This incident, accident, and near miss report template helps teams record and investigate workplace events thoroughly. Capture date and location, classify the event, and document injury details, property damage, and severity. Record injured person information, witnesses, PPE requirements and usage, and relevant certifications. Identify contributing and primary causes, note any bypassed controls, and add training details and preventive recommendations. Attach photos and obtain signatures to complete a compliant, auditable report.
With SafetyCulture you can
Digitize team workflows
Turn your workflows into digital templates or checklists so your team can conduct inspections efficiently and access them from any device.
Reduce manual errors
Help your team complete tasks more accurately with digital templates that minimize errors from manual processes.
Create and share inspection reports
Generate inspection reports and share them with your team and stakeholders to keep everyone informed.
About author
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.