Near Miss Simply put, a near miss is any unplanned event that could have caused physical injury or property loss but didn’t. CommentsThis field is for validation purposes and should be left unchanged.Report Type Near Miss Report a Hazard Reported By (Optional) First Last Date Observed(Required) Time(Required) Hours : Minutes AM PM AM/PM Person or Persons AffectedManager / Supervisors Email (If Known)(Required)If the Manager or Supervisor Email is Unknown, Leave as Default (ezra.pitchford@waltherarms.com) Location in Facility Where Observed.(Required)Be as detailed as possibleNear Miss Due To:(Required) Unsafe Act Unsafe Condition Unsafe Equipment Unsafe Use of Equipment Describe the Potential: Incident / Hazard / Concern(Required)Be as detailed as possible.
