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Health and Safety Communication Form

by Cheryl Burgess, from the Community

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This health and safety communication form helps workers, visitors, and contractors report near misses or non-injury incidents on site. Record the incident date and time, precise location, and reporter details, then describe what happened, immediate actions taken, and further actions to prevent recurrence. Add supporting photos of the area or outcomes. Completed reports can be exported and emailed to a health and safety manager for review and follow-up. This form is intended for general workplace safety communication and should not be used for injury accidents, which require a separate accident report form.

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

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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.