CALS SAFETY TRAINING
CALS SAFETY – FORMS
Safety Resources
Incident / Accident Reporting
Near Miss Reporting
CALS Building Contacts
Safety Coordinator

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College of Agricultural & Life Sciences

CALS SAFETY TRAINING
CALS SAFETY – FORMS
Safety Resources
Incident / Accident Reporting
Near Miss Reporting
CALS Building Contacts
Safety Coordinator

Near Miss Reporting

CALS Near Miss Reporting Poster

A near-miss is a potential hazard or incident in which no property was damaged and no personal injury was sustained, but where damage or injury easily could have occurred. Near misses also may be referred to as close calls, near accidents, or injury-free events.

Department(Required)

Building Number/ARS Building Number(Required)

Date of Near Miss(Required)

MM slash DD slash YYYY

Detailed description of Near Miss or Concern(Required)

Attachment(s)

Max. file size: 24 MB.

Would you like to be contacted regarding this Near Miss?(Required)

Yes

No

Name(Required)

First Last

Email(Required)

Phone(Required)

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