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Near miss report

A low-friction, no-blame form for logging events that almost caused harm, so patterns appear before an injury does.

About 3 min to complete. safety, near miss, report, incident.

Use this template

Questions in this template

  1. What almost happened?
  2. Where did it happen?
  3. How bad could it have been?
  4. What contributed?
  5. What would make it less likely next time?
  6. Would you like to be contacted about this?

Related templates

Stethoscope on a white surface

Nobody was hurt. Tell us anyway.

Near misses are the cheapest lessons we get. This report is for learning, not blame.
Takes about 3 minutes
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