Template

TKL Plant Incident Form

by Jeff Pratt, from the Community

10+

Use this plant incident form to report and investigate equipment and machinery incidents on site. Record operator details and license, incident date, time, location, ground and weather conditions, CCTV availability, and estimated speed. Describe the event with sketches and photos, and capture plant make/model, serial numbers, hours, and hire details. Log damage to machinery or property, injured parties, and witness statements. Include declarations and signatures from the operator and site manager, plus interviewer details for follow-up. Standardize reporting, support insurance and compliance, and improve safety outcomes.

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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
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
Plant and Equipment Damage, Loss and Theft Report
This Plant and Equipment Damage, Loss and Theft Report form helps teams document incidents affecting company assets. Users can record incident date and time, location and specific area, equipment ID and status, photos of damage or loss, and the names of involved staff and supervisors. The form includes sections for incident details, actions required, and signatures from the operator, supervisor, and office staff to ensure accountability and timely follow up. Designed for construction and field operations, it supports safety, compliance, and efficient asset management.
by Jeff Pratt, from the Community
Downloads: 0
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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
Downloads: 0
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Template
TKL Motor Vehicle Accident Report Form
This comprehensive Motor Vehicle Accident Report Form helps teams document incidents for insurance, compliance, and safety follow-up. Capture driver and licence details; time, location, road and weather conditions; dashcam or CCTV availability; accident narrative and diagram. Record policy holder and vehicle information, damage, roadworthiness, and photos. Log third-party vehicle, driver, owner, and insurance details. Document injuries with names and specifics, witness contacts, and police attendance with references. Include driver statements, declarations, and signatures. Interviewer section captures role, date, phone, and email for traceability. Ideal for fleet, transport, and field operations.
by Jeff Pratt, from the Community
Downloads: 0
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TKL Plant Incident Form

About author

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Site Incident Report Form

Plant and Equipment Damage, Loss and Theft Report

7.0 Incident Report Template

TKL Motor Vehicle Accident Report Form

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Site Incident Report Form

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