Template

SMI Supervisor Incident Report

by Mariah Oliveira, from the Community

30+

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.

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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
SMI Employee Incident Report
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.
by Mariah Oliveira, from the Community
Downloads: 30+
Get
Template
IDC Supervisor Incident Report Form
Use this IDC Supervisor Incident Report Form to record workplace incidents and near misses in a consistent, compliant format. Log incident class and type, date and time, injuries and affected body parts, witnesses, photos, property damage, root causes, and immediate corrective actions. Include details on employee tenure and hours worked, note care provided, and capture supervisor sign off. Customize the checklist to fit your site and deploy on mobile to standardize reporting and support faster investigations.
by Nate Schreiber, from the Community
Downloads: 0
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Template
Incident and Near Miss Report
Use this Incident and Near Miss Report template to capture key details about accidents and near misses on site. Log the date, time, job, location, description of the event, injuries, property or equipment damage, and photos. Identify likely causes, add annotations of the surrounding environment, and record corrective actions to stop recurrence. Include signatures for preparer and site manager or supervisor once actions are implemented and monitored. Designed for workplace safety programs, especially on construction sites, this template supports consistent reporting and investigation to improve safety outcomes.
by Jeff Pratt, from the Community
Downloads: 0
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Template
Workplace Incident Report Form Template
Standardized workplace incident report form covering injuries, property damage, and near misses. Includes detailed sections for incident documentation and corrective actions.
by Luke Robinson, from the Community
Downloads: 50+
Get

SMI Employee Incident Report

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.

by Mariah Oliveira, from the Community

30+

Get

Template

IDC Supervisor Incident Report Form

Use this IDC Supervisor Incident Report Form to record workplace incidents and near misses in a consistent, compliant format. Log incident class and type, date and time, injuries and affected body parts, witnesses, photos, property damage, root causes, and immediate corrective actions. Include details on employee tenure and hours worked, note care provided, and capture supervisor sign off. Customize the checklist to fit your site and deploy on mobile to standardize reporting and support faster investigations.

by Nate Schreiber, from the Community

Get

Template

Incident and Near Miss Report

Use this Incident and Near Miss Report template to capture key details about accidents and near misses on site. Log the date, time, job, location, description of the event, injuries, property or equipment damage, and photos. Identify likely causes, add annotations of the surrounding environment, and record corrective actions to stop recurrence. Include signatures for preparer and site manager or supervisor once actions are implemented and monitored. Designed for workplace safety programs, especially on construction sites, this template supports consistent reporting and investigation to improve safety outcomes.

by Jeff Pratt, from the Community

Get

Template

Workplace Incident Report Form Template

Standardized workplace incident report form covering injuries, property damage, and near misses. Includes detailed sections for incident documentation and corrective actions.

by Luke Robinson, from the Community

50+

Get

SMI Supervisor Incident Report

About author

You might also like

SMI Employee Incident Report

IDC Supervisor Incident Report Form

Incident and Near Miss Report

Workplace Incident Report Form Template

You might also like

SMI Employee Incident Report

IDC Supervisor Incident Report Form

Incident and Near Miss Report

Workplace Incident Report Form Template