Free Safety Incident Report Form Template
Safety Incident Report Form
Please fill out this form to report an accident.
Reporter Information
Name
Job Title
Phone number
Incident Details
Date & Time of Incident
Description of Incident
Type of Incident
-
Injury
-
Property Damage
-
Near Miss
-
Hazzard Identification
Was anyone injured?
Was there property damage?
Immediate Actions Taken
Date:
Accident Report Form Templates @ Template.net
