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Accident Record Form Template

by Stephen Mason, from the Community

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This accident record form helps teams document workplace incidents thoroughly and consistently. Record the injured person’s details, contact information, date and time, location, description of how the accident happened with possible causes, injury sustained, and any additional notes. Add a photo of the cause if applicable, then complete with signatures. The form is designed to support site teams and facilities management by standardizing reporting and routing completed records to the site manager and head of facilities for follow up and compliance.

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

Community

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.