Template

Minor Accident and Incident Report Form

by Shaun Jones, from the Community

Use this minor accident and incident report form to document workplace incidents that result in injury. Designed for supervisors and managers, it captures key details such as incident date, location, people involved, type of incident, injuries sustained, witness statements, and immediate actions taken. Dedicated sections cover plant and equipment involved, operator competence, and RIDDOR considerations. The template also includes investigator comments and signature fields to verify accuracy and support SHEQ investigations, compliance, and follow up.

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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
Accident Report
This accident report template helps teams document near misses, minor and major accidents in one place. Capture incident details, people involved, training status, date and time, exact location, injuries and treatment, and witness statements. Managers can record findings, immediate actions and preventive actions, and attach supporting evidence such as photos, risk assessments, training records and required forms. Use it to standardize reporting, support investigations and reduce repeat incidents.
by Michael Anderson, from the Community
Downloads: 0
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Template
Serious Incident / Accident Reporting Form
Use this serious incident and accident reporting form to document workplace incidents, injuries, near misses, and abuse events. Capture key details such as dates, location, people involved, incident type, injury description, and immediate actions taken. Support investigations with root cause analysis, corrective actions, assigned owners, and closure dates. Includes fields for first aid, medical attention, Worksafe notifications, hazard register updates, and sign-offs by safety managers and leadership.
by Wendy Worters, from the Community
Downloads: 0
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Template
Incident Report Template for Accidents and Injuries
Capture comprehensive details after an incident, accident, or injury with this incident report template. Record date, time, location, incident type, weather conditions, and a factual account. Attach evidence, vehicle and equipment details, and document damages. Log people involved, preliminary statements, injuries and affected body parts. Track corrective actions and follow-ups, then sign off to complete a thorough investigation.
by Lincoln Stone, from the Community
Downloads: 0
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Template
Incident Report: First Response and Investigation
Use this incident report template to capture first response details and conduct thorough investigations. Document incident type, date and time, location, supervisors, and environmental conditions. Attach and log evidence, vehicles, equipment, damages, and other items. Record people involved, statements, injuries, affected body parts, and causes. Add corrective actions and follow-up tasks, then sign off to close the report. Ideal for fast, accurate incident documentation and compliance across worksites.
by Maria Nilsen, from the Community
Downloads: 10+
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Accident Report

This accident report template helps teams document near misses, minor and major accidents in one place. Capture incident details, people involved, training status, date and time, exact location, injuries and treatment, and witness statements. Managers can record findings, immediate actions and preventive actions, and attach supporting evidence such as photos, risk assessments, training records and required forms. Use it to standardize reporting, support investigations and reduce repeat incidents.

by Michael Anderson, from the Community

Get

Template

Serious Incident / Accident Reporting Form

Use this serious incident and accident reporting form to document workplace incidents, injuries, near misses, and abuse events. Capture key details such as dates, location, people involved, incident type, injury description, and immediate actions taken. Support investigations with root cause analysis, corrective actions, assigned owners, and closure dates. Includes fields for first aid, medical attention, Worksafe notifications, hazard register updates, and sign-offs by safety managers and leadership.

by Wendy Worters, from the Community

Get

Template

Incident Report Template for Accidents and Injuries

Capture comprehensive details after an incident, accident, or injury with this incident report template. Record date, time, location, incident type, weather conditions, and a factual account. Attach evidence, vehicle and equipment details, and document damages. Log people involved, preliminary statements, injuries and affected body parts. Track corrective actions and follow-ups, then sign off to complete a thorough investigation.

by Lincoln Stone, from the Community

Get

Template

Incident Report: First Response and Investigation

Use this incident report template to capture first response details and conduct thorough investigations. Document incident type, date and time, location, supervisors, and environmental conditions. Attach and log evidence, vehicles, equipment, damages, and other items. Record people involved, statements, injuries, affected body parts, and causes. Add corrective actions and follow-up tasks, then sign off to close the report. Ideal for fast, accurate incident documentation and compliance across worksites.

by Maria Nilsen, from the Community

10+

Get

Minor Accident and Incident Report Form

About author

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Accident Report

Serious Incident / Accident Reporting Form

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Accident Report

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Incident Report: First Response and Investigation