Incident / Near Miss Report

Where and when

Project

Site (optional)

Date

Time

Person reporting

Type

What happened

What happened?

Where did it happen? (optional)

Who was involved? (optional)

Was anyone injured?

Was first aid required?

Was work stopped?

What immediate action was taken? (optional)

What should be done to prevent it happening again? (optional)

Photographs

Optional — add as many as are useful.

Management review

This record does not decide whether an incident is RIDDOR reportable.

Does this incident need management review for potential RIDDOR reporting?

Sign off

Name

Signature

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Send the record

Always emailed to sales@buildandpadel.co.uk.

Email a copy to (optional)

Subcontractor, customer or site manager.

Completion of this record does not replace the requirement to work safely, follow applicable RAMS, manufacturer instructions, site rules or applicable health and safety legislation.