Skip to content
SafetyCulture
Template

Incident Report Form

by SafetyCulture

Free
3,912

Document and attach photos for injury/ illness, near miss, property damage, hazard, risk.

About author

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

You might also like

  • Near Miss Template
    SafetyCulture logo
    Template

    Near Miss Template

    This near miss template allows providing the description and photos surrounding the incident as well as inclusion of the names of other witnesses of the near miss.

    by SafetyCulture
    246 downloads
    Get
  • Incident / Hazard Report Form
    SafetyCulture logo
    Template

    Incident / Hazard Report Form

    Use this hazard report form to: - Identify the incident / hazard type and the level of treatment needed - Record who was injured, their contact number, and the nature of the injury - Document the task/s performed when the incident / injury occurred - Check which factors contributed to the hazard, incident, and/or injury - Specify the control type when creating corrective actions

    by SafetyCulture
    98 downloads
    Get
  • Near Miss Report Form
    SafetyCulture logo
    Template

    Near Miss Report Form

    A near miss is an unplanned event that threatens human safety or health, the environment, or the continued normal operation of the business enterprise, wherein the last protective barrier is challenged, but defeated. Use this near miss form to report a near miss incident.

    by SafetyCulture
    2375 downloads
    Get
  • Quick Near Miss Form
    SafetyCulture logo
    Template

    Quick Near Miss Form

    Use this near miss form to quickly record the incident and indicate of work stopped or continued business as usual.

    by SafetyCulture
    293 downloads
    Get