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General Incident Report Form Template

Streamline your incident reporting process with ease

Accidents can happen at any workplace, leaving you needing a quick and effective way to document the details. This General Incident Report Form Template is designed for managers and safety officers who want to ensure thorough reporting and swift resolution. With this template, you can achieve clear documentation of incidents, foster a safer work environment, and improve compliance with safety regulations. Utilizing our WCAG-aligned design guarantees accessibility for all users, making it a reliable choice for your team. Start creating your incident report instantly with our live template.

Your full name
Email
Phone
Your role or relationship to the organization
Employee
Contractor
Visitor
Customer
Student
Vendor
Other
Please Specify:
Date of incident
Time of incident (use local time, e.g., 14:30)
Location type
On site
Off site
Remote/Virtual
In transit
Unknown
Other
Please Specify:
Specific location or address
Describe what happened
Incident type
Please Specify:
Names of injured or involved persons (if any)
Was anyone injured or ill?
Yes
No
Witness names and contact details (if any)
Were there any witnesses?
Yes
No
Immediate actions taken
Who was notified?
Supervisor/Manager
HR
Safety officer
Security
Facilities
IT
No one
Other
Please Specify:
Contributing factors (select all that apply)
Please Specify:
Were photos, videos, or documents captured?
Yes
No
Outcome severity
No harm
Minor
Moderate
Major
Severe/Catastrophic
Unknown
How likely is a similar incident to recur?
0 Not at all likely
1
2
3
4
5 Extremely likely
Suggested corrective or preventive actions
Type your full name as signature
Date of submission
I confirm the information provided is accurate to the best of my knowledge
Strongly disagree
Disagree
Neither
Agree
Strongly agree
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Paper art illustration depicting a general incident report form with various sections and a creative design for an article.

When to use this form

Use this form to capture any unplanned event at work or on site, such as a slip on a wet floor, a tool malfunction that caused sparks, a customer fall, or damage to a company vehicle. You, your supervisor, and HR can use it to get the facts fast, assign follow-up, and prevent repeats. It also helps you record near misses and property damage in one consistent report. If the issue involves a breach, use the Security incident report form. For missing items or forced entry, submit the Stolen property report form. Clear, timely details here support investigations, insurance claims, and safety training, and they help you track trends across locations and shifts.

Must Ask General Incident Report Questions

  1. What happened, in your own words?

    A plain, first-person account reduces guesswork and reveals root causes. Specific actions, conditions, and quotes make follow-up faster and more accurate.

  2. When and where did it occur? (date, time, exact location)

    Precise time and place tie the event to schedules, cameras, and maintenance logs. You can match entries against the Security log form to confirm the timeline.

  3. Who was involved and how can we reach them? (people affected and witnesses)

    Accurate names and contacts enable quick care, interviews, and notifications. They also clarify roles and responsibilities for duty of care and regulatory reporting.

  4. What injuries or damage resulted? (be specific)

    Clear details guide medical response, repairs, and insurance coding. Distinguishing minor first aid from recordable injuries prevents compliance errors.

  5. What immediate actions were taken and by whom?

    Knowing steps already taken prevents duplication and gaps. It shows if you isolated hazards, saved evidence, or escalated using the Suspicious activity report form.

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