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General Incident Report Template

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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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  • Cut inspection time by 50%
  • Uncover more issues and solve them 4x faster
  • Select from over 4000 expert-proofed templates
Rated 4.8/5 stars on Capterra
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General Incident Report Template

Incident Details

Time of the incident:

Explain the incident/ near miss?

Job number:

Job description:

Were there any harms?

Was there any damage to property or plant?

What was the cause for the incident?

What precautions will be taken to reduce future repeats of that kind of incident?

Attach photos of the surrounding environment and also annotations.

Supervisor comments:

Sign Off

Supervisor sign off (name and signature):