Near Miss Report Form
Capture the things that nearly went wrong, in a form that asks what happened rather than who was at fault.
SI-10 1 page
Access and visitor control · AS-08
Daily Occurrence Log
A free printable occurrence book — time, what happened, what was done about it, who it was reported to, initialled.
Download Free · no sign-up
One page. Choose your paper size — both versions are laid out identically, so neither one gets shrunk to fit.
Print it and write on it
Fill it in type and save
The fillable versions have real form fields — open them in any PDF reader, type into them and save. Printing help.
What this sheet is for
Keep a contemporaneous record of a shift, written as things happen rather than reconstructed at the end of it.
Who it is for
Security teams, caretakers, night staff, wardens, duty managers and anyone who hands a building over to somebody else.
How to use it
- Write entries as they happen, with the time.
- Plain language: what was seen, what was done.
- Record who you reported it to, and when.
- Initial every entry.
- Sign the handover at the end of the shift.
What is on the sheet
The layout is fixed at a size that fits both A4 and US Letter, so the A4 and Letter files are visually identical and print at full size on either. Rows are set at a height that an adult can actually write a date and a few words into with a pen — most printable tables are built in a word processor and never tested with one.
Questions
Why does it matter when the entry was written?
Because a log written up at the end of a shift from memory carries far less weight than one written at the time, and anybody reading it later can usually tell which it was.
Related sheets
Building Defect Report Form
Get a defect reported in writing with a date on the report, the response and the completion, so it can be chased rather than remembered.
PF-08 1 page
Visitor Sign In Sheet
Know who is in the building on an ordinary day, and be able to say so on a bad one.
AS-03 1 page
One new sheet, most weeks
We are building this library out steadily. Leave an address and we will send the new sheets as they are finished — nothing else, and no more than one email a week.
Sign-up is not live yet — we have not connected an email provider, so this form is switched off rather than quietly collecting addresses.