Template

WHS Site Accident Report Template

by Craig Corner, from the Community

10+

This WHS site accident report template helps teams capture all essential details after a reportable incident. Record the injured person’s information, job role, date and time, nature of injury, body parts affected, work time lost, and medical treatment received. Document what happened, list witnesses with contact details, and note corrective measures taken. Use it to standardize incident reporting and support regulatory and insurance requirements.

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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
Platinum Accident Report V2
This Platinum Accident Report V2 template helps teams document workplace incidents in detail. Capture the date and time, injured person’s name and department, exact injury location on the body, and type of injury. Record a factual description of the incident as reported by the injured person, list witnesses, and note any first aid treatment provided. Track the injured person’s status after the event, including return to work or transfer to medical care. Attach photos of the injury and incident location, and confirm manager notification. The report emphasizes confidentiality and advises leaving the incident site undisturbed until properly reviewed.
by Tim Charlton, from the Community
Downloads: 0
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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
Downloads: 10+
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Template
Dorsey Trailer Accident Investigation Report
This accident investigation report template helps teams document workplace incidents in a manufacturing environment. Capture key details including date and time, location, department, employees and witnesses involved, and supervisor information. Record property damage, environmental conditions, and a detailed description of the incident. Assess potential severity and likelihood of recurrence, and note any corrective actions issued. Classify the nature of injury, including OSHA reportable, first aid only, needs medical attention, near miss, or lost time, and describe treatment provided. Finally, verify with EHS official name, position, signature, and time to complete a compliant record.
by Allen Stevens, from the Community
Downloads: 0
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Template
Incident and Accident Investigation Checklist
This free incident and accident investigation checklist helps health and safety leads capture essential details after an event. Record incident type, time and reference, injured person details, body part affected, tasks being performed, training and risk assessment status, and a narrative of what happened. Gather photos and witness statements with signatures. Document on-site first aid and follow-up treatment. Identify root causes and contributing factors such as PPE, training, behavior, or housekeeping. Plan corrective and preventive actions, assign owners, and set timelines. Support RIDDOR reporting with fields for report number and outcomes, then finalize with authorization signatures.
by Peter Stewart, from the Community
Downloads: 10+
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Platinum Accident Report V2

This Platinum Accident Report V2 template helps teams document workplace incidents in detail. Capture the date and time, injured person’s name and department, exact injury location on the body, and type of injury. Record a factual description of the incident as reported by the injured person, list witnesses, and note any first aid treatment provided. Track the injured person’s status after the event, including return to work or transfer to medical care. Attach photos of the injury and incident location, and confirm manager notification. The report emphasizes confidentiality and advises leaving the incident site undisturbed until properly reviewed.

by Tim Charlton, from the Community

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

Dorsey Trailer Accident Investigation Report

This accident investigation report template helps teams document workplace incidents in a manufacturing environment. Capture key details including date and time, location, department, employees and witnesses involved, and supervisor information. Record property damage, environmental conditions, and a detailed description of the incident. Assess potential severity and likelihood of recurrence, and note any corrective actions issued. Classify the nature of injury, including OSHA reportable, first aid only, needs medical attention, near miss, or lost time, and describe treatment provided. Finally, verify with EHS official name, position, signature, and time to complete a compliant record.

by Allen Stevens, from the Community

Get

Template

Incident and Accident Investigation Checklist

This free incident and accident investigation checklist helps health and safety leads capture essential details after an event. Record incident type, time and reference, injured person details, body part affected, tasks being performed, training and risk assessment status, and a narrative of what happened. Gather photos and witness statements with signatures. Document on-site first aid and follow-up treatment. Identify root causes and contributing factors such as PPE, training, behavior, or housekeeping. Plan corrective and preventive actions, assign owners, and set timelines. Support RIDDOR reporting with fields for report number and outcomes, then finalize with authorization signatures.

by Peter Stewart, from the Community

10+

Get

WHS Site Accident Report Template

About author

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Platinum Accident Report V2

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