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COMPANY COMPLETING THIS NEAR MISS REPORT
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MOUNTAIN AIR CONSTRUCTION LTD.
WESTVIEW INTERIORS LTD.
OTHER
COMPANY
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NEAR MISS
THE FOLLOWING "NEAR MISS" FORM IS ONLY USED IF THERE WAS NO INJURIES/FATALITIES AND NO DAMAGE TO EQUIPMENT, PROPERTY OR ENVIRONMENT.
GC COMPANY NAME
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WHO IS COMPLETING THIS FORM?
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LOCATION OF NEAR MISS
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ENTER ALL WORKERS INVOLVED BELOW.
WORKER 1
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WORKER 2 (IF REQUIRED)
WORKER 3 (IF REQUIRED)