Forms & Templates > Incident Management > Near Miss Report Form

Incident Report Form

Documenting the incidents that take place at your facility is an essential part of the incident management process. Depending on the type of incident and the size of your company, it may be an OSHA requirement as well.

This incident report template includes all the details you’ll need to properly document each event:

  • Victim information – Name, contact details, etc.
  • Incident information – Description, time, location, etc.
  • Injury information – Type, description, medical aid, etc.
  • Reporter information – Name, signature, date

You’ll want to make sure that you attach relevant documents to this incident report. That may include photos, witness statements and contact information, medical aid details, and follow-up action items.

Store the report digitally to make it easier to update or amend the information if it changes.