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Montcada Sons
Building Empires since the 11th Century
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Hazard or Near Miss Report
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Full Name
*
Your full name
Date of Observation
*
MM/DD/YYYY (example: 06/11/2026)
Project / Location / Job Site
*
e.g. Coyote Ridge, Columbia Basin College, Moses Lake shop
Describe the hazard or near miss
*
What did you see? What could have happened?
/ Full Location
What immediate action did you take?
Suggestions to prevent this in the future?
Submit
