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Near Miss Incident Report

Near Miss Incident Report 2025

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The document is a Near Miss / Incident Report form for Monterey Mechanical Co., Contra Costa Metal Fabricators, and Plant Maintenance, Inc. It outlines the procedure for reporting incidents, including details to be filled out by involved personnel and management. The report must be submitted to a direct supervisor and then to the Safety Manager for filing, with potential sharing with the General Contractor or client. It emphasizes the need for a detailed description of the incident and corrective actions taken.

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What is a near miss in incident reporting?

In general, here is the information you should include in a near-miss report: Date, time, and location of the incident. Department. Incident description. Root cause (behavior, equipment, etc.) Supporting documents (photos, hazard analyses, etc.) Next steps and specific action items.

Do near misses have to be reported?

How do I report a near miss? If a near miss occurs, they should always be reported using the eSafety system. However, when this is not possible, a written report should be made to your immediate supervisor.

How do you write a near miss report?

Workers should be able to report near misses to their direct supervisor without fear of repercussion. Collect near-miss information the same way you would an incident in which an injury or property damage occurred. The information can be helpful whether a near miss happened three days or three years ago. Reporting Near Misses in the Workplace - Brown Brown bbrown.com insight reporting-near-miss bbrown.com insight reporting-near-miss

Are there legal requirements for reporting near misses?

REPORTING A NEAR MISS Workers must report all workplace incidents, hazardous conditions, near misses, and property and environmental damage to their immediate supervisor as soon as possible.

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