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This General Incident Report template can be used to report the critical information, the person/people involved in the incident, damages, near misses, and cause of the incident. This general template can be applied for all kind of incidents. You can adjust this template to suit your workplace. Use Lumiform to attach photo evidence of the incident. Create a detailed fall incident report and affix it with your digital signature.
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What precautions will be taken to reduce future repeats of that kind of incident?
Attach photos of the surrounding environment and also annotations.
Supervisor sign off (name and signature):
Please note that this checklist template is a hypothetical example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.
Please, finish the registration to access the content of the checklist.