Near Miss Report Form

Use this near miss report form to record and investigate near miss incidents on UK construction sites. Capturing near miss reports is a legal requirement under RIDDOR and a key part of proactive H&S management.

Structured near miss reporting form with severity classification and management sign-off.

Structured near miss reporting form with 8 sections: reporter details, incident description, potential consequences (with severity classification — High/Medium/Low with colour coding), immediate actions taken, suggested improvements, and management sign-off. Helps fulfil duties under RIDDOR 2013 and supports proactive hazard management on site. Retain completed reports for a minimum of three years.

Compliance
RIDDOR 2013 / HSE Guidance HSG245
Category
Investigation
Price
£3.99
Pages
2

What's Included

  • Incident Details
  • Persons Involved
  • Description of Events
  • Immediate Causes
  • Root Causes
  • Corrective Actions
  • RIDDOR Reporting
  • Sign-Off

Download this HSE-compliant Near Miss Report Form template instantly for £3.99. Written by a NEBOSH-qualified Health & Safety Manager.

Download Near Miss Report Form

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