Use this Safety Incident Report template to document near misses, unsafe acts, unsafe conditions, and positive safety behaviors. Capture key details such as location, date, reporter, situation type, and location type including manufacturing, warehouse, office, lab, and offsite. Record root causes across environment and housekeeping, machinery and equipment, materials, procedures and instructions, employee actions, and ergonomics. Add incident descriptions, photos, and suggested corrective actions to drive remediation and prevention. Ideal for daily operations and audits where consistent incident documentation and follow up are essential.
With SafetyCulture you can
With SafetyCulture you can
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.
