Incident Report Form

Use this Incident Report form to report accidents, injuries, medical situations, or behavior incidents. Keep management and HR immediately updated.

No matter where incidents take place, have responders capture everything required for insurance and legal documentation. Have Human Resources and Management immediately notified of accidents in the workplace, on campus, or off-site. Document everything and everyone involved in the incident the first time. Capture photos and keep them in the cloud so nothing is lost in transport or in communication. Verify correct information is being captured when information is available. Ensure proper documents and corrective action is being taken place as a result of this incident.
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Fulcrum helps us improve our processes and make our work environment safer by streamlining inspections, surfacing inspection-related insights, and managing follow-up actions. Once you close the loop from action to insight to further action, the possibilities are limitless.
James Watts
,
Snavely Forest Products
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Fulcrum lets employees on the floor who actually are building the product take ownership. Everyone’s got a smartphone. So now they see an issue and report it so it can be fixed, instead of just ignoring it because that’s the way it’s always been done.
Aaron Vanover
,
Halton Company
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Reports are fresh and provide more detailed information. I don't miss any reports like I did in the past and I don't have to chase people down later.
Chris Bacchi
,
Trimat Testing
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One of the big things you can’t really measure is buy-in from employees in the field. People that didn’t want to go away from pen and paper and the old way of doing things now come to us and have ideas for apps.
Sophie Frohmader
,
Wonderful Orchards
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Fulcrum is, without a doubt, the best thing I've done for my business in regards to cost saving and time efficiency. Support is very good and help, on the rare occasions it's required, is never far away.
Steve Cupitt
,
Director, Crossroads Rural & Environmental
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