Incident Report Template

Incident Report Template

This incident report template can assist your business comply with aspects of ISO 45001, Management Systems clause 10.2. Incident, Non-Conformity and Corrective Actions.


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What is Incident Management?

Causes of an Incident

Incident management is the process an organization uses to deal with unplanned events or incidents in the workplace. Incident management is important for several reasons.

First, it helps ensure the safety of employees and others who may be affected by an incident. Second, it helps minimize the impact of an incident on the organization’s operations. And third, it helps the organization learn from incidents and improve safety compliance in the future.

The management of incidents includes immediate actions, notification, reporting, recording, investigation and corrective action associated with health, safety, environmental, operational, security and information technology incidents.

Management actions taken in response to an incident are to initially protect and minimize the impact on persons, environment, facilities, production and the community and the corrective actions implemented following an incident shall eliminate or reduce the likelihood of a reoccurrence.

What is an Incident Report Form?

An incident report form is used to document incidents that occur in the workplace. This form is used to report information such as the date, time, and location of the incident, as well as the name of the individual(s) who was involved.

This form is used to document the details of the incident, such as what happened and what was the injury or damage done. Completion of the form can help employers investigate incidents and determine what corrective action needs to be taken.

How to Fill Out Incident Report Form

Every incident should be investigated to determine exactly how it occurred and identify the contributing factors. It is important to determine what action can be taken to prevent similar incidents in the future.

A person or team should be nominated with the responsibility of undertaking an investigation and completing the incident form. This person or team must be selected based on their training, experience and their knowledge of the workplace and work practice.

Safety-related incidents must be investigated using a thorough investigation methodology, to ensure all contributing factors and the root causes are identified.

Witness statements and interviews are to be taken as soon as possible following an incident unless this is not possible due to a serious condition.

Corrective and preventative actions must be established based on investigation findings and are to be actioned as soon as reasonably practicable to prevent a recurrence.

What Benefits Does an Incident Report Form Provide?

Conducting an incident investigation and completing an incident report can be very beneficial for a business. It can help the organization identify incident causes and correct them before they cause any further issues. It can also help to improve communication and coordination within the organization.

The emphasis of the incident reporting process should be to protect and minimize the impact on persons, environment, facilities, production and the community.

The corrective actions implemented should be focused on the elimination or reducing the likelihood of a reoccurrence.

Contents of this Incident Report Template

This incident report template has provisions for:

Incident Report Form

  • Details of the injured or affected person.
  • Incident description and people involved.
  • Immediate containment action.
  • Details of incident or near miss.
  • Treatment administered.
  • Did the worker stop working?
  • Work incident investigation.
  • Actions to prevent re-occurrence.
  • Actions completed.
  • Management review comments.
  • Name, signature and date.
  • Risk severity.

The incident report has many subsections of the above information prompts too.

Why Choose to Buy this Incident Report Template

This 3-page incident report can be completed to report incidents or a near miss. The report has provisions for all the details that would needed to write an incident report. This very well-designed incident report can help a business learn from any mistakes and identify systemic problems.

After purchasing this template you will be able to:

  • Very easily edit and customize the template to create your own template for incident reporting.
  • Apply your own style, format and brand to the workplace incident report template.
  • Use it in any industry or sector regardless of size or type of organization.

Availability and Use of this Incident Report Template

  • This incident report template is accessible to you right now by clicking the ‘Buy Now’ button.
  • The template will be delivered to you in fully editable Microsoft Word format for immediate and full use in your business.
  • There are no subscriptions, contracts or ongoing costs.

Incident Report Template Guarantee

This Incident Report Template is 100% Satisfaction Guaranteed.


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