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
One page, top to bottom:
Printed under the title: A running log of everything that happened on a shift, in the order it happened.
Write it as it happens. Write entries as they happen and in plain language: time, what was seen, what was done. An occurrence book filled in at the end of a shift from memory is worth very little, and everybody reading it later can tell.
Write-on lines: Site · Date · Shift · On duty
Table, 11 rows: Time · What happened · Action taken · Reported to · Initials
Write-on lines: Handed over to · Time · Signature
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
Also in the resources library
The same subject, with a version you can fill in on screen.
Lost Property Log
A reference number that can be quoted on the phone and written on the bag.
LR-174 Log PDF Excel Online
Neighbourhood Watch and Incident Log
What was seen or reported, when and exactly where.
SF-495 Log PDF Online
Power Cut and Outage Record
When the power went off and when it came back, in your own words.
SF-492 Record PDF Online
