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Farm Safety & Emergency Preparedness

Farm Safety Data Analysis Worksheet

A farm safety data analysis worksheet for owners to review incidents, near misses, and inspection findings to spot patterns by task, place, and season.

Download free PDF1 page, US Letter, prints clean in black and white

WorksheetFarm Safety & Emergency PreparednessFree PDF

What you fill in

  • Time period reviewed
  • Incidents by type
  • Near misses by type
  • Locations with repeat issues
  • Tasks with repeat issues
  • Seasonal patterns
  • Possible causes
  • Actions planned
  • Follow up review date

How to use this worksheet

Work down the lines and fill in what you know. Leave a line blank if you need to look something up, then come back and finish it.

Where to check the details

This sheet is a general template, so confirm specifics with your own manuals, labels and local rules. For current official guidance, start with OSHA and eXtension.

For more in this area, see the farm safety guides. Between chores, farm.FM has farm humor, including Farm Data Services Track Every Seed but Cannot Locate One Dollar of Profit, and farming farm stories.

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