Workplace Incident Report Form

A Workplace Incident Report Form is a formal document employees or employers use to record workplace accidents, injuries or hazardous situations. It includes details such as the time and location of the incident, a description of what happened, witness statements and any medical treatment provided. This form helps organizations maintain accurate records, investigate safety concerns and implement preventive measures to reduce future risks.

An employee, supervisor or witness involved in or observing a workplace incident should fill out a Workplace Incident Report Form. Employers may also require HR or a safety officer to complete the form for official documentation.

The completed incident report form template should be submitted to the employer, HR department or safety officer. Some workplaces require submission through an internal reporting system, while others accept physical or emailed copies. If the incident involves serious injury or legal concerns, a copy may need to be sent to regulatory agencies.