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safety

Hazard / Near-Miss Report

Employee hazard / near-miss reporting — leading indicator for proactive safety programs.

Start free — included with every suite See it in MangoApps

14 days free, $0 today — Forms comes with every suite.

Rolled out to every employee at AutoZone (125,000), PetSmart (50,000+), A.S. Watson and Raley's (20,000) — and at larger retailers we are not permitted to name.

Built for: Manufacturing · Construction · Warehouse · Healthcare

What's inside this template

Hazard Details

  • Date / time observed (required)
  • Location (required)
  • Type of hazard (required)

    Slip/trip/fall / Electrical / Chemical / Equipment / Lifting / Other

  • Description (required)
  • Photo of hazard (if safe)

Reporter

  • Reporter name (anonymous accepted)
  • Suggested correction

Common use cases

Proactive safety program
Hazard hunt logging
Near-miss trend analysis

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Ready to use this template?

Hazard / Near-Miss Report runs on a platform app included with every MangoApps plan — pick a suite and it comes along.

Start free — included with every suite

Rolled out to every employee at AutoZone (125,000), PetSmart (50,000+), A.S. Watson and Raley's (20,000) — and at larger retailers we are not permitted to name.