Template

PWM-WHS008 Incident Report Template

by Aziza Minkara, from the Community

Document workplace incidents consistently with this PWM-WHS008 Incident Report template. Capture key incident details, date and time, location, treatments, and whether the worker can return to work. Record injured or involved person details, employer and occupation, and obtain signatures. Collect statements from witnesses and attach additional information as needed. Finish with a clear sign-off section for names, dates, and signatures. Designed to support WHS recordkeeping and streamline investigations across construction and other high-risk worksites using SafetyCulture.

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

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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
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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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
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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
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Template
Accident and Incident Investigation Report
This accident and incident investigation report template helps teams document workplace incidents thoroughly and consistently. Capture site details, principal contractor and employer information, timelines, supervision details, and whether a risk assessment was completed. Record the nature of the incident, causes and contributing factors, severity, notifications to HSE or client, and the injured party’s status. Include statements from the injured party and witnesses, medical treatment information, and both short- and long-term corrective actions. Attach photos, drawings, and training records, and finalize with investigation conclusions and required sign-offs.
by Graham Plumbe, from the Community
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PWM-WHS008 Incident Report Template

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