Anonymous

HCC NEAR HIT/INCIDENT REPORT

Use this Template

Print as PDF

Use this Template

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INFORMATION

Date and Time
Location
Type of event
Name (optional)
Supervisor

Report

Description of event
Any immediate action taken?
Any recommended future action required?
Photo of event/hazard (optional)

Anonymous

HCC NEAR HIT/INCIDENT REPORT

Use this Template

Print as PDF

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.