Template

PPPer Incident Report Form

by Joseph Chew, from the Community

This PPPer Incident Report Form helps hotel teams document near misses, injuries or illnesses, property or equipment damage, and environmental incidents. Capture associate details, incident time and location, full descriptions, body part injured, injury type and severity, and onsite or medical treatment. Record doctor or hospital details, property damage descriptions, and recommended corrective actions. Includes sign-off by the reporting manager and supports thorough investigations before end of shift.

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
Incident, Injury, Near Miss, Environmental Report Form
This incident report form helps teams document injuries, near misses, hazards, and any property or environmental damage that occurs on site. It captures key details including person and witness information, incident description, injury and treatment details, immediate and basic causes, contributing factors, and recommended corrective actions. The form also includes a structured risk assessment with consequence and likelihood ratings, plus manager sign-off and reporting fields for LTI and MTI. Use it to standardize workplace incident reporting and drive timely corrective action.
by Juan Rivera, from the Community
Downloads: 10+
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Template
Injury, Accident, and Incident Report
This digital incident report template helps teams document workplace injuries, accidents, and near-misses thoroughly. Capture incident details, location, witnesses, first aid or medical treatment, and property or vehicle damage. Record environmental conditions, immediate causes, and contributing factors, then assign corrective actions with responsible persons and due dates. Assess potential severity and likelihood of recurrence, attach photos, and sign off to support safety investigations and regulatory compliance across transport and logistics operations.
by Everette Borg, from the Community
Downloads: 10+
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Template
Injury, Accident and Incident Report Template
This incident report template helps retail centers and facilities teams document injuries, near misses, security events, property damage, and environmental incidents in one structured form. Capture personal details, incident type, environmental and lighting conditions, witness statements, injury descriptions, first aid provided, and emergency services involvement including police, ambulance, or fire brigade. Record equipment or machinery involved, CCTV references, and corrective actions with responsible persons. Designed for security, housekeeping, guest services, maintenance, and management to ensure consistent reporting and support investigations and prevention.
by Vladislav Petrov, 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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Incident, Injury, Near Miss, Environmental Report Form

This incident report form helps teams document injuries, near misses, hazards, and any property or environmental damage that occurs on site. It captures key details including person and witness information, incident description, injury and treatment details, immediate and basic causes, contributing factors, and recommended corrective actions. The form also includes a structured risk assessment with consequence and likelihood ratings, plus manager sign-off and reporting fields for LTI and MTI. Use it to standardize workplace incident reporting and drive timely corrective action.

by Juan Rivera, from the Community

10+

Get

Template

Injury, Accident, and Incident Report

This digital incident report template helps teams document workplace injuries, accidents, and near-misses thoroughly. Capture incident details, location, witnesses, first aid or medical treatment, and property or vehicle damage. Record environmental conditions, immediate causes, and contributing factors, then assign corrective actions with responsible persons and due dates. Assess potential severity and likelihood of recurrence, attach photos, and sign off to support safety investigations and regulatory compliance across transport and logistics operations.

by Everette Borg, from the Community

10+

Get

Template

Injury, Accident and Incident Report Template

This incident report template helps retail centers and facilities teams document injuries, near misses, security events, property damage, and environmental incidents in one structured form. Capture personal details, incident type, environmental and lighting conditions, witness statements, injury descriptions, first aid provided, and emergency services involvement including police, ambulance, or fire brigade. Record equipment or machinery involved, CCTV references, and corrective actions with responsible persons. Designed for security, housekeeping, guest services, maintenance, and management to ensure consistent reporting and support investigations and prevention.

by Vladislav Petrov, 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

PPPer Incident Report Form

About author

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