Accident near miss and unsafe condition record Great Britain
Record facts, immediate controls and improvement actions. Keep medical details in the appropriate separate confidential process.
This version uses Great Britain guidance. Check Northern Ireland requirements separately before adapting it.
These editable fields stay on this page while it is open. Export a record to keep it. This tool does not send entered information to ESG. Keep sensitive personal or medical information in the appropriate separate process.
| Record item | Factual information | Action or reference |
|---|---|---|
| Date, time and work area | ||
| What happened and task involved | ||
| People affected using necessary identifiers only | ||
| Immediate response and controls | ||
| Equipment or conditions to preserve for review | ||
| Contributing work arrangements | ||
| Corrective action and verification | ||
| Any separate statutory reporting decision and reference |
Edit the fields and table, then export your record.
How to use this record
- Identify the actual task, workplace and responsible person.
- Adapt the prompts, record what was explained or observed and keep unfinished actions visible.
- Assign an owner and review arrangement. Export a copy to your appropriate workplace record system.
The example button loads an illustrative entry. It is not a completed workplace assessment, training record or authorisation.
Official sources
Source references checked 2026-10-30. The practical examples are original ESG examples to adapt to the actual work.