Free Accident Investigation Form Template
Accident Investigation Form
Please fill out this form to report an accident.
Company Name
Location of Accident
Date and Time of Accident
Employee Information
Name
Job Title
Department
Phone number
Accident Details
Description of the Accident
Was there any equipment or machinery involved?
Was personal protective equipment (PPE) used?
Injuries Sustained
-
Minor
-
Moderate
-
Severe
Corrective Actions Suggested
Date:
Accident Report Form Templates @ Template.net
