NEAR MISS / CLOSE CALL REPORT
In an effort to keep our working environment safe for everyone, we have created this Safety Survey to report all near misses / close calls. A near miss or close call is a "second chance". If it does not get reported, it will not benefit anyone. We can all learn from these incidents and these reports could possibly save a life.

This survey is completely anonymous.

Describe what happened?
Incident Details
Your answer
Location of the incident? Weather Conditions? Other contributing factors?
Your answer
What could have been done to prevent this incident from happening?
Your answer
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