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Template

HSE Accident, Incident or Near Miss Report

by Mihaly Vantara, from the Community

Downloads: 10+

Structured HSE investigation report template for documenting accidents, incidents, and near misses. Capture incident date and time, location, department, type of incident, injuries, first aid or hospital treatment, and lost time. Record detailed descriptions, involved employees and witnesses, and required forms. Reference evidence, training and qualification records, job logs, and risk assessments. Define corrective actions, status, and conclusions, with HSE manager comments and signature. Supports RIDDOR information and closeout.

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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.