Free Word template

Near-Miss / Incident Report

Report and investigate near misses, incidents and injuries — with root-cause analysis and a RIDDOR check built in.

The form that turns a near miss into a lesson before it becomes an injury. Captures the event details and type (near miss through to specified injury/fatality), what happened and what could have happened, immediate action, three-level root-cause analysis, a corrective-action tracker, a RIDDOR 2013 reportability check with the reporting time limits, and a three-party sign-off.

What is inside

  • Branded cover page + report details
  • Event-type checklist (near miss → specified injury → fatality)
  • What happened / what could have happened write-in sections
  • Immediate action taken section
  • Three-level root-cause analysis (immediate / underlying / root)
  • Corrective-action tracker table
  • RIDDOR 2013 reportability check with time limits
  • Three-party sign-off (reported / investigated / reviewed)

How to use it

  1. Download the Word file and put your company name, the site and the date at the top.
  2. Work through every section. Delete what does not apply and write in what does. A template nobody has edited is the first thing an inspector notices.
  3. Get it signed by the people it covers, keep the signed copy with the job, and put a review date in the diary.

Questions people ask

Is the Near-Miss / Incident Report really free?

Yes. Enter an email and the Word file downloads straight away. No card, no trial to start, and one-click unsubscribe on the occasional UK site compliance tip we send.

What format is it in?

A Word .docx file (near-miss-incident-report.docx). It opens in Word, Google Docs, Pages and LibreOffice, and every line is editable.

What is inside it?

Branded cover page + report details. Event-type checklist (near miss → specified injury → fatality). What happened / what could have happened write-in sections. Immediate action taken section. Three-level root-cause analysis (immediate / underlying / root). Corrective-action tracker table. RIDDOR 2013 reportability check with time limits. Three-party sign-off (reported / investigated / reviewed).

Who has to be inducted on a construction site?

Everyone who works on the site, and visitors who go beyond the site office, before they start. CDM 2015 puts the duty on the principal contractor to make sure a suitable site induction is given. Guidance, not legal advice.

Can I put my own company name and logo on it?

Yes, it is yours to edit. If you would rather not fill it in by hand, SiteLynx builds the same document in about ten minutes with your branding, your crew sign it on their phones, and every plan is 14 days free.

Or let SiteLynx write it

The same document, built in about ten minutes from the job you type in, with 1,200 BS, EN and NHBC references behind it and your crew signing on their phones. Every plan is 14 days free. What you see on the pricing page is the bill.

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