Template

Shimmick Incident Report

by Joe Santos, from the Community

10+

This incident report template by Shimmick helps construction teams document injuries, property damage, and near misses quickly and consistently. Record incident date and time, location, parties involved, employment details, job numbers, equipment and materials involved, and a narrative of events. Capture specific injuries and affected body parts, medical provider information, diagnosis, and current work status. Add witness details and note immediate corrective actions. Include supervisor and safety manager approvals with signatures. Use this checklist to standardize reporting, support investigations, and improve site safety performance.

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.

Template
Injury, Accident, Incident and Damage Report
This incident report template helps teams capture comprehensive details for injuries, accidents, near misses, and property damage on-site. Record the incident time, location, people involved, and who it was reported to. Add witness details and statements, first aid or medical treatment, and photos of damage and environmental conditions. Document immediate causes, contributing factors, and corrective actions with responsible persons. Assess potential severity and likelihood of recurrence, include comments, and finalize with approvals and signatures to close out the report. Ideal for construction and field operations to standardize reporting and improve safety.
by Conview Team 2, from the Community
Downloads: 0
Get
Template
Incident Report Detailed
Use this detailed incident report template to document workplace incidents on construction sites and other environments. Record incident type and priority, date and location, weather conditions, and loss time. Log evidence, equipment and vehicle details, damages, and other items. Document people involved, statements, injuries and affected body parts, and medical attention provided. Add corrective actions, assign follow-ups, and complete sign-off to support compliance, investigations, and continuous safety improvement.
by Greg McGee, from the Community
Downloads: 0
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
Downloads: 0
Get
Template
Security Incident Report Template
This Security Incident Report template helps teams document incidents quickly and consistently. Capture the date and time, incident type and location, a detailed narrative, and evidence found. Record people involved with contact details, track police attendance and actions, document injuries and first aid provided, and note any property damage with photos. Add immediate causes, corrective actions, and responsibilities to drive follow-up. The form includes space for the reporting officer’s signature, phone number, and security licence number. Ideal for security teams, facilities managers, and property management across sites such as offices, retail, hospitality, and events to improve response, compliance, and record keeping.
by Cole Baird, from the Community
Downloads: 0
Get

Shimmick Incident Report

About author

You might also like

Injury, Accident, Incident and Damage Report

Incident Report Detailed

Incident Report Template (First Report of Incident)

Security Incident Report Template

You might also like

Injury, Accident, Incident and Damage Report

Incident Report Detailed

Incident Report Template (First Report of Incident)

Security Incident Report Template