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Template

LSUSA Incident Report

by Lenard Garrett, from the Community

Downloads: 20+
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Use this LSUSA Incident Report template to document both injury and non-injury incidents in the workplace. Capture incident date and time, who it was reported to, location, and any witnesses. Record injury details and treatment, property or vehicle damage, and environmental conditions. Add photos, describe immediate causes and contributing factors, and outline corrective actions with responsible persons. Assess potential severity and probability of recurrence, then sign off to complete a thorough incident record.

With SafetyCulture you can

Digitize any process, procedure or policy
Eliminate mistakes made by paper-based processes
Create and share professional reports instantly
Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy
Eliminate mistakes made by paper-based processes
Create and share professional reports instantly
Confirm accountability and compliance with a digital log

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.