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Incident Report Tracking Form Template

Effortlessly Track and Document Workplace Incidents

When accidents happen at work, clear documentation is crucial for safety and compliance. This incident report tracking template helps you efficiently log accidents and safety hazards, ensuring your team takes necessary actions. You can also analyze patterns, improve safety protocols, and maintain compliance with regulations, all while simplifying your reporting process. Explore the live template to easily track incidents.

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Reporter full name
Role or department
Email address
Phone number
Are you the person involved in the incident?
Yes
No
Incident date
Incident time (HH:MM, include AM/PM if applicable)
Location or site name
Specific area or address
Brief description of what happened
Incident type
Injury or illness
Near miss
Property or equipment damage
Security
Environmental
Vehicle
Equipment failure
Prefer not to say
Other
Please Specify:
Number of people directly involved
0
1
2
3
4
5 or more
Not sure
Names and roles of person(s) involved (if not the reporter)
Witness names and contact information
Were there any witnesses?
Yes
No
Did anyone sustain an injury or become ill?
Yes
No
Not sure
Type(s) of injury or illness (select all that apply)
Please Specify:
Medical treatment required
None
First aid on site
Clinic or GP
Emergency department
Hospitalization
Not sure
Not applicable
Was there any property or equipment damage?
Yes
No
Not sure
Link to photos, videos, or evidence (if available)
Estimated severity of the incident
Insignificant
Minor
Moderate
Major
Critical
Not sure
Contributing factors (select all that apply)
Please Specify:
Immediate actions taken
Was the area made safe?
Yes
No
Not applicable
Name of person notified
Date notified
Was a supervisor or manager notified?
Yes
No
Recommended follow-up or corrective actions
Priority level for follow-up
Low
Medium
High
Urgent
Not sure
Is further investigation required?
Yes
No
Not sure
Reporter signature (type your full name)
Signature date
I confirm the information provided is accurate to the best of my knowledge.
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
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Paper art illustration depicting an incident report tracking form template for FormCreatorAI article

When to use this form

Use this form as your incident tracker to document and manage any workplace or site incident from first report to resolution. It helps security teams, safety leads, facilities, and HR capture facts, assign follow-up, and keep a clean audit trail. Use it after a slip-and-fall, a data room access breach, equipment damage, or a near miss that needs review. For cyber or physical security events, pair it with the Security incident report form. If a vehicle collision occurs on or near your property, route details to the Motor vehicle accident report form. To build a time-stamped timeline, reference entries in your Security log form. The result: faster response, fewer repeat issues, and clear ownership.

Must Ask Incident Report Tracking Questions

  1. What happened, in your own words?

    A clear narrative helps you capture facts while they are fresh and reduces follow-up back-and-forth. If the issue is unverified or a potential threat, you can route it to the Suspicious activity report form for focused review.

  2. Where did it occur and what was the exact date and time?

    Specific location and timestamp let teams dispatch help, pull camera footage, and correlate events. Precise details also improve pattern analysis across sites and shifts.

  3. Who was involved and how can we contact them?

    Names, roles, and contact info for affected people and witnesses enable quick interviews and support. It also clarifies responsibility and speeds claims or HR follow-up.

  4. How severe was the impact and what type of incident is it?

    Severity and category (injury, property damage, security, near miss) drive priority and automatic routing. Consistent labels make trend reporting and compliance audits reliable.

  5. What evidence or attachments can you provide (photos, video, logs)?

    Files and links substantiate the report and help investigators verify accounts. Good evidence shortens resolution time and strengthens corrective actions.

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