Template

Contractor Preliminary Incident Report

by Jamie Taylor, from the Community

10+

Use this contractor preliminary incident report template to document workplace events on site. Capture contractor and foreman details, incident date, time and location, type of incident, weather and site conditions, equipment involved, employee statement and investigator observations. Record utility damage with 811 locate info, medical details and injured body parts, attach photos of the incident and damage, and collect EHS director and participant signatures.

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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.

Template
Preliminary Incident Report
Use this Preliminary Incident Report template to capture essential details immediately after an event. Record date and time, location, persons involved, type of incident (injury, near miss, equipment damage, fire, environmental, illness), supervisor, and equipment information. Add a concise incident summary, attach photos, and note immediate corrective actions taken. Ideal for manufacturing and HSE teams seeking consistent, auditable records to support investigations and safety improvements.
by Asep Supriadi, from the Community
Downloads: 10+
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Template
Incident Report Template for Accidents and Injuries
Capture comprehensive details after an incident, accident, or injury with this incident report template. Record date, time, location, incident type, weather conditions, and a factual account. Attach evidence, vehicle and equipment details, and document damages. Log people involved, preliminary statements, injuries and affected body parts. Track corrective actions and follow-ups, then sign off to complete a thorough investigation.
by Lincoln Stone, from the Community
Downloads: 0
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Template
Incident Report Template (First Report of Incident)
Use this incident report template to document accidents, near misses, hazards, and injuries with speed and accuracy. Capture date, time, location, incident priority and type; describe what happened and site conditions; log causal and contributing factors and lessons learned. Attach photos and evidence, and record vehicle, equipment, damage, and other item details. Document people involved, preliminary statements, injury types and affected body parts. Add corrective actions and follow-up tasks to close the loop and streamline investigations across construction and other worksites.
by Jose Armesto, from the Community
Downloads: 0
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Template
Incident Report
Use this incident report template to describe workplace incident details.
by SafetyCulture
Downloads: 28,000+
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Preliminary Incident Report

Use this Preliminary Incident Report template to capture essential details immediately after an event. Record date and time, location, persons involved, type of incident (injury, near miss, equipment damage, fire, environmental, illness), supervisor, and equipment information. Add a concise incident summary, attach photos, and note immediate corrective actions taken. Ideal for manufacturing and HSE teams seeking consistent, auditable records to support investigations and safety improvements.

by Asep Supriadi, from the Community

10+

Get

Template

Incident Report Template for Accidents and Injuries

Capture comprehensive details after an incident, accident, or injury with this incident report template. Record date, time, location, incident type, weather conditions, and a factual account. Attach evidence, vehicle and equipment details, and document damages. Log people involved, preliminary statements, injuries and affected body parts. Track corrective actions and follow-ups, then sign off to complete a thorough investigation.

by Lincoln Stone, from the Community

Get

Template

Incident Report Template (First Report of Incident)

Use this incident report template to document accidents, near misses, hazards, and injuries with speed and accuracy. Capture date, time, location, incident priority and type; describe what happened and site conditions; log causal and contributing factors and lessons learned. Attach photos and evidence, and record vehicle, equipment, damage, and other item details. Document people involved, preliminary statements, injury types and affected body parts. Add corrective actions and follow-up tasks to close the loop and streamline investigations across construction and other worksites.

by Jose Armesto, from the Community

Get