Incident and Near Miss/Near Hit Report

A "Near Miss" or "Near Hit" incident is considered a precursor to actual incidents or events and must be reported whether or not an injury occurred. When this happens, the Incident and Near Miss/Near Hit Report needs to be filled out.

Section 1 is to be completed by the employee and forwarded to their direct supervisor.

Section 2 is to be completed by the direct supervisor and forwarded to the EHS department at [email protected].

 

 

Environmental Health and Safety

108 - Auxiliary Program Center
4901 Evergreen Road
Dearborn, MI 48128
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Phone: 313-583-6679
Fax: 313-493-9161