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Incident Report Form Template

Create clear and effective incident reports with this template

Documenting an incident can be overwhelming, especially when every detail matters. This incident report template is designed to assist you in capturing the vital information needed after accidents or unusual events in your organization. With this template, you benefit from structured guidance, standardized formatting, and improved clarity, ensuring each report is thorough and compliant with necessary regulations. Use it to enhance workplace safety, streamline communication, and support investigations with accurate records. Experience the ease of reporting with our live template.

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Your full name
Role or job title
Email address
Phone number
Are you the person involved in the incident?
Yes
No
Incident date
Approximate time of incident
Incident location (site, area, or address)
Location type
Type of incident (select all that apply)
Describe what happened (chronology, tasks, conditions)
Actions taken or recommended (controls, isolation, clean-up)
Initial severity assessment
Minor
Moderate
Major
Critical
Not sure
Did anyone get injured or become ill?
Yes
No
Name(s) of injured or ill person(s) (if any)
Nature of injury or illness (if any)
Was medical treatment beyond first aid required or sought?
Yes
No
Not sure
Witness name(s) and contact information (if any)
Contributing factors (select all that apply)
Has a supervisor been notified?
Yes
No
Not yet
Does an immediate hazard still exist?
Yes
No
Not sure
Type your full name to sign
Date signed
I confirm the information provided is accurate to the best of my knowledge.
Yes
No
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Paper art illustration depicting an incident report form template for FormCreatorAI article

When to use this form

Use this form any time an injury, near miss, security issue, property damage, or IT outage occurs. Submit it right after the event at work, in a store, school, or on a jobsite to capture facts while they are fresh. For site injuries or equipment damage, pair it with the Construction accident report form to address OSHA and insurance needs. For outages, breaches, or app failures, direct technical issues through the Software incident report form to reach the right team. Supervisors, safety officers, HR, and IT get consistent details that speed triage and follow-up. The result is a clear timeline, contacts, and next steps that prevent repeat events.

Must Ask Incident Report Questions

  1. What happened, where, and when?

    Pinning down date, time, and location builds a reliable timeline and lets you match CCTV, badge, or system logs. Specifics help you spot patterns by shift, site, or environment.

  2. Who was involved and how were they affected?

    Listing names, roles, and contact details speeds outreach and duty-of-care steps. It also clarifies responsibility and reduces follow-up back-and-forth.

  3. What immediate actions were taken, and by whom?

    Capturing first aid, shutdowns, and escalations shows whether procedures were followed. It also feeds your Incident report tracking form to assign next steps and deadlines.

  4. Are there witnesses? If yes, who, and how can we reach them?

    Witness details support unbiased accounts and faster verification. You can collect fuller statements with the Incident statement form .

  5. What evidence exists (photos, video, logs), and where is it stored?

    Knowing the evidence type and location protects chain of custody and speeds analysis. This helps investigators and managers act without delays or guesswork.

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