Skip to content
SafetyCulture
Template

Incident, Accident, Near Miss Report

by Rachel Smith, from the Community

Downloads: 0
Get this template

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 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.