Template

Incident Notification Flash Report

by SHEQ Cape Town, from the Community

Use this incident notification flash report to capture key details after a near miss or incident. Record date, time, location, area, job activity, machinery or equipment involved, injury or damage, and immediate corrective actions. Include witness information and reporter details to support investigation and help prevent similar events. Suitable for manufacturing operations and general workplace safety reporting.

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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 Notification Form
Document and report workplace incidents and near misses with this incident notification form. Record key details including time, location, circumstances, machinery or equipment involved, damage or injury, and required corrective actions. Capture witness information and sign-off to support compliance and continuous safety improvement.
by Ria Dercksen, from the Community
Downloads: 10+
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Template
Incident, Injury, Near Miss Report and Investigation Form
Use this incident, injury, and near miss report and investigation form to document what happened, capture injured person details, witnesses, causes, treatment, machinery involved, immediate actions, photos, and corrective improvements. Suitable for construction, steel fabrication, and industrial operations to support EHS compliance and continuous safety improvement.
by InFocus Safety Solutions, Inc., from the Community
Downloads: 20+
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Template
Injury, Accident, Incident and Near Miss Report
Use this comprehensive incident reporting template to capture key details after any workplace injury, accident, incident, or near miss. Record staff involved, date, time, location, witnesses, and notifications. Document injuries and treatment, police involvement and tests, property or vehicle damage, and attach photos. Analyze immediate causes and contributing factors, assess potential severity and likelihood of recurrence, and define corrective actions with responsible persons. Include third party details and insurance information to support follow up and compliance.
by Warren Ellison, from the Community
Downloads: 0
Get
Template
C2SC Incident First Report
Use this form to document any workplace incident on a construction site, including near misses, injuries, and property damage. Sections include title page, general incident info, date and time, location, witnesses, people involved, and detailed incident description with photo attachments. Injury reporting captures employee details, occupation, age, tenure, EMS notification, and clinic or hospital information. Property damage covers nature of damage, equipment or machinery involved, make or model, and equipment number. A lessons learned prompt supports initial investigations. After completion, export and submit to the Area Safety Supervisor for review and follow-up.
by Jordan Ludwig, from the Community
Downloads: 10+
Get

Incident Notification Form

Document and report workplace incidents and near misses with this incident notification form. Record key details including time, location, circumstances, machinery or equipment involved, damage or injury, and required corrective actions. Capture witness information and sign-off to support compliance and continuous safety improvement.

by Ria Dercksen, from the Community

10+

Get

Template

Incident, Injury, Near Miss Report and Investigation Form

Use this incident, injury, and near miss report and investigation form to document what happened, capture injured person details, witnesses, causes, treatment, machinery involved, immediate actions, photos, and corrective improvements. Suitable for construction, steel fabrication, and industrial operations to support EHS compliance and continuous safety improvement.

by InFocus Safety Solutions, Inc., from the Community

20+

Get

Template

Injury, Accident, Incident and Near Miss Report

Use this comprehensive incident reporting template to capture key details after any workplace injury, accident, incident, or near miss. Record staff involved, date, time, location, witnesses, and notifications. Document injuries and treatment, police involvement and tests, property or vehicle damage, and attach photos. Analyze immediate causes and contributing factors, assess potential severity and likelihood of recurrence, and define corrective actions with responsible persons. Include third party details and insurance information to support follow up and compliance.

by Warren Ellison, from the Community

Get

Template

C2SC Incident First Report

Use this form to document any workplace incident on a construction site, including near misses, injuries, and property damage. Sections include title page, general incident info, date and time, location, witnesses, people involved, and detailed incident description with photo attachments. Injury reporting captures employee details, occupation, age, tenure, EMS notification, and clinic or hospital information. Property damage covers nature of damage, equipment or machinery involved, make or model, and equipment number. A lessons learned prompt supports initial investigations. After completion, export and submit to the Area Safety Supervisor for review and follow-up.

by Jordan Ludwig, from the Community

10+

Get

Incident Notification Flash Report

About author

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