This section provides a brief overview of the near miss incident, including the date, time, and location.
Date: [Insert Date]
Time: [Insert Time]
Location: [Insert Location]
Detail the events leading up to the near miss, including any relevant actions taken by personnel.
Example: "On [Insert Date], at approximately [Insert Time], a near miss occurred when [describe the incident]."
Identify any factors that contributed to the near miss, such as equipment failure, human error, or environmental conditions.
[Factor 1]
[Factor 2]
[Factor 3]
Document any immediate actions taken in response to the near miss.
Example: "Following the incident, [describe actions taken]."
Provide recommendations to prevent similar incidents in the future.
[Recommendation 1]
[Recommendation 2]
[Recommendation 3]
Outline any follow-up actions that will be taken to address the near miss.
Example: "A follow-up meeting will be held on [Insert Date] to discuss further actions."
Here are some templates that are similar to Near Miss Reports.