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Luna County

it-list@lunacountynm.us

700 S. Silver Ave , Deming , NM, 88030, US

575-546-0494

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Near-Miss Report Form

The Near-Miss Report Form is for County staff and the public to use and report any near-misses that may have happened in the workplace or on county property. The County encourages the reporting of near-misses so we can eliminate the potential hazards that could cause injury to someone else.

Receipt

You will be provided with a Receipt upon submission.

Date and Time of Occurrence

Date Picker

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