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Work-Related Near Miss Report
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2025-01-07T16:50:21+00:00
Work-Related Safety Near Miss
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First
Last
DATE of NEAR MISS
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MM slash DD slash YYYY
TIME of NEAR MISS
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:
Minutes
AM
PM
AM/PM
LOCATION of NEAR MISS
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PEOPLE INVOLVED
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IMMEDIATE ACTION TAKEN
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WERE REPORTS FILED?
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