WESCO Cameroon
The School of Trades

Incident and Near-Miss Report

Unit 2 ยท Do not include unnecessary personal or health information

Report IDDate / time
LocationReported by

Objective description of what happened

Immediate action

Activity stopped?Person/product protectedArea securedSupervisor informed
Yes / NoYes / NoName / time

Contributing factors and corrective action

FactorCorrective actionOwnerDue dateVerified