Use this workplace incident report template to document what happened, when and where it occurred, and who was involved. Capture the date and time, who the incident was reported to, and the exact location. Record supervisor details and witness names. Document those involved, the nature of any injuries, and any first aid or medical treatment. Note any property damage and attach photos. Provide a clear incident description including environmental conditions, immediate causes, and contributing factors. Assign corrective actions with responsible persons, assess potential severity and likelihood of recurrence, and finalize with date and signature. This template is a starting point and does not replace professional advice.
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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.