Workplace incident report - Illustrated landing
Record an accident, injury or near miss with who, where, what happened and what was done, with a signed declaration. A brand-colour landing page with a hero, illustrated background and a card for each section.
About 6 min to complete. safety, incident, compliance, illustrated.
Use this templateQuestions in this template
- Your name
- Your job title
- Date of incident
- Approximate time
- Where did it happen?
- What type of incident was it?
- Was anyone injured?
- Name of the injured person
- Was first aid or medical care given?
- What happened?
- What was done straight away?
- Photos of the scene (optional)
- I, ___, declare that the details above are true and complete to the best of my knowledge on ___.
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Your report helps keep everyone safe.
Every near miss and hazard logged is an injury prevented. Thank you for speaking up.