Template

TWOW Incident Record 2024

by Angie Williams, from the Community

This incident record template helps teams document near misses, injuries, and illnesses in detail. Capture what happened, where and when, the people involved, nature of injury, onsite treatment, witness details, and property damage. Include analysis of contributing factors, corrective and preventive actions, and management review. Guidance prompts support regulatory notifications and follow up activities such as toolbox meetings and hazard register updates, making it ideal for construction and other high risk worksites.

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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
NIKKIS OSHBOX Incident Record Form 2021
This incident record form from NIKKIS OSHBOX helps teams document near misses, injuries, illnesses, and notifiable events. Capture key details including dates, locations, people involved, nature of injury, property damage, treatment, and witness statements. Add photos, note analysis and root causes, and record corrective and preventive actions. Includes sections for management review, hazard register updates, toolbox meetings, and WorkSafe notification guidance.
by Angie Williams, from the Community
Downloads: 10+
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Template
Incident Report Template (First Report of Incident)
Use this incident report template to document accidents, near misses, hazards, and injuries with speed and accuracy. Capture date, time, location, incident priority and type; describe what happened and site conditions; log causal and contributing factors and lessons learned. Attach photos and evidence, and record vehicle, equipment, damage, and other item details. Document people involved, preliminary statements, injury types and affected body parts. Add corrective actions and follow-up tasks to close the loop and streamline investigations across construction and other worksites.
by Jose Armesto, from the Community
Downloads: 0
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Template
Injury, Accident, Incident and Damage Report
This incident report template helps teams capture comprehensive details for injuries, accidents, near misses, and property damage on-site. Record the incident time, location, people involved, and who it was reported to. Add witness details and statements, first aid or medical treatment, and photos of damage and environmental conditions. Document immediate causes, contributing factors, and corrective actions with responsible persons. Assess potential severity and likelihood of recurrence, include comments, and finalize with approvals and signatures to close out the report. Ideal for construction and field operations to standardize reporting and improve safety.
by Conview Team 2, from the Community
Downloads: 0
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Template
Incident Notification and Investigation Report
This incident notification and investigation report template helps teams document injuries, illnesses, near misses, and equipment or vehicle damage. Capture initial details, locations, dates, and people involved; classify severity and OSHA recordability; add photos; identify contributing factors; and assess potential severity and recurrence. Plan corrective actions with owners and due dates, and collect required signatures. Appendices cover injury details, body parts and nature of injury, and vehicle or equipment damage, plus employee and witness statements.
by Devon Patchin, from the Community
Downloads: 20+
Get

NIKKIS OSHBOX Incident Record Form 2021

This incident record form from NIKKIS OSHBOX helps teams document near misses, injuries, illnesses, and notifiable events. Capture key details including dates, locations, people involved, nature of injury, property damage, treatment, and witness statements. Add photos, note analysis and root causes, and record corrective and preventive actions. Includes sections for management review, hazard register updates, toolbox meetings, and WorkSafe notification guidance.

by Angie Williams, from the Community

10+

Get

Template

Incident Report Template (First Report of Incident)

Use this incident report template to document accidents, near misses, hazards, and injuries with speed and accuracy. Capture date, time, location, incident priority and type; describe what happened and site conditions; log causal and contributing factors and lessons learned. Attach photos and evidence, and record vehicle, equipment, damage, and other item details. Document people involved, preliminary statements, injury types and affected body parts. Add corrective actions and follow-up tasks to close the loop and streamline investigations across construction and other worksites.

by Jose Armesto, from the Community

Get

Template

Injury, Accident, Incident and Damage Report

This incident report template helps teams capture comprehensive details for injuries, accidents, near misses, and property damage on-site. Record the incident time, location, people involved, and who it was reported to. Add witness details and statements, first aid or medical treatment, and photos of damage and environmental conditions. Document immediate causes, contributing factors, and corrective actions with responsible persons. Assess potential severity and likelihood of recurrence, include comments, and finalize with approvals and signatures to close out the report. Ideal for construction and field operations to standardize reporting and improve safety.

by Conview Team 2, from the Community

Get

Template

Incident Notification and Investigation Report

This incident notification and investigation report template helps teams document injuries, illnesses, near misses, and equipment or vehicle damage. Capture initial details, locations, dates, and people involved; classify severity and OSHA recordability; add photos; identify contributing factors; and assess potential severity and recurrence. Plan corrective actions with owners and due dates, and collect required signatures. Appendices cover injury details, body parts and nature of injury, and vehicle or equipment damage, plus employee and witness statements.

by Devon Patchin, from the Community

20+

Get

TWOW Incident Record 2024

About author

You might also like

NIKKIS OSHBOX Incident Record Form 2021

Incident Report Template (First Report of Incident)

Injury, Accident, Incident and Damage Report

Incident Notification and Investigation Report

You might also like

NIKKIS OSHBOX Incident Record Form 2021

Incident Report Template (First Report of Incident)

Injury, Accident, Incident and Damage Report

Incident Notification and Investigation Report