Template

Injury Report Register

by Wayne Forrest, from the Community

20+

Use this Injury Report Register to document workplace injuries and illnesses in restaurants and quick-service environments. Capture worker details, position, store, manager, date and time, nature and body location of injury, exact location, description of how it occurred, and any equipment involved. Designed to support incident tracking and compliance across hospitality operations.

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
Work Injury Report Template
Use this Work Injury Report template to document workplace incidents thoroughly and consistently. Record employer and employee details, date and time, location, type of injury, body part affected, activities at the time, equipment involved, and a narrative of how the event occurred. Log treatment provided, healthcare providers, hospitalization, witness details, and return to work dates. Support internal reporting, workers compensation, and safety compliance across industries.
by Dan Elwell, from the Community
Downloads: 0
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Template
First Report of Injury Template
This First Report of Injury template helps employers document workplace incidents for workers compensation and safety compliance. Capture employer and carrier information, employee demographics, wages, job and hire date, accident date and location, activity at time of injury, description of how the incident occurred, affected body parts, and harmful objects. Record medical provider details, treatment location, emergency room and hospitalization status, and dates last worked or death if applicable. Includes fields for report preparer and signature to complete the incident record.
by Kelly Phillips, from the Community
Downloads: 10+
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Template
Site Incident and Injury Register
Use this site incident and injury register template to log workplace incidents and injuries on construction sites. Capture key details such as date and time, injured person, type of injury, description of the incident, immediate actions taken, whether a regulator notification is required, and if an internal investigation or toolbox talk is needed. Centralizing this information helps improve safety compliance, trend analysis, and corrective actions across projects. The template is a starting point and should be reviewed for suitability with your local regulations and company policies.
by Mark Taylor, from the Community
Downloads: 30+
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Template
First Report of Injury (Form 45) Template
This First Report of Injury (Form 45) template helps retail teams document workplace incidents and workers compensation details. Capture employer and carrier information, employee demographics and wages, accident time and location, descriptions of how the injury occurred, affected body parts, treatment provided, and hospitalization status. Include physician details and signatures to complete a compliant incident report for store locations.
by Eric Zabinski, from the Community
Downloads: 10+
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Work Injury Report Template

Use this Work Injury Report template to document workplace incidents thoroughly and consistently. Record employer and employee details, date and time, location, type of injury, body part affected, activities at the time, equipment involved, and a narrative of how the event occurred. Log treatment provided, healthcare providers, hospitalization, witness details, and return to work dates. Support internal reporting, workers compensation, and safety compliance across industries.

by Dan Elwell, from the Community

Get

Template

First Report of Injury Template

This First Report of Injury template helps employers document workplace incidents for workers compensation and safety compliance. Capture employer and carrier information, employee demographics, wages, job and hire date, accident date and location, activity at time of injury, description of how the incident occurred, affected body parts, and harmful objects. Record medical provider details, treatment location, emergency room and hospitalization status, and dates last worked or death if applicable. Includes fields for report preparer and signature to complete the incident record.

by Kelly Phillips, from the Community

10+

Get

Template

Site Incident and Injury Register

Use this site incident and injury register template to log workplace incidents and injuries on construction sites. Capture key details such as date and time, injured person, type of injury, description of the incident, immediate actions taken, whether a regulator notification is required, and if an internal investigation or toolbox talk is needed. Centralizing this information helps improve safety compliance, trend analysis, and corrective actions across projects. The template is a starting point and should be reviewed for suitability with your local regulations and company policies.

by Mark Taylor, from the Community

30+

Get

Template

First Report of Injury (Form 45) Template

This First Report of Injury (Form 45) template helps retail teams document workplace incidents and workers compensation details. Capture employer and carrier information, employee demographics and wages, accident time and location, descriptions of how the injury occurred, affected body parts, treatment provided, and hospitalization status. Include physician details and signatures to complete a compliant incident report for store locations.

by Eric Zabinski, from the Community

10+

Get

Injury Report Register

About author

You might also like

Work Injury Report Template

First Report of Injury Template

Site Incident and Injury Register

First Report of Injury (Form 45) Template

You might also like

Work Injury Report Template

First Report of Injury Template

Site Incident and Injury Register

First Report of Injury (Form 45) Template