Template

BeSafe Incident, Hazard and Complaint Form

by Liam Dines, from the Community

The BeSafe Form is designed for childcare and early learning centres to document incidents, hazards, complaints, and illness notifications. It captures event details such as date and time, location within the centre, people involved, immediate actions taken, and whether emergency services were engaged. The form also records risk and severity, contact details, and allows photos or documents to be attached. Dedicated sections support complaints and communicable illness reporting, including COVID, to help centres meet compliance and safeguarding obligations.

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

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
Minor Accident and Incident Report Form
Use this minor accident and incident report form to document workplace incidents that result in injury. Designed for supervisors and managers, it captures key details such as incident date, location, people involved, type of incident, injuries sustained, witness statements, and immediate actions taken. Dedicated sections cover plant and equipment involved, operator competence, and RIDDOR considerations. The template also includes investigator comments and signature fields to verify accuracy and support SHEQ investigations, compliance, and follow up.
by Shaun Jones, from the Community
Downloads: 10+
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Template
Hazard and Incident Report Form
Use this hazard and incident report form to record workplace hazards, near misses, and incidents in a consistent way. Log report and incident types, time and location, people involved, and witness details. Add photo evidence and assess risk by severity and likelihood to prioritize corrective actions. Capture root causes, assign follow up tasks, and track resolution to strengthen safety and compliance across your organization.
by Edward Abrahamsen, from the Community
Downloads: 10+
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Template
Incident, Injury, Trauma and Illness Record
This incident, injury, trauma and illness record template helps education and childcare services document essential details when a child is harmed or unwell. Capture child information, incident time and location, witnesses, nature of injury or illness, first aid and treatment provided, emergency services attendance, and steps taken to prevent recurrence. Record notifications to parents or guardians, directors or coordinators, regulatory authorities, and other agencies, plus parental acknowledgement. Use this form to support regulatory compliance, improve safety, and strengthen reporting practices.
by Mark Whyte, from the Community
Downloads: 0
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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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BeSafe Incident, Hazard and Complaint Form

About author

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