Workplace incident report

A calm, structured report for accidents, near misses and conduct concerns, with an urgent-injury branch and optional anonymity.

About 4 min to complete. safety, incident, report.

Questions in this template

1. Is anyone currently in danger or in need of urgent medical help?
2. What type of incident was it?
3. When did it happen?
4. Where did it happen?
5. What happened, in your own words?
6. Was anyone hurt?
7. Add photos if it is safe to do so
8. Would you like to submit this anonymously?
9. Your name
10. Your email, so we can follow up

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