the forms header includes some supporting information on why everyone should report near misses immediately.

Its a great way to show workers that their input is valued. Oklahoma States near miss report for includes room for safety suggestions. Near Miss Incident Report Template While there are numerous different Near Miss Incident Report Template templates accessible many of them tend to offer the very same design features and performance and web-savvy users can certainly spot a Near Miss Incident Report Template web template easily.

Record the date and time of the near miss event. Fill out securely sign print or email your near miss report microsoft word form instantly with SignNow. It is used by safety teams to perform the following.

Home Northern Ireland Safety Group Occupational Health. 2 Near Miss Reporting Form free download. This form should be completed whenever a Near Miss occurs - that is an incident WITHOUT injury to person or damage to property.

A near miss is defined as. An unplanned event that did not result in injury illness or damage but had the potential to do so. Printable Near Miss Report Template.

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