Near Miss
Near Miss
Near Miss
Near-Miss reports are intended as a means to quickly share information about incidents and near-misses within the project team. This form is to be completed immediately after an observation or event. Guidance: Provide available facts. Do not speculate. Do not complete blanks that are not applicable. Do not include names of persons or companies or identify third parties. Incident Date: Incident Time: City, State, Loc: PNL Office: Person Preparing Report: Signature: Office Manager: Responder Email:
Responses which have taken place (e.g., first aid, medical visit, spill response, etc.):
Version 2, 04SEP12