Template

SMI Employee Incident Report

by Mariah Oliveira, from the Community

30+

Capture and document workplace incidents with this SMI employee incident report template. Record incident date and time, location, jobsite, task details, how the event and any injuries occurred, and whether safety devices and PPE were used. Add photos and descriptions, note witnesses, and verify training status. Collect employee and supervisor signatures to complete the report and support compliance and corrective actions.

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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
SMI Supervisor Incident Report
This supervisor incident report template helps teams document workplace incidents and near misses on the jobsite. Record incident type, date and time, location, observations, actions taken, and likely causes. Capture root cause analysis and list corrective actions to prevent recurrence. Includes sections for supervisor and safety coordinator signatures and certification.
by Mariah Oliveira, from the Community
Downloads: 30+
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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
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Accident Incident Report Template
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.
by Steve Pope, from the Community
Downloads: 10+
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7.0 Incident Report Template
Use this incident report template to document workplace incidents thoroughly. Capture employee details, time and location, tasks, witnesses and statements, property damage with images and estimated value, and recommended corrective actions. Includes sections for signatures and supporting photos to support compliance and investigations. Suitable for hospitality and general operations to standardize reporting and improve safety outcomes.
by Carmen Jennar, from the Community
Downloads: 0
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SMI Supervisor Incident Report

This supervisor incident report template helps teams document workplace incidents and near misses on the jobsite. Record incident type, date and time, location, observations, actions taken, and likely causes. Capture root cause analysis and list corrective actions to prevent recurrence. Includes sections for supervisor and safety coordinator signatures and certification.

by Mariah Oliveira, from the Community

30+

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

Accident Incident Report Template

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.

by Steve Pope, from the Community

10+

Get

Template

7.0 Incident Report Template

Use this incident report template to document workplace incidents thoroughly. Capture employee details, time and location, tasks, witnesses and statements, property damage with images and estimated value, and recommended corrective actions. Includes sections for signatures and supporting photos to support compliance and investigations. Suitable for hospitality and general operations to standardize reporting and improve safety outcomes.

by Carmen Jennar, from the Community

Get

SMI Employee Incident Report

About author

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SMI Supervisor Incident Report

Site Incident Report Form

Accident Incident Report Template

7.0 Incident Report Template

You might also like

SMI Supervisor Incident Report

Site Incident Report Form

Accident Incident Report Template

7.0 Incident Report Template