Skip to content
SafetyCulture
Template

Incident Notification Form

by Ria Dercksen, from the Community

Downloads: 10+
Get this template

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.

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

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.