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Non-Injury Incident Report Template

by Faye Meades, from the Community

Downloads: 20+
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This non-injury incident report template helps supervisors and safety teams record workplace incidents that did not result in injury but caused damage or disruption. Capture key details such as date, time, location, persons involved, witnesses, and foreman. Document the nature of the incident, what was damaged, photos, estimated costs, and equipment or vehicle IDs. Record environmental conditions, immediate causes, contributing factors, and corrective actions with assigned responsibility. Assess potential severity and probability of recurrence, and finalize with signatures to support compliance and continuous improvement.

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.