Incident Report Form
An incident report form for workplaces, schools and events: what happened, when and where, who was involved, injuries, witnesses, actions taken and photos.
11 questions, about 6 minutes to fill in
Free, with unlimited responses. Change any question, color or rule after you start.
What it asks
- 1Who is reporting?Contact info
- 2Type of incidentDropdown
- 3When did it happen?Date & time
- 4Where did it happen?Short answer
- 5Describe what happenedLong answer
- 6Was anyone injured?Yes / No
- 7Who was injured and how? Was first aid or medical care given?Long answer
- 8Witnesses (names and contact details)Long answer
- 9What actions were taken immediately?Long answer
- 10PhotosFile upload
- 11How serious was it?Multiple choice
Good for
- Workplace accidents and near misses
- Security and property incidents
- School and event incidents
- Customer or visitor injuries
Why it works
- Injury details only when someone was hurt
- Witness details captured straight away
- Photos attached to the report
- Serious incidents alert your team in Slack
Made for
Safety officers, HR, facilities, schools, venues and site managers.
Who is reporting?
*
press Enter
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