Bskyb

Near miss report V1.0

Near miss report v1.0

Use this Template

Print as PDF

Use this Template

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Information

Job number & Date
Engineer name and tech number
Location

1: Dropped item

From height
From ground

Slip or trip

Inside
Outside

Ladders

Ladder impact
Moved by wind
Ladder movement whilst at height
Which ladder was used

Van

Falling item
Other

Customer property

Inside
Outside
Other
Photo

Bskyb

Near miss report V1.0

Near miss report v1.0

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.