Form Template
Near Miss Report

Form Near Miss Report image 1

Free Access

  • Instant access
  • 1 page
  • Edit online
  • Your business name
  • PDF download
  • Included on Free Plan

Document Description

Create your document in minutes with this ready to use Near Miss Report Form template. Use the quick and easy editor to add your details, make changes, and download a completed document branded with your business name.

This Near Miss Report Form template can be used to gather near miss information so that the incident may be investigated, and action taken to minimise the risk being repeated.

A near miss is an undesired event that, under slightly different circumstances, could have resulted in harm to people or damage to property, materials or the environment.

Good health and safety management requires monitoring of your health and safety performance. Reporting of near misses can reduce accidents and improve safety.

Research has shown that for every 90 near misses an accident will occur. The ultimate goal of near miss reporting is to address the incident, and take action to prevent reoccurrence and remove the potential of an accident.

The completed Near Miss Report Form template can be used to analyse the number an type of near misses occurring, to carry out an information investigation and identify areas of weakness and improvements needed. It can also be used as a record to show that your business takes health and safety seriously.

You can use the Near Miss Report Form template as it is, in your business, and we will add your business name at the top of each page. The template is ready for you to fill in and complete, you can edit it as much as you need to produce a site specific health and safety document for your projects or workplace.


This 1 page document includes:

Is this template really free?

Yes, the Near Miss Report Form template is free for you to edit and download. This simple, easy to use template is ready for you to add your details and use at work.

How do I access this document?

To access this document you just need to join us on the Free Plan. Register today for instant access to this template and get all the features of the free plan.

How do I edit this document?

This Near Miss Report Form template can be edited online within your browser. Editing is quick and simple, but if you need more time, there's no hurry to finish your document today - you get free use of the template and online editor to create your document.

When you registered for the Free Plan, the document can be found in your account under 'Documents'. You can edit the document online from your HASpod account.

How do I download this document?

Download in PDF format for maximum compatibility across devices - no special software required. Once downloaded you can save, print and use your Near Miss Report Form document within your business for as long as you need it.

After making your edits, click the download button to get your PDF - we will add your business name in the header for you.

Get unlimited access to every document on the Documents Plan.