In this article, you’ll find a wide selection of ready-to-use workplace incident report templates that you can tailor to fit your needs. These free templates are available for download in Word, Excel, and PDF formats.
When an employee is involved in a work-related accident or illness, the employer is responsible for filing the first report of injury (FROI) to begin the claims process. This customizable FROI template comes ready for employees to enter personal information, the type of accident, the names of all witnesses, the incident location, prevention suggestions, the contact information of the employee’s physician, and more.
Download Employee’s First Report of Injury Form Template
The injured employee should fill out this pre-built employee incident/accident report (it also includes a back injury report, if applicable). Use this template to collect the injured employee’s personal information and the circumstances of the accident, including the duties the employee was performing at the time of the event, the objects or machinery involved, the severity of the injury the employee sustained, and the medical care they received. The document also includes a section for the employee to sign a medical release.
Download Employee’s Incident/Accident Report (with Back Injury Report) Template
At the workplace, when a hazardous occurrence arises that has the potential to cause bodily injury, health issues, or even fatalities, you should file a workplace incident report immediately, so authorities can determine if further investigation is necessary. This incident report form template provides space to record all employees involved in the incident, identification numbers of equipment involved, incident event details, and injury and first aid details.
Download Workplace Incident Report Form Template
You should complete a work-related injury report as soon as possible after sustaining an injury and immediately submit it to HR for processing. The supervisor should make sure they complete the injury report if the employee involved in the accident is physically unable to do so. This customizable work-related accident/injury report form template tracks the employee’s personal and professional information, key details surrounding the accident, affected parts of the body, first aid administered at the scene of the injury, medical provider information, and signatures for both the employee and supervisor.
Download Work-Related Accident/Injury Report Form Template
In addition to filing an employee incident or accident report, the supervisor will need to file an incident investigation report in order to collect facts, determine the supreme cause of the accident, and implement corrective actions. This pre-built incident investigation report organizes information into sections, with space to document the employee’s information and injury details, a description of the event, all witnesses of the incident, any unsafe work conditions, future incident prevention suggestions, the investigation team member names, and more.
Download Supervisor’s Incident Investigation Report Template
Once you have filed a workplace accident report and a medical care provider has assessed the employee’s injuries, the supervisor submits a return to work plan to the workers’ compensation coordinator. This customizable return to work template provides space to record the employee’s name, the date of return, and the status of the employee’s work status, including whether the organization will place restrictions on such employee or deem them ready to work their full schedule.
Download Supervisor’s Report of Return to Work Template
The relevant supervisor should complete the employee return to work plan and submit it to the employee and the workers’ compensation coordinator for filing. Once a physician has provided medical feedback pertaining to the employee’s injuries and limitations, a supervisor can use this pre-built template to schedule a return to work date, check off key requirements to review or brief relevant parties on, and organize a weekly work plan to successfully transition the employee back into the workplace.
Download Employee’s Return to Work (RTW) Plan Template
A witness statement to an accident can aid in the investigation of a hazardous event and help prevent similar incidents in the future. It is crucial to encourage witnesses to submit statements as soon as possible following an accident, while the details are still fresh in one’s mind. Use this statement of witness to accident template to track key details, including the name of the employee involved and the contact information for the witness. The document includes ample space for the witness to recount the event details.
Download Statement of Witness to Accident Template
You can use this pre-built near-miss report form template to record particulars regarding an incident that had the potential to cause an injury, death, or illness. This template tracks the location of the close call, the workplace conditions, the type of concern, a description of the incident, any safety suggestions, and more. The form provides the employer with a clear picture of the event circumstances, so you can develop a plan of action to prevent future incidents.
Download Near-Miss Report Form Template
According to OSHA, employers must retain records of employee injuries and illnesses for a minimum of five years. Maintaining a running log of these workplace incidents in one central location will ensure that you’re tracking and accounting for all reports. This downloadable employee incident log template provides space to record the claim number, employee identification number, incident date, location, and severity (e.g., death, injury, or near miss) and tracks the number of days away from work, the number of modified duty days, and the date returned to full duty for each affected employee.
Download Employee Incident Log Template
This workplace violence incident report template is for the victim of a verbal threat or an act of physical violence. The victim should complete the report. This template tracks key incident details, including the name of the person(s) demonstrating the prohibited behavior, the name of the victim, incident witnesses, events leading up to and during the incident, plan of action recommendations, police report information, and more.
Download Workplace Violence Incident Report Template
Use this pre-built health and safety incident report form to record dangerous incidents at the workplace, including diseases, illnesses, and safety hazards. Affected employees, contractors, and visitors to the worksite should fill out this form immediately following an occurrence to report the incident details, outcomes, first aid provided, corrective measures, and other information about the event.
Download Health and Safety Incident Report Form Template
This ready-to-use general staff incident report form template includes room to report employee information, incident description details, an employee explanation, any witness names, and actions to be taken (e.g., verbal warning, probation, or dismissal). It also includes space at the bottom for signatures.
Download General Staff Incident Report Form Template
Notifying your employer in a timely manner following a work-related injury is crucial if you plan to file a workers’ compensation claim. Customize this work accident report sample letter to suit your needs, and then submit it to your employer within the notification time frame required by your state. This template also includes space for you to add incident details (including events leading up to the incident), names of witnesses, treatment received following the incident, work restrictions, and more.
The process for filing and maintaining workplace accident claims requires a tightly managed recordkeeping system. Use this claim tracking checklist template to track the status of claim certification approvals, agency authorities you’ve notified, and essential reporting documentation that you need (e.g., employee’s accident report, supervisor’s investigation report, witness statement form) for each injured employee to ensure that you account for and complete every step in the claim process.
Download Claim Tracking Checklist Template
An accident report or incident report is a form that an employee or manager fills out in the case of an injury, illness, or near miss at the workplace. The terms accident and incident are often used interchangeably; however, an accident report places more emphasis on an injury sustained, whereas an incident report focuses more on the cause of an event and how an employer can prevent it in the future. You should submit an incident report even if an employee did not sustain an injury.
When an employee is involved in either a work-related incident or an accident involving an injury, you should include the following information in the report:
An accident reporting procedure is the process a company uses to communicate and document illnesses, injuries, and near-miss incidents that occur at the workplace. Employers are responsible for establishing a company policy for reporting incidents so that you can record, investigate, and correct work-related accidents and illnesses.
Here is an example of an incident reporting process:
You can customize this accident reporting company policy sample template according to the needs of your organization. You can use this template as a basis to build out your company’s accident reporting policy. It includes room to outline the policy’s purpose, scope, elements, insurance coverage information, emergency assistance instructions, incident reporting procedures, and more.
Download Accident Reporting Company Policy Sample Template
Reporting a work-related injury, illness, death, disease, or other hazardous occurrence is a legal requirement. The report assists the Health, Safety, and Environment (HSE) authorities and other local agencies by identifying — and potentially investigating — the location and cause of certain risk factors. By reporting an accident that you were directly involved in, or were a witness to, you are providing your employer with the information necessary to administer potential claims/lawsuits, identify risks, and develop solutions to prevent future occurrences.
In an increasingly technological society, now, more than ever, we have access to a vast selection of online tools and software that submit, manage, and securely store digital incident reporting forms and documentation. Here are some of the major benefits of migrating to an online incident management system that contains digital reporting forms:
In order to reap the benefits of incident reporting software, it is imperative to know which features to look for. Below, we’ll discuss the seven necessary components of an effective workplace incident management system.
Here are the seven key elements to look for when selecting an incident management system for your organization:
With all of these components in mind, how do you begin to find the right incident management software for your business? We’ve done the research for you and uncovered the top accident reporting software systems that provide the highest value.
Below are the top incident management software solutions that provide the most value for your organization:
