Incident Report Form

incident

accident

safety

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

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.
Try Template
No items found.
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
Read Story
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
Read Story
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
Read Story

Ready to try this template?

Start collecting data immediately using this template, or customize the app to suit your needs using our form builder.

Try Template

Not finding what you need?

We also make custom solutions for our clients. Find out more or contact us.