Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

PLEASE COMPLETE THE NEAR MISS SECTIONS BELOW

  • Site Details:

  • What Happened (Please detail the Near Miss that you have Witnessed):

  • Please include Photographic Evidence:

  • Please inform us of your Status:

  • When (Time/Date):

  • Supervisor Informed?

  • Submitted By:

  • Thank you for reporting this near miss. Now we know about it, we can do something to avoid an accident in the near future. All reports submitted will be reviewed by Wates Supervision and where appropriate, action taken to remove or minimise risk. (Comments by The Manager):

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.