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Quick Near Miss Report
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Near Misses
Quick Report
Quick Report
- Capture the essentials now. You can add risk assessment and investigation details later.
What type of near miss?
Slip/Trip/Fall
Falling Object
Manual Handling
Vehicle/Plant
Working at Height
Machinery
Or select another category...
Struck By
Caught Between
Electrical
Fire
Chemical Exposure
Confined Space
Ergonomic
Environmental
Biological
Violence/Aggression
Other
When did it happen?
Date
Time
Property
Select property...
Where did it happen?
GPS
What happened?
Immediate Actions Taken (Optional)
Submit Near Miss Report
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Near Miss Reported Successfully
Reference:
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