Incident Report Form
Comprehensive documentation of workplace accidents, injuries, near-misses, and safety incidents.
About This Template
The Incident Report Form is essential for documenting workplace accidents, injuries, near-misses, and property damage incidents. This template ensures complete information capture immediately following an incident, supporting OSHA recordkeeping requirements, workers’ compensation claims, and incident investigation processes. Proper incident reporting enables organizations to identify trends, implement corrective actions, and prevent future accidents. The form includes witness statements, immediate causes, environmental conditions, and preliminary root cause analysis, providing the foundation for thorough incident investigation and corrective action.
Key Features
How to Use This Template
- Complete the form immediately after any incident occurs
- Document exactly what happened without speculation or blame
- Collect statements from all witnesses while fresh
- Record environmental conditions, equipment status, and PPE use
- Document immediate actions taken and medical treatment provided
- Use information for detailed investigation and corrective actions
Ideal For
Common Use Cases
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