We encourage you to complete the form to the best of your ability. The collection of near miss incidents will allow us to identify patterns and trends that can be used to inform training, policies, and practices aimed at improving officer safety and wellness.
Once you submit the report, the report will be reviewed by our subject matter experts before publication on the LEO Near Miss website. Any identifying information provided will be removed from the report prior to publication. If you would like more information about the review process, please visit our About page.
Thank you for your contribution to officer safety.
Please complete the form to the best of your ability. Skip any question that does not apply.
Form entry preference:
Title this case:
*Title the case something that is both memorable and describes the main event in the story. Example: "Shooter in a shopping mall"
What was your level of involvement?
Type of Law Enforcement Agency:
Agency Size - Sworn Staff:
Approximate Population Served:
Region of Country:
Select the division from the Midwest:
Select the division from the Northeast:
Select the division from the South:
Select the division from the West:
If your agency is participating in our LEO Near Miss officer safety program, please enter your agency's ORI number:
*Please use your agency's ORI9 for this entry. This information will not be made public.
Involved Person Info
Years of experience in law enforcement:
Was the involved person aware of any risks or history with this location?
What information, if any, did dispatch give about any risks or history with this location?
Had the involved person been to this specific location for a previous call?
Was the location under law enforcement surveillance?
Was the information provided by dispatch accurate?
Was this information critical to the involved person's safety, another officer's safety, or a victim?
Did this information limit access to the scene?
Did the involved person encounter any traffic risks in getting to the scene?
What type of location was this?
What were the environmental conditions at this location?