Get Miss Form 2020-2025

Near miss reporting procedures: Report the near miss incident, no matter how small or who it happens to. Make sure the scene of the incident is secured as fast as possible. Communicate the incident to supervisors and the safety department. Fill out a near miss report with the exact details of the incident.

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.

No harm (Impact prevented) – Any patient safety incident that had the potential to cause harm but was prevented, resulting in no harm to people receiving NHS-funded care. This may be locally termed a 'near miss'.

A pattern of near misses provides an early warning that something needs attention. 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.

Near misses provide The Company with an opportunity to identify hazards or weaknesses in their risk management programs and correct them to prevent future incidents. Proactive monitoring—Near misses are symptoms of undiscovered safety concerns.

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.

Some near miss examples when it comes to slipping and tripping at work include: Poor lighting resulting in an employee tripping, and almost falling over an undetected extension cord. A leaky air conditioner drips onto a walkway resulting in an employee slipping and nearly falling.

Some near miss examples when it comes to slipping and tripping at work include: Poor lighting resulting in an employee tripping, and almost falling over an undetected extension cord. A leaky air conditioner drips onto a walkway resulting in an employee slipping and nearly falling.