Farm Incident Near Miss Report (New Zealand)

Form Template

Where did the accident happen?

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(e.g. shed, paddock etc.) How did the accident happen? Was the person trained for the task they were doing? Was a significant risk involved? What Harm Could Have Happened? Use the app to answer these questions and record steps taken to prevent a similar event happening again. The Farm Incident Near Miss Report (New Zealand) mobile app allows you to replace your paper report with a smartphone, tablet or desktop. The mobile form includes fields to document items such as personal details, employment details, accident details, nature of the injury and captures a signature. Once the mobile app is filled out a secure PDF is generated. The PDF is easy to share, and a copy is stored in your account for your OHS Safety records. You can also use the App Builder to personalize and customize this mobile form.

If you need a general form, check out our near miss incident app.

Features
  • Signature Capture
  • Image Capture
  • Submission Editing
  • Reference Data
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Platforms
  • iPhone
  • iPad
  • Android
  • Windows
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Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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