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Incident Report Form

Record site incidents and accidents, capturing what happened, any injury and first aid given so you keep a compliant health and safety record.

Description

When something goes wrong on site, a clear record matters for the person hurt, for compliance and for learning from it. This incident report form captures what happened in a consistent format, so every incident is documented properly, reported in time, and used to make the site safer.

It captures the project and site, the date and time, and who reported it, along with a description of what happened, whether there was an injury and its details, who was involved, and whether first aid was given. Photos and a supervisor signature complete a record that stands up to scrutiny.

Share the link with your site teams so any incident is logged the moment it happens. A consistent, timely record keeps you compliant and helps prevent the next one. Customize the fields, add your branding, and embed it on your site or share a link in minutes.

Form fields

Everything the Incident Report Form above collects — 12 fields, so you can see exactly what it captures before you make it your own.

Incident Report

  • Project or Site Name

    Short Answer Icon
    Short Answer

  • Date of Incident

    Date Icon
    Date

  • Time of Incident

    Short Answer Icon
    Short Answer

  • Reported By

    Name Icon
    Name

  • Describe What Happened

    Long Answer Icon
    Long Answer

  • Was there an injury?

    Yes/No Icon
    Yes/No

  • Describe the injury:

    Short Answer Icon
    Short Answer

  • Who was involved?

    Short Answer Icon
    Short Answer

  • Attach Any Photos or Documents

    Short Answer Icon
    Short Answer

  • Was first aid administered?

    Yes/No Icon
    Yes/No

  • Details of first aid provided:

    Long Answer Icon
    Long Answer

  • Supervisor Signature

    Short Answer Icon
    Short Answer
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Template FAQs

Common questions about the Incident Report Form — what it captures, when to use it, and how to make it your own.

What is an incident report form?

An incident report form records an accident or near-miss on site, capturing what happened, any injury and the first aid given. It gives the contractor a consistent, timely record, so incidents are documented for compliance, reported when required, and used to prevent them happening again.

What should an incident report form include?

This form captures the project and site, the date and time, and who reported it, along with a description of what happened, whether there was an injury and its details, who was involved, whether first aid was given, photos, and a supervisor signature.

When should an incident report be filed?

Immediately after any accident, injury or near-miss, while the details and witnesses are fresh. Filing it straight away creates an accurate record, ensures anything reportable is escalated in time, and captures the facts before memories fade or a claim arises.

Who fills out an incident report form?

Site supervisors, managers and first aiders responsible for health and safety on site. The form captures what happened and the response, so the contractor has a proper record for compliance, insurance and investigation, and can act to stop it recurring.

Why record the injury and first aid given?

Because they’re central to compliance and any claim. Documenting the injury and the first aid provided shows the incident was handled properly, supports any RIDDOR report or insurance claim, and gives an accurate account if the facts are ever questioned later.

Is this incident report template free to use?

Yes, completely free. Add or remove fields, adjust the sections to fit your safety process, and restyle it to your brand, then embed it on your site or share a link — no coding needed. A free Fun Forms account lets you collect incident reports.

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