Workplace Incident Report Sample

What is workplace incident report sample?

A workplace incident report sample is a document that is used to report any accidents, injuries, or incidents that occur in the workplace. It provides a detailed account of what happened, who was involved, and any actions taken to address the incident. This report is important for record-keeping purposes and to identify any safety issues or trends that need to be addressed.

What are the types of workplace incident report sample?

There are various types of workplace incident report samples, including but not limited to: 1. Accident report: This type of report is used to record any accidents that occur in the workplace, such as slips, falls, or equipment malfunctions. 2. Injury report: This report is used to document any injuries that happen in the workplace, whether they are minor or serious. 3. Near miss report: These reports are used to capture incidents that almost resulted in an accident or injury, allowing for preventive measures to be taken. 4. Property damage report: If any property, equipment, or assets are damaged in the workplace, a property damage report is used to document the incident and assess the extent of the damage.

Accident report
Injury report
Near miss report
Property damage report

How to complete workplace incident report sample

Completing a workplace incident report sample is crucial to ensure accurate and comprehensive documentation. Here are the steps to follow: 1. Gather information: Collect all the relevant details about the incident, including the date, time, location, people involved, witnesses, and a description of what happened. 2. Provide a detailed account: Clearly describe the incident, including any injuries, damages, or near misses. Use objective language and be as specific as possible. 3. Include any contributing factors: If there were any factors that may have contributed to the incident, such as unsafe working conditions or equipment failure, make sure to include them in the report. 4. Document any actions taken: If any immediate actions were taken to address the incident, such as providing first aid or contacting emergency services, document them in the report. 5. Submit the report: Once the report is completed, make sure to submit it to the appropriate person or department as per your organization's procedures.

01
Gather information
02
Provide a detailed account
03
Include any contributing factors
04
Document any actions taken
05
Submit the report

pdfFiller empowers users to create, edit, and share documents online. Offering unlimited fillable templates and powerful editing tools, pdfFiller is the only PDF editor users need to get their documents done.

Video Tutorial How to Fill Out workplace incident report sample

Thousands of positive reviews can’t be wrong

Read more or give pdfFiller a try to experience the benefits for yourself
4.0
Pretty easy to navigate but I wouldn't.
Pretty easy to navigate but I wouldn't… pretty easy to navigate but I wouldn't call it at the 'intuitive' level
Mark Jones
5.0
Saved us time and frustration We searched everywhere for a software that would l...
Saved us time and frustration We searched everywhere for a software that would let our applicants fill out a 39-page government document without having to type the same information over and over. PdfFiller saved us tons of time and frustration.
chammond
5.0
Dee was fabulous Dee was fabulous!
Dee was fabulous Dee was fabulous! I was in a state of panic after not being able to find my file I had work soooo hard on for several days. She was so calm, helpful and supportive. Thank you so much!! Joyce Whitfield
Joyce Whitfield