Template

JC Civil Event Report Template

by Accounts JCCivil, from the Community

This JC Civil event report template helps construction teams document and investigate site incidents, injuries, near hits, and environmental or property damage. Capture event details, people involved, witness information, vehicle data, and site specifics. Record injury and damage descriptions, analyze contributing factors across materials, equipment, environment, and people, and assess associated risks. Assign preventative and corrective actions, note medical treatment, and log WorkSafe NZ notification and investigation details with dates and signatures.

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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
JC Civil Event Report
This JC Civil Event Report template helps construction teams document incidents, near hits, injuries, illnesses, and damage on site. Section 1 captures worker details, location, job number, witnesses, vehicles, and a clear description of the event, injuries, and property or environmental damage. Section 2 guides investigators through root cause analysis across materials, equipment, environment, and people, plus associated risks and corrective actions. Includes treatment details, ACC45, WorkSafe NZ notification, review dates, and required authorizations.
by Accounts JCCivil, from the Community
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Template
Incident Notification and Investigation Report
This incident notification and investigation report template helps teams document injuries, illnesses, near misses, and equipment or vehicle damage. Capture initial details, locations, dates, and people involved; classify severity and OSHA recordability; add photos; identify contributing factors; and assess potential severity and recurrence. Plan corrective actions with owners and due dates, and collect required signatures. Appendices cover injury details, body parts and nature of injury, and vehicle or equipment damage, plus employee and witness statements.
by Devon Patchin, from the Community
Downloads: 20+
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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
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Template
Incident and Investigation Report
Use this Incident and Investigation Report template to capture critical WHS details after an event. Record incident type, location, dates, injured or ill persons, treatment, injury descriptions, dangerous events, electrical and environmental incidents, near misses, and property or vehicle damage. Collect evidence, witness statements, and photos, then complete investigation steps including PEEPO analysis, contributing factors, root cause, and corrective actions. Includes management notifications, sign-offs, and communication plans to support compliance with Work Health and Safety requirements and consistent reporting across teams.
by Angela Warren, from the Community
Downloads: 10+
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JC Civil Event Report Template

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