Home
Forms Library
Near miss report in word format

Near miss report in word format 2025

near miss report in word format Preview on Page 1

See details

4 out of 5

21 votes

The document is an Accident, Incident, or Near Miss Report Form (FRM-002) designed for reporting workplace incidents. It outlines the procedure for completing the form, including sections for incident details, injury information, environmental impacts, and vehicle details if applicable. The form must be filled out by the involved party or their supervisor and submitted for review to ensure proper documentation and follow-up actions.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out near miss report in word format with DocHub

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the near miss report in our editor.
Begin with Part A: Incident Location. Fill in the work area, location, business unit, and department. Circle the appropriate location and provide a detailed description of the incident.
In Part B, indicate the type of incident (Accident, Incident, Near Miss) and select the severity level. Provide your contact details under 'Reported By' including your name, phone number, and email address.
Move to Part C: Incident Details. Describe what happened during the incident, including any contributing factors and immediate actions taken.
If applicable, complete Part D for Injury/Illness Details by providing information about the injured person and nature of injuries sustained.
For environmental incidents or vehicle details, fill out Parts E and F respectively. Ensure all relevant sections are completed accurately.
Finally, sign the form at the bottom before submitting it to your supervisor for review.

Start using our platform today to streamline your near miss reporting process for free!

See more near miss report in word format versions

We've got more versions of the near miss report in word format form. Select the right near miss report in word format version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2009	4 Satisfied (21 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Can I sign my near miss report in word format in electronic format?

As outlined by eSignature regulations, documents signed electronically have the same validity as traditionally approved ones. You can eSign almost any business and private documentation. Four types of documents still require handwritten signatures only - wills and testamentary trusts, court orders and other court forms, state statutes regulating divorce, adoption, or other family law, and notice of cancellation of utility services. If you adhere to the rules and utilize a trustworthy and compliant software solution, like DocHub, you can eSign your near miss report in word format without printing it.

How do you fill out near miss report in word format online?

You can find and edit your near miss report in word format online with the help of DocHub. Its simple but feature-rich design enables you to begin productive work right after you register your account. Create your account and add your file, and then our interface will guide you via our stress-free form completion experience.