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Near Miss Report

Near Miss Report

This near miss report:

  • Can be used to document and report a near-miss event.
  • Can help you predict and prevent the occurrence of incidents.
  • Is fully editable in Microsoft Word format.
  • Is delivered instantly by email.

Description

About this Near Miss Report Template

This near miss report template can be used to document and report a near miss event that may have the potential to cause the death or injury to a person, or damage to property, plant or equipment. A near miss (or high potential) incident can be described as an event that had the potential to but, did not cause the death or injury to a person, or damage to property, plant or equipment. This near miss report form has provisions to describe what happened and the processes involved in the near miss incident. You can also indicate in the report what could have potentially happened if circumstances developed into a more serious occurrence. Near miss reporting helps management predict and prevent the occurrence of incidents.

Why a Near Miss Matters and How to Report Them

A near miss is an unplanned event that did not result in injury, illness, or damage but, the event had the potential to do so. Near misses are often thought of as ‘lucky’ events or ‘close calls.’ But while they may seem innocuous, near misses can be quite dangerous. That’s because a near miss is an indication that something went wrong and if that something isn’t corrected, it could easily lead to an actual accident, injuries or deaths.

A near miss matters because:

  • They provide an opportunity to learn and improve before someone gets hurt.
  • They can be an indicator of larger problems.
  • They can help prevent future accidents, injuries, damage and improve safety.

When reporting a near miss be sure to:

  • Report the event as soon as possible to people who have the authority to take corrective actions.
  • Include as many details as possible in the reporting system used.
  • Be prepared to follow up to ensure corrective actions are taken and are effective.

Reporting near misses is very important as it provides an opportunity to learn and improve before someone gets hurt and will reduce incident rates.

Availability and Use of this Near Miss Report

  • This near miss report template is accessible to you right now by clicking the ‘Checkout for Free Now’ button.
  • This document will be delivered to you in fully editable Microsoft Word format for immediate and full use in your business.
  • There are no subscriptions, contracts or ongoing costs.

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