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Incident/Accident Form

by David Guerra, from the Community

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Use this incident/accident form to log workplace events including near misses, first aid cases, lost time injuries, spills, and vehicle-related incidents. Capture key details such as date, location, division, department, injured person information, area affected, witness names, medical attention provided, police notification, and days lost. Standardize reporting to support EHS compliance, root-cause analysis, and trend tracking across teams and sites. Ideal for supervisors and safety managers seeking consistent documentation and faster follow-up.

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

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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.