Near miss report

  • Use this form to report events that had the potential to cause injuries, Ill health or damage and email it to your manager, supervisor or Cleshar HSQE department.

  • Project:

  • Location:

  • Location type e.g. Track, construction site, office, station etc.

  • Select date

  • Please select near miss type:

  • Describe what you have seen:

  • Describe what could have happened:

  • Describe what you were able to do about it or suggest actions:

  • Lighting conditions:

  • Your name (Optional)

  • Position:

  • Contact number or email (Optional).

  • For all injuries and high potential incidents involving rail vehicles, please contact your site supervisor and Cleshar Manager immediately on 07816 659 957 (Kent) or 0208 733 8552 (HUB-Head Office)

  • If you have any Health and Safety queries and to report this near miss by email contact

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