Workplace Incident Report Template

Collects incident details, contact information, injury reports, witness accounts, actions taken, and photos for employees or managers documenting workplace incidents.

Use this template free

When to use it

  • After a workplace injury or illness
  • To document a near miss or safety hazard
  • When reporting property damage or another workplace incident
  • When recording witness details and actions taken

What it asks

  1. Your name
  2. Your email address
  3. Your phone number
  4. Date of incident
  5. Time of incident
  6. Location of incident
  7. Type of incident
  8. Were there any injuries or illness?
  9. Who was involved?
  10. Were there any witnesses?
  11. What actions were taken?
  12. Upload photos

Why it should be encrypted

Reports may include personal contact details, health information, witness accounts, and identifying photos. Only authorized people handling the incident should be able to read them.

Tips

  • Ask for the incident location to be specific, such as a room, floor, or work area.
  • Tell reporters to describe what happened and what actions were taken in clear, factual terms.
  • Explain what kinds of photos are useful and remind reporters not to include unrelated people or private information.

More HR templates

All form templates