Template

Dome Construction Accident / Incident Report

by Eric Kokal, from the Community

200+

A detailed workplace safety documentation form designed for construction sites to report accidents and incidents. The form consists of nine major sections covering project information, employee details, injury specifics, incident designation, detailed description of events, witness statements, equipment involvement, corrective actions, and management review. It requires thorough documentation of the incident circumstances, including time, location, type of injury, medical attention provided, and safety measures in place. The form also emphasizes the importance of proper safety protocol review, equipment maintenance verification, and implementation of preventive measures. All information must be reviewed by safety coordinators, foremen, superintendents, and project managers before being submitted to the Safety Officer and HR Director.

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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
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by Derek Rainbolt, from the Community
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by Jason Richey, from the Community
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Template
Initial Employee Incident Report
This employee incident report form template provides a structured format for documenting workplace incidents and injuries. The form captures essential information including employee details, incident timing, location specifics, injury description, and witness accounts. It includes fields for recording when supervisors and safety personnel were notified, medical treatment details, and comprehensive incident descriptions. This template helps organizations maintain accurate records of workplace incidents, ensure proper reporting procedures, and track safety compliance. Designed for HR professionals and safety managers, this form supports thorough documentation of workplace incidents while maintaining clear communication channels between employees, supervisors, and safety personnel.
by Harry Miles, from the Community
Downloads: 70+
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Template
TECSIDE Accident / Incident / Hazard Report and Investigation Form
A comprehensive workplace incident reporting document designed to capture detailed information about workplace accidents, injuries, and hazards. The form includes sections for personal information, incident details, injury classification, witness statements, and root cause analysis. It covers various types of incidents from minor injuries to lost time injuries, property damage, and environmental incidents. The document also includes sections for corrective actions, contributing factors analysis, and recommendations for future prevention. This structured approach ensures thorough documentation of workplace incidents and helps organizations maintain safety standards while implementing preventive measures. The form requires signatures from both the host employer and TECSIDE representative, ensuring proper oversight and accountability in incident reporting and resolution.
by Anthony O'Donnell, from the Community
Downloads: 60+
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Dome Construction Accident / Incident Report

With SafetyCulture you can

Digitize team workflows

Reduce manual errors

Create and share inspection reports

About author

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