Use this comprehensive incident report template to capture all critical details of workplace injuries, accidents, and near misses. Record employee and witness information, time and location, incident cause, equipment and materials involved, and safeguards used. Log medical details such as clinic or hospital, diagnostics, medications, drug screening, work restrictions, lost days, and return-to-work data. Include vehicle or property damage with inventory, photos, and direct-cause evidence. Track notifications to authorities, police report and citation details, and supervisor/foreman notifications. Ideal for construction and field operations yet adaptable to any workplace.
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.