Incident Report Form

Record workplace incidents consistently — what happened, where, the type and evidence — in one signed, documented report.

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Description

An incident report form gives your operation a consistent way to capture anything that goes wrong on site — an accident, a near miss, a safety hazard or an operational failure. Recording the facts cleanly at the time protects your people and your business, and builds the documented history that drives real improvement.

It captures the date and location of the incident, a description of what happened and the type of incident, with room to specify. The reporter’s name, email and phone, an upload for supporting files and a digital signature complete a report you can log, investigate and act on.

Customize the incident types and fields to match your operation, restyle it in your brand colors, and embed it on your intranet so incidents are logged the moment they happen.

Form fields

Everything the Incident Report Form above collects — 10 fields, so you can see exactly what it captures before you make it your own.

Report an Incident

Date of Incident
Date
Location of Incident
Short Answer
Describe what happened
Long Answer
Type of Incident
Multi-Select
Please specify incident type:
Short Answer
Reporter’s Name
Name
Reporter’s Email
Email
Reporter’s Phone
Telephone
Upload any supporting files
Short Answer
Digital Signature
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?

It’s a form used to record a workplace incident — an accident, near miss, hazard or operational failure. It captures what happened, where, the type of incident and any evidence, giving your operation a consistent, documented record to investigate and learn from.

What does the form capture?

The date and location of the incident, a description of what happened, and the type of incident with room to specify. The reporter’s name, email and phone, an upload for supporting files and a digital signature complete a report you can log and act on.

When should it be completed?

As soon as possible after an incident, while the details are accurate. Prompt reporting captures the facts before memories fade, gets hazards flagged before they cause harm again, and builds a timestamped record that stands up to any later review or claim.

Who is this form for?

Operations, facilities and health-and-safety teams that need incidents logged consistently, and the staff reporting them. It suits any organization with a duty of care that wants a clear, documented trail rather than incidents recalled from memory after the fact.

Why capture the incident type?

Categorizing incidents — injury, near miss, equipment failure, security — lets you spot patterns across the operation and target the right fixes. Recording the type turns one-off reports into data you can analyze, so recurring risks get addressed rather than repeatedly recorded.

Is this form free to use?

Yes — it’s free. Create a Fun Forms account, customize the incident types and fields to match your operation, restyle it to your brand, and embed it on your intranet with no coding. Reports then arrive logged and ready to investigate.

Make a free Fun Form

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