Template

Roadform 22 Incident Report Template

by Ryan Watkin, from the Community

This construction incident report template helps teams document site events quickly and consistently. Capture contract details, location, client, foreman and manager, date and time, nature of the incident, narrative description, resulting damage or injury, witnesses, and further investigation. Record corrective actions, injury or absence, and required follow up. Include prepared by, job title, date, and signatures for formal sign off.

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Digitize any process, procedure or policy

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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
Non-Injury Incident Report Template
This non-injury incident report template helps supervisors and safety teams record workplace incidents that did not result in injury but caused damage or disruption. Capture key details such as date, time, location, persons involved, witnesses, and foreman. Document the nature of the incident, what was damaged, photos, estimated costs, and equipment or vehicle IDs. Record environmental conditions, immediate causes, contributing factors, and corrective actions with assigned responsibility. Assess potential severity and probability of recurrence, and finalize with signatures to support compliance and continuous improvement.
by Faye Meades, from the Community
Downloads: 20+
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Template
Site Incident Report Form
Use this site incident report form to document workplace events accurately and consistently. Capture site name, location, date and time of the incident and when it was reported, employee and supervisor details, witness names and contacts, and a clear description of the task and how the incident occurred. Record any damage or loss, immediate actions taken, photos of damage, and whether emergency services attended, including officer details. Assess post-incident risk, assign follow-up actions, and obtain employee and investigating manager signatures to support safety, compliance, and continuous improvement.
by Rick Todd, from the Community
Downloads: 30+
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Template
LSUSA Incident Report
Use this LSUSA Incident Report template to document both injury and non-injury incidents in the workplace. Capture incident date and time, who it was reported to, location, and any witnesses. Record injury details and treatment, property or vehicle damage, and environmental conditions. Add photos, describe immediate causes and contributing factors, and outline corrective actions with responsible persons. Assess potential severity and probability of recurrence, then sign off to complete a thorough incident record.
by Lenard Garrett, from the Community
Downloads: 20+
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Template
Injury Investigation Form Template
Use this injury investigation form to document a first report of injury or illness. Capture employee and incident details including date, time, location, injury type, and body part affected; eyewitness information; environmental conditions; underlying factors such as PPE use, equipment issues, and training gaps; and recommended corrective actions. Attach photos or media, assign actions, and record investigator and supervisor sign-off. Suitable for construction and other industries to support incident reporting and root cause analysis.
by Jonathan Nixon, from the Community
Downloads: 0
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Non-Injury Incident Report Template

This non-injury incident report template helps supervisors and safety teams record workplace incidents that did not result in injury but caused damage or disruption. Capture key details such as date, time, location, persons involved, witnesses, and foreman. Document the nature of the incident, what was damaged, photos, estimated costs, and equipment or vehicle IDs. Record environmental conditions, immediate causes, contributing factors, and corrective actions with assigned responsibility. Assess potential severity and probability of recurrence, and finalize with signatures to support compliance and continuous improvement.

by Faye Meades, from the Community

20+

Get

Template

Site Incident Report Form

Use this site incident report form to document workplace events accurately and consistently. Capture site name, location, date and time of the incident and when it was reported, employee and supervisor details, witness names and contacts, and a clear description of the task and how the incident occurred. Record any damage or loss, immediate actions taken, photos of damage, and whether emergency services attended, including officer details. Assess post-incident risk, assign follow-up actions, and obtain employee and investigating manager signatures to support safety, compliance, and continuous improvement.

by Rick Todd, from the Community

30+

Get

Template

LSUSA Incident Report

Use this LSUSA Incident Report template to document both injury and non-injury incidents in the workplace. Capture incident date and time, who it was reported to, location, and any witnesses. Record injury details and treatment, property or vehicle damage, and environmental conditions. Add photos, describe immediate causes and contributing factors, and outline corrective actions with responsible persons. Assess potential severity and probability of recurrence, then sign off to complete a thorough incident record.

by Lenard Garrett, from the Community

20+

Get

Template

Injury Investigation Form Template

Use this injury investigation form to document a first report of injury or illness. Capture employee and incident details including date, time, location, injury type, and body part affected; eyewitness information; environmental conditions; underlying factors such as PPE use, equipment issues, and training gaps; and recommended corrective actions. Attach photos or media, assign actions, and record investigator and supervisor sign-off. Suitable for construction and other industries to support incident reporting and root cause analysis.

by Jonathan Nixon, from the Community

Get

Roadform 22 Incident Report Template

About author

You might also like

Non-Injury Incident Report Template

Site Incident Report Form

LSUSA Incident Report

Injury Investigation Form Template

You might also like

Non-Injury Incident Report Template

Site Incident Report Form

LSUSA Incident Report

Injury Investigation Form Template