Templates / Incident Report Form
Incident Report Form
An incident and injury report form capturing what happened, immediate actions and contributing factors.
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A general-purpose form template for reporting workplace incidents.
About this template
The Incident Report Form is designed to be quick to complete and easy to adapt to your own workplace. Start from the template rather than a blank page, tailor the hazards, controls and responsibilities to your site, and keep a completed copy on file as evidence that the right checks were made.
How it links to the standards
Where this template names protective equipment or a control measure, the equipment itself is governed by a published standard that defines what it must withstand and how it is tested. The full EN standards library covers each one in plain language so you can confirm you are specifying the right level of protection.
Related guidance
Filling the template in is easier when you know the reasoning behind each control. These notes cover the practical detail:
- Tips and Tricks — the full technique-note library for this kind of work
Reports should be completed as soon as practical while details are fresh.
Frequently asked questions
What does the Incident Report Form cover?
An incident and injury report capturing what happened, immediate actions and contributing factors.
Why does the form capture immediate actions taken, not just the incident itself?
Recording what was done immediately afterward, such as first aid given or the area made safe, is part of a complete record and can matter for both the injured person's care and any later investigation.
How soon after an incident should this form be completed?
As soon as practical afterward, while details are still fresh and accurate, rather than being reconstructed from memory much later.
Does this form replace a full investigation?
No, it captures the initial record of what happened; a more serious incident should also go through the Accident Investigation Report for root-cause analysis.