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Internal Incident Report Form

Log internal department incidents online, capturing the summary, type, action taken, and evidence in one accurate, confidential record.

Description

The Internal Incident Report Form gives your department a discreet, consistent way to document incidents that occur within the organization. It records the date, time, location, and reporting officer, along with a summary and the type of incident, so internal matters are captured accurately from the start.

A field noting whether medical attention was required and one for immediate action taken show how the incident was handled, while an evidence upload preserves supporting material. Contact details and an officer signature keep each report accountable and ready for internal review.

Consistent internal records support duty of care and continuous improvement. Sign up for a free Fun Forms account to customize the fields and embed this report form on your intranet or website.

Form fields

Everything the Internal Incident Report Form above collects — 13 fields, so you can see exactly what it captures before you make it your own.

Internal Incident Report

  • Date of Incident

    Date Icon
    Date

  • Time of Incident

    Short Answer Icon
    Short Answer

  • Location of Incident

    Short Answer Icon
    Short Answer

  • Reporting Officer

    Name Icon
    Name

  • Summary of Incident

    Long Answer Icon
    Long Answer

  • Type of Incident

    Multi-Select Icon
    Multi-Select

  • Please specify:

    Short Answer Icon
    Short Answer

  • Was medical attention required?

    Yes/No Icon
    Yes/No

  • Immediate Action Taken

    Long Answer Icon
    Long Answer

  • Upload Evidence (Photos, Statements, etc.)

    Short Answer Icon
    Short Answer

  • Your Email Address

    Email Icon
    Email

  • Your Phone Number

    Telephone Icon
    Telephone

  • Officer Signature

    Short Answer Icon
    Short Answer
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Template FAQs

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

What is an internal incident report form?

An internal incident report form is an online form used to document incidents that occur within a department itself, rather than in the field. It captures the summary, type, action taken, and any evidence, creating an accurate, accountable record for internal review and follow-up by the appropriate team.

How does this differ from a field report?

While a field incident report documents events involving the public, an internal report focuses on matters within the department, such as workplace incidents or policy breaches. Keeping these separate ensures internal matters are handled discreetly and through the right channels, with records tailored to internal review rather than public disclosure.

Why record whether medical attention was required?

Noting whether medical attention was required flags incidents involving injury for appropriate follow-up and duty-of-care obligations. It ensures the welfare of those involved is addressed, helps identify the more serious incidents, and provides an accurate record for any subsequent review, reporting, or support that may be needed.

What should immediate action taken capture?

The immediate action taken field records what was done in response to the incident, such as steps to make a situation safe or support those involved. Documenting this shows the incident was handled responsibly and gives reviewers a clear account of the response alongside the event itself for context.

Can officers attach supporting evidence?

Yes. An evidence upload lets officers attach photos, statements, or other documents relevant to the incident. Keeping this material with the report ensures reviewers have the full context in one place, supporting a thorough and fair internal review without the need to gather scattered files after the fact.

Is the internal incident report form free?

Yes, this internal incident report form is completely free, and you can customize the fields to fit your department, embed it on your intranet or website, and go live with no coding required. Simply create a free Fun Forms account to log internal incidents online.

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