Free General Safety Incident Report Form Template
General Safety Incident Report Form
Please fill out this form to report any safety incidents for documentation and follow-up.
Incident Information
Date and Time of Incident
Location of Incident
Type of Incident
-
Injury
-
Property Damage
-
Near Miss
-
Details of the Incident
Description of Incident
Were there any injuries?
If yes, please describe
Persons Involved
Witness 1 Name
Phone number
Witness 2 Name
Phone number
Immediate Actions Taken
Reported By
Position
Phone number
Name:
Date:
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