Printable near-miss form

A blank A4 form: what happened, where, how serious, a name that can be left blank, and a line for what should change. Use it when a phone form is not practical. It is a piece of paper, not a compliance system.

SafeMonday helps a workplace keep a record of near-miss reports, toolbox talks and who attended. That record can support evidence of instruction and consultation. It does not, by itself, make a workplace compliant with the health and safety law that applies where you operate.

When you want the form on a poster instead, start a SafeMonday trial.