Near Miss Report Form

Please fill out the form below and submit once it's completed.

A near miss is a potential hazard or incident that has not resulted in any personal injury or property damage. Some examples of near-misses are unsafe conditions, improper use of equipment, use of tautly equipment, not following proper procedures .... It is everyone's responsibility to report and correct any of these potential hazards immediately. Please use this form to report near-misses and assist us in preventing incidences and making West Contracting Co a safer place to work.