Template

Health and Safety Incident Report Template

by Adrian Custard, from the Community

Use this health and safety incident report template to document issues in a school environment from first report through resolution. Capture reporter details, date and time, urgency, incident summary, photos, and witnesses. Flag if a dynamic risk assessment or escalation is required, assign to the right person, and track resolution with dates, outcomes, and reasons if unresolved. Attach evidence and signatures to maintain a complete, auditable record.

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
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 Report
Use this incident report template to describe workplace incident details.
by SafetyCulture
Downloads: 28,000+
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Template
Incident Report Upload
Use this incident report upload template to document workplace incidents across construction and operations. Capture site, date, incident type, vehicle details, and photos. Record person involved, injuries, medical treatment, and return-to-work status. Log witnesses and contact details. Select contributing factors such as PPE, manual handling, electrical, working at height, fire safety, slips and trips, harassment, or food safety. Add a narrative of what happened, initial cause assessment, corrective actions to prevent recurrence, and note if a risk assessment or RIDDOR report is required. Includes signatures for accountability and supports consistent, compliant reporting.
by Matthew Williams, from the Community
Downloads: 0
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Template
Incident and Hazard Report Form
Use this incident and hazard report form to document events and hazards in the workplace. Capture reporter details, location, incident or hazard type, and a clear description. Record injury information including injured person, contact, nature and location of injury, and treatment provided. Assess risk using consequence and likelihood to determine overall risk level. Identify contributing factors such as inadequate equipment, procedures, supervision, or training, and define corrective actions with control type, due dates, and assignees. Route the report to the right person and capture signatures to close out the report.
by Pooja Prasad, from the Community
Downloads: 0
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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

10+

Get

Template

Incident Report

Use this incident report template to describe workplace incident details.

by SafetyCulture

28,000+

Get

Template

Incident Report Upload

Use this incident report upload template to document workplace incidents across construction and operations. Capture site, date, incident type, vehicle details, and photos. Record person involved, injuries, medical treatment, and return-to-work status. Log witnesses and contact details. Select contributing factors such as PPE, manual handling, electrical, working at height, fire safety, slips and trips, harassment, or food safety. Add a narrative of what happened, initial cause assessment, corrective actions to prevent recurrence, and note if a risk assessment or RIDDOR report is required. Includes signatures for accountability and supports consistent, compliant reporting.

by Matthew Williams, from the Community

Get

Template

Incident and Hazard Report Form

Use this incident and hazard report form to document events and hazards in the workplace. Capture reporter details, location, incident or hazard type, and a clear description. Record injury information including injured person, contact, nature and location of injury, and treatment provided. Assess risk using consequence and likelihood to determine overall risk level. Identify contributing factors such as inadequate equipment, procedures, supervision, or training, and define corrective actions with control type, due dates, and assignees. Route the report to the right person and capture signatures to close out the report.

by Pooja Prasad, from the Community

Get

Health and Safety Incident Report Template

About author

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Hazard and Incident Report Form

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Incident and Hazard Report Form

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Hazard and Incident Report Form

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