Retail Store Slip/Trip/Fall Near Miss Report

A slip, trip, or fall near miss in your retail environment is more than a close call—it's an early warning system that can help you prevent serious injuries and liability claims down the line. This Retail Store Slip/Trip/Fall Near Miss Report template makes it simple for store managers, floor supervisors, and safety officers to capture the critical details while the incident is fresh, complete with photo evidence, witness statements, and immediate corrective action tracking.

Built for retail businesses of all sizes—from independent boutiques to multi-location chains—this template guides your team through a structured near miss investigation without overwhelming them. Staff can quickly report hazards like wet floors, uneven surfaces, obstructed walkways, or damaged flooring, upload photos directly from their phone, collect statements from customers or colleagues who witnessed the event, and document what corrective steps were taken on the spot.

Paperform turns this near miss report into a living safety tool. Conditional logic tailors follow-up questions based on incident type and severity, calculations can auto-flag high-risk patterns, and your submission data flows straight into your safety management system, Google Sheets, or Slack channel for real-time monitoring. With Papersign (papersign.com), you can route witness statements or corrective action acknowledgments for eSignature, creating a clear audit trail. And with Stepper (stepper.io), you can automate the entire post-report workflow—assign follow-up tasks to maintenance, notify your risk manager when patterns emerge, update your incident log, and ensure every near miss gets the attention it deserves.

This template is built for retail managers, safety coordinators, and operations teams in industries including retail, hospitality, property management, and facilities management. Whether you're tracking premises liability exposure, preparing for safety audits, or simply building a proactive safety culture, Paperform gives you a professional, mobile-friendly near miss reporting system that's easy to deploy and even easier to use—no coding required.