Home›Category Forms 48 TL

Safety Observations

‹
›
Select a card to begin
The table content will appear once you choose a card from the top.

Behavior-Based Safety (BBS) Checklist Form

Behavior-Based Safety (BBS) Checklist Form
Completed Open In Progress Overdue Documents Analytics ＋
Search in Behavior-Based Safety (BBS) …
User Name ⇅ Followers ⇅ Company name ⇅ Due Date ⇅ Completed Date ⇅ Status ⇅ Score ⇅ Assigned to Email Actions

View Submission

Open Detailed View ✕
01.Report ID
NM-2026-0293
02.Date & time of near-miss*
08 Jul 2026 · 14:20
03.Reported by*
Tulika L
What Happened ▾
04.Location*
Warehouse — Aisle 4, racking bay
05.Near-miss type*
Slip / Trip / Fall
Struck-by
Caught-in / between
Electrical
06.Description*
A pallet shifted off the top rack as a forklift passed. No one was struck, but a worker was standing within ~1 m of the fall zone.
Contributing Factors ▾
07.Immediate cause
Overloaded pallet was not shrink-wrapped; racking beam slightly bent from a prior contact.
08.Was PPE in use?*
Yes
No
Severity & Likelihood ▾
09.Potential severity*
Minor
Serious
Major
Fatal
10.Likelihood of recurrence*
Low
Medium
High
Very High
Immediate Actions ▾
11.Immediate action taken?*
Yes
No
12.Corrective action assigned to
David Miller
13.Notes
Aisle 4 cordoned off; pallet removed and re-wrapped. Racking bay flagged for a beam inspection.
Acknowledgement ▾
14.
I confirm this near-miss report is accurate to the best of my knowledge and was recorded at the time of observation.
Serious-potential near-misses must be reviewed by the safety lead and a corrective action opened within 24 hours.
15.Reporter signature*
16.Date*
08-07-2026
AI Near-Miss Review Live
Fields checked
0
Serious potential
0
Confidence
0%
Similar / 90 days
0
What Knowella found in this near-miss Near-Miss Report · Tulika L
!
Struck-by near-miss — Serious potential severity (Aisle 4)
Worker within ~1 m of a falling pallet.
!
3rd similar near-miss at this racking bay in 90 days
Trend detected — recommend a racking inspection.
!
Root cause: un-wrapped, overloaded pallets on a bent beam
CAPA drafted & linked to Warehouse JSA.
✓
Immediate action taken & corrective action assigned
Aisle cordoned; assigned to David Miller.
✓
Reporter, location & signature captured
Routed to the safety lead for review.
✦ Knowella AI
✓
Racking inspection scheduled · crew alerted
Aisle 4 · corrective action routed to David Miller
knowella

Every observation.Every near-miss.

Log unsafe acts, unsafe conditions, and near-misses in seconds — and let AI spot the pattern before it becomes an incident.

Forms published
34
Observations / mo
3,920
AI review
93%

See it. Log it.
Stop it repeating.

The forms your team completes in seconds, and the intelligence layer that turns near-misses into prevented incidents.

Scroll to explore ↓