Near miss format 2025

Show details

4.9 out of 5

48 votes

The document is an Accident/Incident/Near Miss Report Form designed to collect detailed information about workplace accidents or near misses. It includes sections for identifying the injured person, describing the incident, detailing injuries and damages, emergency measures taken, witness information, equipment involved, working conditions, safety procedures followed, personal protective equipment (PPE) used, and understanding of risk assessments. Additionally, it requests recommendations for risk reduction and includes a section for initial investigation details.

Here's how it works

01. Edit your uk near miss report 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 near miss form word via email, link, or fax. You can also download it, export it or print it out.

How to modify Near miss format in PDF format online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Handling documents with our feature-rich and intuitive PDF editor is straightforward. Follow the instructions below to complete Near miss format online quickly and easily:

Log in to your account. Sign up with your credentials or register a free account to test the service prior to upgrading the subscription.
Import a form. Drag and drop the file from your device or import it from other services, like Google Drive, OneDrive, Dropbox, or an external link.
Edit Near miss format. Easily add and highlight text, insert images, checkmarks, and icons, drop new fillable fields, and rearrange or remove pages from your document.
Get the Near miss format completed. Download your adjusted document, export it to the cloud, print it from the editor, or share it with others through a Shareable link or as an email attachment.

Take advantage of DocHub, the most straightforward editor to rapidly manage your paperwork online!

See more near miss format versions

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

Versions	Form popularity	Fillable & printable
2017	4.9 Satisfied (48 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.

How do you write near miss?

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.

What is the near miss rule?

Every incident that does not result in injury or property damage can be referred to as a near miss. Recognised and recorded as such, a near miss represents an equivalent learning opportunity as an accident, but without the injury or damage associated with the more severe occurrences.

What is the near miss regulation?

You are not required by law to report near misses unless they fall under the 27 categories of dangerous occurrences outlined under RIDDOR. In addition to that, if no one has gotten hurt as a result of the unexpected event, you might be wondering why make such a big deal of reporting it.

What is the near miss strategy?

It makes good business sense to be proactive and take action early when problems are likely to be less serious. Near misses may seem trivial but they are a valuable source of information. Taking time to review the underlying causes is likely to reduce risk, improve health and safety, and save you time and money.

What is a near miss form?

Near-Miss Incident Report Form. A near-miss is a potential hazard or incident in which no property was damaged and no personal injury was sustained, but where, given a slight shift in time or position, damage or injury easily could have occurred.

near miss reporting form word doc

Near miss reporting examples PDF Near miss examples Near miss reporting form Word doc Near miss reporting form PDF Near miss reporting form excel Near miss report form HSE OSHA near miss form Near miss report examples in construction

What qualifies as a near miss?

A near-miss is a potential hazard or incident in which no property was damaged and no personal injury was sustained, but where, given a slight shift in time or position, damage or injury easily could have occurred. Near misses also may be referred to as close calls, near accidents, or injury-free events.

What is the principle of near miss?

Near Miss an unintentional, unsafe occurrence where a fortunate break in the chain of events prevented a serious injury or fatality.

What is the OSHA protocol for near miss?

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.