Template

Accident / Incident Report Form

Keep your construction site and workplace safe with our Accident and Incident Report Template, designed to simplify reporting and compliance. This comprehensive form is ideal for contractors, site managers, and HSE officers who need a structured way to document accidents, near misses, property damage, and environmental incidents.

Proper incident reporting is essential for identifying hazards, preventing repeat accidents, and maintaining compliance with health and safety regulations. Our template guides you through every critical section, ensuring nothing is missed.

Features

  • Cover page with project, site, and inspector details
  • Clear legal and safety disclaimer
  • Detailed incident reporting fields covering
    • Type of incident
    • Persons involved and injuries
    • Description of incident
    • Witness statements
    • Root cause analysis
    • Corrective and preventive actions
  • Multi-response fields for severity, status, and compliance
  • Inspector and supervisor signature fields

Using this template allows you to:

  • Standardize incident reporting across all projects
  • Maintain accurate records for audits and investigations
  • Track corrective actions and follow-ups
  • Reduce liability and improve workplace safety

Disclaimer: This template is provided as a guidance tool only. All incidents must be addressed according to local health and safety regulations, and we do not take any responsibility for the content of this checklist.

Download the Accident and Incident Report Template today to simplify reporting, improve safety oversight, and protect your team.

Title page of Accident and Incident Report Template showing project name, incident summary, and reporter information for workplace safety
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