Medium

Available on

Apple Android Windows

Near Miss Incident Report Mobile App

Incident reports should be completed within 24 hours of the event and with this Near Miss Incident Report app it can be completed and submitted all from your mobile device. The near-miss report form includes incident details such as date and location, worker involved, employee supervisor, incident description, type of incident and more. The near miss accident report app also includes image capture for all accident incidents and events.

Key benefits of this app: 

• This investigation report and incident report template app is ideal for risk management and worker's compensation claims for any work-related injury requiring incident reporting

• Safety officers can use this app for incident investigations and developing corrective actions to minimize future risks and hazards

• Use this health and safety app not only for personal injury accident reporting but also for property damage and adverse event incident reporting

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

Want to learn more about GoCanvas?

Request a Demo

Take a peek inside the Near Miss Incident Report Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

  • {{data.title}}

Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico dropdown

    Severity Actual

  • Ico dropdown

    Potential

  • Ico checkbox

    Preventable

  • Ico checkbox

    Non Preventable

  • Ico date

    Date of Incident

  • Ico date

    Date Reported

  • Ico time

    Time

  • Ico textbox

    Incident Location (site)

  • Ico textbox

    Department

  • Ico statictext

    Worker Involved

  • Ico textbox

    Last Name

  • Ico textbox

    First Name

  • Ico textbox

    Department

  • Ico integer

    # Hours Worked Prior to Incident

  • Ico textbox

    Last Name

  • Ico textbox

    First Name

  • Ico textbox

    Department

  • Ico integer

    # Hours Worked Prior to Incident

  • Ico statictext

    Supervisor

  • Ico textbox

    Last Name

  • Ico textbox

    First Name

  • Ico textbox

    Division

  • Ico multiline

    Incident Description (Include who, what, where, how, part, components)

  • Ico camera

    Picture

  • Ico camera

    Picture

  • Ico dropdown

    Supplemental Reports Attached

  • Ico signature

    Signature of Worker

  • Ico dropdown

    Visibility

  • ...and More!

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