Get Incident / Near Miss Report Form

Filing an incident or near miss report is a crucial step in maintaining safety and accountability in any organization. This guide provides clear, step-by-step instructions to help users complete the INCIDENT / NEAR MISS REPORT FORM online with confidence.

Follow the steps to accurately complete the form online:

1. Press the ‘Get Form’ button to access the INCIDENT / NEAR MISS REPORT FORM and open it in your preferred online editor.
2. Identify the type of incident being reported by selecting one of the options in section A. This could be a near miss, damage to equipment, unsafe condition, dangerous occurrence, fire, or unsafe act.
3. In section B, fill out the details of the person making the report. Include their surname, forenames, job title, department, telephone number, and email address.
4. In section C, enter the incident details. Provide the date, time (using the 24-hour clock), and location of the incident. Describe the incident thoroughly, including the nature and extent of any damage.
5. Also in section C, document any actions taken following the incident, ensuring to include all relevant details.
6. Complete section D by having the responsible person, typically the Health and Safety Officer, countersign the form. Include their name and signature.
7. Once all sections are completed, users can save changes, download the form, print it, or share it as required.

Take action today by completing your INCIDENT / NEAR MISS REPORT FORM online.