Robert Brown

HHP Near Miss Report

This form is for HHP employees to report near misses.

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Use this Template

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Title Page

HHP Near Miss Report

Farm that near miss occured
- Almodington
- Colworth
- Donaldsons
- Heathlands
- Kives
- Leythorne
- Sheeplands
- Tuesley
- Not at a HHP site
Location where near miss occured
- Poly Tunnels
- Glasshouse
- Packhouse
- Field
- Campsite
- Yard
- Workshop
- Office
- Road
- Other
Date and time near miss occured
Description of the near miss
What action did you take
What further action is required
Photo
Employee number
Name and signature of person reporting near miss

Robert Brown

HHP Near Miss Report

This form is for HHP employees to report near misses.

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.