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SafetyCulture
Template

Accident Record

by Kelli Crockard, from the Community

Downloads: 70+

Standardize incident documentation with this Accident Record template. Record the person’s details, location, date and time, how the accident occurred, likely cause, injuries sustained, emergency response, and medical treatment provided. Attach photos where relevant, note corrective actions to reduce recurrence, and capture employee consent and signature. Ideal for workplace health and safety reporting across teams.

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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.