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 misses also may be referred to as close calls, near accidents, or injury-free events. For the sake of a safe work environment, the Laboratory asks that all employees report any of these potential hazards immediately. Please use this form to report near-misses and assist us in preventing future incidents and making the Laboratory a safer workplace.

 
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