Near miss report template
Quality, health, safety, environment
Two minutes to report what nearly happened: the facts, the type of risk, the severity had it happened, and the action taken on the spot.
2 pages, 11 questions.
What it looks like
The real form, rendered by the same component as the console and the field app. Walk through it: conditions and calculations work. Nothing is sent.
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Page 1 of 2
What the form asks
The questions below are the shipped template's, read from its definition. Remove some, add others, change the wording.
1. What happened
- Place *text
- Date and time *date and time
- Carried out bytext
- PositionGPS position
- I was thereyes / no
- What happened? *long text
- Photophoto
2. The risk
- Type of risk *choice list
- Severity had it happened *choice list
- Action taken on the spot *long text
- Work stoppedyes / no
A starting point, not a straitjacket
The visual builder opens a template like any other form: pages, fields, conditions, calculations and per-group rights. A published version is then frozen, so the history stays readable.
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