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Site Health and Safety Plan <br />19133 East Liberty Road, Clements, California <br />August 16, 2022 <br />Page 40 <br /> <br />Sharp Environmental Technologies, Inc. <br />15. NEAR-MISS REPORT <br />Project no. & name: Task no. <br />Project address: <br />Date/time of near-miss: <br />Name of Preparer: Date: <br /> <br />The following is an account of what happened: <br /> <br /> <br /> <br /> <br /> <br />I believe this could have resulted in injury and/or damage to (check all that apply): <br /> Personnel  Property  Equipment <br />If these circumstances occurred: <br /> <br /> <br /> <br /> <br />I recommend the following actions to prevent this from occurring in the future: <br /> <br /> <br /> <br />REVIEWED BY: <br />Project Manager: Date: <br />Site Health and Safety Supervisor: Date: <br />