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SafetyCulture
Template

Accident Incident Report Form

by SafetyCulture

Free
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Description

An accident incident report form is used when someone got injured as a result of collision. This template can be used by fleet managers to document the details of the incident. Use this template to guide the inspector to perform the following: 1. Capture all contact details and verification information of the injured person 2. Describe full details of the injury and the accident 3. Take photo evidence of the surroundings 4. Record emergency services involvement (i.e. police, fire, paramedics), hospitalization information and witness statements 5. Capture electronic signatures from the relevant person involved and injured person

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Free 1,000+ Workplace Checklists & Templates created by the SafetyCulture team.