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Accident Incident Near Miss Report Template

by Colin Johnstone, from the Community

Downloads: 20+
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Use this incident report template to document accidents, incidents, and near misses on site. Capture personal and witness details, incident type and category, location, task, equipment, and PPE in use. Record a clear description of the event, photos, causal factors, and immediate corrective actions. Log injuries, first aid, emergency response, and return to work information, and note if the event is reportable under RIDDOR. Attach supporting evidence such as inductions, permits, RAMS, training and inspection records, and witness statements.

With SafetyCulture you can

Digitize any process, procedure or policy
Eliminate mistakes made by paper-based processes
Create and share professional reports instantly
Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy
Eliminate mistakes made by paper-based processes
Create and share professional reports instantly
Confirm accountability and compliance with a digital log

About author

Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.