Near Miss Form – Anonymous This Near Miss Form is totally anonymous and will help us to understand the type of risks our workforce have to deal with on site but are not necessarily spoken about or reported back to the supervisors or managers.Thank you very much for taking the time to share your experiences with us!Location (please select the location that is closest to your general area of working)* Basingstoke Bournemouth Bridport Dorchester Poole Portsmouth Southampton Weymouth Other Please tell us about any issues, or your near miss, in as much detail as you can remember.Is this still a potential risk?* A current risk No longer a risk Would you like to add a photo?:Max. file size: 2 MB.Is there anything you feel could remove/reduce this risk going forward?If you have a safety concern at work, do you feel listened to by the site supervisors, managers etc?Date* DD slash MM slash YYYY
