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Environmental Health & Safety

Employee Near Miss Reporting

What is a near miss? A near miss is defined as an unplanned event that did not result in injury, illness or damage, but had the potential to do so. The University's method for reporting Near Miss Incidents has changed. As of September 1, 2015, we began using a separate form for documenting Near Miss incidents. All employees should continue to use the Employee Incident Form for reporting any work-related incident, injury or illness.

We ask that all Employee Near Miss reports be submitted within 24 hours of the occurrence. Employees are also encouraged to review the incident with their supervisor and co-workers when appropriate and collectively agree on how to reduce the potential hazard in the future.

The Near Miss Reporting Form can be found on the main Environmental Health and Safety webpage on the top right of the page, directly under the Employee Incident Form.

All information provided will be kept confidential and is used for University purposes only. If you have concerns, please refer to the University's Policy 108 on Confidentiality ( as well as the Code of Conduct for Business Activities (

As always, if you have any questions about this form, please contact Environmental Health & Safety Department at 275-3241 or by e-mail us at

Contact EH&S at (585) 275-3241 or e-mail EH&S Questions.

This page last updated 9/25/2015. Disclaimer.