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Template

Incident Notification Form

by Ria Dercksen, from the Community

Downloads: 10+

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.

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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.