I Want to...
“See it and fix it if you can, but always report it!
Reporting near misses and safety concerns prevents injuries from occurring, and is an important aspect of the safety culture within Poudre Fire Authority. Employees are encouraged to take ownership of near misses and safety concerns."
Date & Time of Event (Optional)
Details of Near Miss/Safety Concern Discovered
Optional Attachment for details of the Near Miss/Safety Concern
Specific Location/Item to be Addressed
Optional Attachment for location/item to be addressed
Has concern already been resolved?
Optional Attachment for suggested solution