Simple Transport — Safety Report

Safety Report

Log a Near Miss, Incident, or Hazard.

Report type*

Date & time*

Auto-filled to now; adjust if needed.

Short title*

Customer name

Your name*

Saved on this device for next time.

Mobile

Location (required)

What happened / nearly happened*

Photos / video (optional)

Up to 6 files; large images are downscaled before upload.

Event category (multi-select)

Contributing factors (multi-select)

Actual outcome

Potential severity (for near miss)

Immediate actions taken

Controls in place (at the time of the event)

Tick what you were actually using when it occurred (e.g., PPE, rated straps, team lift, spotter).

What would prevent a repeat?

People & injury (only if relevant)

Any injury?

Body part

Injury nature

First aid by

Taken to

Persons involved / witnesses

Vehicle / property (only if relevant)

Vehicle reg

3rd party name

Damage details 3rd party contact

Notifications

Emergency services contacted?

Site made safe?

Means immediate steps were taken to remove the danger (e.g., stopped work, re-secured load, isolated hazard, placed cones/spotter). “No” is fine if it wasn’t safe or practical.

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