Use this injury and illness incident report to capture first response details within 24 hours. Record job role, shift, date and time, body part affected, injury type, PPE used, incident location and narrative, witnesses, supervisor contact, and follow-up. Includes an OSHA death reporting reminder. Ideal for warehouse, logistics, and manufacturing operations.
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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.
