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Workforce Safety & Insurance www.WorkforceSafety.com NEAR MISS REPORT A near miss is a potential hazard or incident that has not resulted in any personal injury . Unsafe working conditions, unsafe.

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Poor lighting resulting in an employee tripping, and almost falling over an undetected extension cord. A leaky air conditioner drips onto a walkway resulting in an employee slipping and nearly falling. A missing or worn step marker resulting in an employee tripping over a step.

A near-miss is a potential hazard or incident in which no property was damaged and no personal injury was sustained, but where, given a slight shift in time or position, damage or injury easily could have occurred. Near misses also may be referred to as close calls, near accidents, or injury-free events.

Reporting accidents at work is a legal requirement. The information helps us and the Health and Safety Executive (HSE) to find out how and where risks occur, how accidents happen and to investigate serious accidents.

A near miss reporting form should contain the following: Date, time, and location of the near miss. Other details including the hazards involved. Person affected by the near miss and witnesses.

near miss: an event not causing harm, but has the potential to cause injury or ill health (in this guidance, the term near miss will include dangerous occurrences)

What are some examples of near misses? Mishandling of chemicals or hazardous materials. Transportation close calls. Equipment malfunctions. Slips, trips, and falls without injury. Signage-related incidents. Narrow escapes from workplace hazards.

A worker slips while carrying a heavy load but manages to catch themselves before falling. A machine malfunctions and causes a loud noise but does not cause any damage. A chemical spill is quickly cleaned up before anyone is exposed to it. A worker trips on a loose power cord but does not fall.

Examples of Near Misses in the Construction Site A construction worker who almost slips on a wet surface but catches themselves in time. A construction worker who almost falls off a ladder but grabs the rung in time. A construction worker who almost drops a heavy object but manages to hold on.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232