Anonymous

Terex Near Miss Report

TEREX NEAR MISS REPORT

Use this Template

Print as PDF

Use this Template

Go digital today!

Convert your paper checklists into digital forms

Scan this QR code to use this paper checklist on your smartphone or tablet or visit https://safetyculture.com/

Title Page

Job Number
Client / Site
Location

Severe (SIF)
Dangerous
Minor
Safety Observation
Job Pause
Date/Time
Branch/Dept:
Task:
Description of Event:
Action taken:
Submitted by:
NEAR MISS/JOB PAUSE

Anonymous

Terex Near Miss Report

TEREX 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.