Information
-
Completed on
-
Location
-
Please enter the name of the project
-
If you know the job number please enter it here
-
Please select the date and time you noticed the Near Miss
-
Please describe what you saw & explain what you think could happen if it isn't dealt with?
-
Tap here to include a photograph
-
Where on the site did the near miss occur?
-
Please pick the most appropriate type of near miss from the list
- Environment
- Manual handling
- Working practice
- Behaviour / attitude
- Housekeeping
- Ground conditions
- Weather
- Vehicles
- Mobile plant
- Electrical
- Existing services
- Excavations
- P.P.E.
- Hazardous material
- Public / community
- Fatigue
- Traffic Management
- Other
-
What action did you take?
-
What further action do you think is required?
