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 of the report: To be completed by the employee. Forward completed document to direct supervisor.

Section 2 of the report: To be completed by the direct supervisor.