Hazard Identification & 'Near Miss' Incidents
At Coatesville School we want to identify any potential hazards AND to be informed of any 'near miss' incidents.
Please help us to eliminate, isolate and/or minimise hazards by filling in the form below.
If it is urgent please inform the school office immediately.
I am reporting a ...
Name:
Your answer
Date of incident:
MM
/
DD
/
YYYY
Time of incident:
Time
:
Location of hazard or 'near miss':
Your answer
Description of hazard or 'near miss':
Your answer
Possible risks to people or property:
Your answer
Submit
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