FormSafety & Workshop
Incident & near-miss form
Record what happened and any follow-up needed after an incident or near miss.
Form
Record
- Date, time, and work area
- People involved or witnesses
- What happened
- Immediate action taken
- Equipment or materials involved
Form
Follow-up
- What should change
- Who is responsible for follow-up
- Target completion date
- When the follow-up was closed