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Timber Packaging & Display Coverage Enterprises, Inc. Near Miss Form (See Back of Form for Instructions) Division Name: Department Name: Name(s) of Persons Involved in the Near Miss (Optional):Name
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What is near miss form?
Near miss form is a document used to report incidents or situations that could have resulted in an accident but did not.
Who is required to file near miss form?
All employees are required to file a near miss form if they witness or are involved in a near miss incident.
How to fill out near miss form?
Near miss forms can be filled out by providing details of the incident, including date, time, location, individuals involved, and a description of what happened.
What is the purpose of near miss form?
The purpose of near miss form is to identify potential hazards and prevent future accidents by reporting and investigating near miss incidents.
What information must be reported on near miss form?
Information such as date, time, location, individuals involved, description of incident, and any corrective actions taken must be reported on the near miss form.
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