Aaron Hancock

Podium Industries Near Miss Report

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Use this Template

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Title Page

Site conducted
Conducted on
Prepared by
Location

Untitled Page

Photo of Near Miss
Brief description of Near Miss Reported
Is the Podium Supervisor Notified?
Is the Client Supervisor Notified?
Does the area need to be evacuated or controlled?
Do emergency service need to be contacted?
Does security need to be contacted?
Equipment to be tagged out of service?
Actions required?
Clients instructions?

Aaron Hancock

Podium Industries Near Miss Report

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.