KPS Facility Fault / Near-miss Reporting Form
Incidents in the school can lead to stress and anxiety not only for the affected staff and/or students, but also their family members. Reporting of facilities faults and near-misses can facilitate the review and enhancement of safety efforts in our school.

A Near-miss is an unplanned event that did not result in injury, illness, or damage – but had the potential to do so.
Managing near miss events can help us to avoid future accidents from taking place.

Type of Reporting *
Date of Fault Discovered / Near-miss *
MM
/
DD
/
YYYY
Time of Fault discovered/ Near-miss *
Time
:
Location of Facility Fault/ Near-miss *
Your answer
Detailed description *
Your answer
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