Information

  • Job number & Date

  • Engineer name and tech number

  • Location

1: Please briefly describe the near miss incident.

2: Were you or anyone else injured?

3: Was any damage caused to Sky equipment or third party property?

4: Please add photos if necessary.

  • Photo

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.