Template

HAZMAT Incident Checklist

by Reenu Tijaria, from the Community

10+

This HAZMAT Incident Checklist helps safety officers and first responders rapidly assess and manage hazardous materials incidents. Record critical information fast, including incident details, current and forecast weather, hot/warm/cold zones, evacuations, diking/diversion, and special equipment needs. Document PPE, decontamination, medical and rehabilitation actions, mutual aid, and chemical cleanup. Track agencies contacted such as Law Enforcement, Health Department, ChemTrec, EPA, and ADEQ. Support post-incident tasks including site cleanup, medical screening, exposure reporting, debriefing, and completion notes. Add photos for context and maintain a clear audit trail to guide time-sensitive decision-making and compliance.

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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
HAZMAT Incident Checklist
A HAZMAT incident checklist is used by safety officers and first responders to assess the dangers of a HAZMAT incident and determine the appropriate action to mitigate hazards. Use this HAZMAT checklist for time-sensitive events and efficiently record variables surrounding the incident such as the weather, needed action, agencies contacted, and take optional photos of the incident for more context of the situation.
by SafetyCulture
Downloads: 200+
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Template
Incident Report Template for First Response
Use this first response incident report template to capture critical details fast. Log incident type and priority, record weather conditions, attach photos and other evidence, and document vehicles, equipment, damages, and items involved. Add people and roles, collect preliminary statements and signatures, and record injury types, affected body parts, causes, and medical attention provided. Track corrective actions and follow-up so investigations start promptly and nothing is missed. Ideal for high-risk worksites such as construction, manufacturing, and facilities, and adaptable to any workplace that needs consistent incident documentation.
by sohilla yamini, 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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Template
Incident Report Detailed
Use this detailed incident report template to document workplace incidents on construction sites and other environments. Record incident type and priority, date and location, weather conditions, and loss time. Log evidence, equipment and vehicle details, damages, and other items. Document people involved, statements, injuries and affected body parts, and medical attention provided. Add corrective actions, assign follow-ups, and complete sign-off to support compliance, investigations, and continuous safety improvement.
by Greg McGee, from the Community
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HAZMAT Incident Checklist

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