Construction Accident Report Form
Construction Accident Report Form
Please fill out this form to ensure an accurate and complete record.
Date of Report
Reported by
Date and Time of Accident
Person(s) Involved in the Accident
Accident Description
Contributing Factors (if known)
Were there any persons injured?
If yes, please provide details:
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No. |
Name |
Injury Decription |
|---|---|---|
|
1 |
|
|
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2 |
|
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3 |
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4 |
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5 |
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Were there any damages to property?
Damage Description
Corrective Actions
What measures can be taken to prevent similar accidents in the future?
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Report successfully documented!
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