Free Construction Incident Report Form Template
Construction Incident Report Form
Please fill out the form with your information below.
Incident Details
Date and Time
Location of Incident
Type of Incident
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Injury
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Property Damage
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Equipment Failure
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Hazardous Material Spill
Detailed Description of Incident
Was Medical Attention Provided?
Actions Taken to Address the Incident
Identified Cause(s) of the Incident
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Human Error
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Equipment Malfunction
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Environmental Factors
Reporter Information
Name of Reporter
Position/Title
Phone number
Date:
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