Template

Accident Incident Report Template

by Steve Pope, from the Community

10+

Use this accident and incident report template to document workplace events from initial details to investigation. Record employee and site information, date and time, injury and body part, witnesses, medical treatment, severity and return to work status. Capture causes and contributing factors, corrective actions with responsible parties and due dates, and lessons learned. Include employee and witness statements and attach photos, drawings and training records to support the report.

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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 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
Downloads: 0
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Template
Injury, Accident, and Incident Report
This digital incident report template helps teams document workplace injuries, accidents, and near-misses thoroughly. Capture incident details, location, witnesses, first aid or medical treatment, and property or vehicle damage. Record environmental conditions, immediate causes, and contributing factors, then assign corrective actions with responsible persons and due dates. Assess potential severity and likelihood of recurrence, attach photos, and sign off to support safety investigations and regulatory compliance across transport and logistics operations.
by Everette Borg, from the Community
Downloads: 10+
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Template
Incident Injury and Accident Report Template
This incident, injury and accident report template helps teams document workplace events thoroughly. Capture names, dates, witnesses and locations; record injuries and first aid; log property or vehicle damage with photos; describe environmental conditions and direct causes; analyze contributing factors; and assign corrective actions. Assess potential severity and likelihood of recurrence, then sign off to close the report.
by Mike McMillan, from the Community
Downloads: 10+
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Template
Accident/Incident Investigation Template
Use this construction accident/incident investigation template to document workplace events thoroughly. Record incident details, date and time, location, weather, people involved, first aid, and emergency response. Capture plant and equipment involved, witness statements, and training qualifications. Identify contributing causes, immediate corrective actions, and long-term lessons learned. Conclude with findings and responsibility to improve site safety and compliance.
by Steve Nicholson, from the Community
Downloads: 10+
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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

Get

Template

Injury, Accident, and Incident Report

This digital incident report template helps teams document workplace injuries, accidents, and near-misses thoroughly. Capture incident details, location, witnesses, first aid or medical treatment, and property or vehicle damage. Record environmental conditions, immediate causes, and contributing factors, then assign corrective actions with responsible persons and due dates. Assess potential severity and likelihood of recurrence, attach photos, and sign off to support safety investigations and regulatory compliance across transport and logistics operations.

by Everette Borg, from the Community

10+

Get

Template

Incident Injury and Accident Report Template

This incident, injury and accident report template helps teams document workplace events thoroughly. Capture names, dates, witnesses and locations; record injuries and first aid; log property or vehicle damage with photos; describe environmental conditions and direct causes; analyze contributing factors; and assign corrective actions. Assess potential severity and likelihood of recurrence, then sign off to close the report.

by Mike McMillan, from the Community

10+

Get

Template

Accident/Incident Investigation Template

Use this construction accident/incident investigation template to document workplace events thoroughly. Record incident details, date and time, location, weather, people involved, first aid, and emergency response. Capture plant and equipment involved, witness statements, and training qualifications. Identify contributing causes, immediate corrective actions, and long-term lessons learned. Conclude with findings and responsibility to improve site safety and compliance.

by Steve Nicholson, from the Community

10+

Get

Accident Incident Report Template

About author

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