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Accident Report Form for C&M Staff

by Chris Lewis, from the Community

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This accident report form helps C&M staff record workplace incidents involving employees or other persons on site or in the field. Capture injured person details, date, time, and exact location, describe the injury and how it occurred, note equipment or tools in use, and document contributing factors and safety control failures. Collect witness details and statements, track any medical attention or police involvement, and define corrective and preventive actions. Obtain sign-offs to confirm follow-up and communication with operations leadership.

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.