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Incident Reporting Form

by David Jones, from the Community

Downloads: 10+
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This Incident Reporting Form helps teams capture the full details of workplace incidents and near misses. Record date, time, location, weather conditions and whether it was an incident or near miss. Add photos, note injuries, treatment provided and any police incident number. Include witness contact details and signatures. Use HSE near miss guidance, reflect on risk assessment, and propose preventive actions to avoid recurrence. Ideal for standardizing safety reporting and facilitating follow up.

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.

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