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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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.