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Incident report template

Incident report template

Learn how to effectively document incidents with our incident report template, designed to eliminate missed details and streamline your incident management process.

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  • Customize this template or build your own
  • Fill out templates via mobile app
  • Get reports and analyse your data
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Incident report template

Learn how to effectively document incidents with our incident report template, designed to eliminate missed details and streamline your incident management process.

Use this template with Lumiform

  • Customize this template or build your own
  • Fill out templates via mobile app
  • Get reports and analyse your data
Prices start from ░░░ per month
Book a demo
Learn more
or Download template as PDF

Our incident report template equips you with a structured framework to document workplace incidents thoroughly and consistently. Beyond basic incident documentation, this template helps you identify root causes and implement corrective actions to prevent future occurrences.

When a slip-and-fall happens in your facility, this template guides you through collecting crucial details like environmental conditions, witness statements, and immediate response actions—information that would otherwise be lost over time. According to OSHA data, worker injuries have decreased from 10.9 incidents per 100 workers in 1972 to 2.4 per 100 in 2023, highlighting how proper incident documentation and analysis drives safety improvement.

Related categories

  • Health and safety management templates
  • General templates
  • Incident management templates
  • Workplace safety templates
Preview of the template
Audit
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):
This template was downloaded 28 times

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Related resources

Access a complete set of resources aimed at maximizing safety, quality, and operational excellence, including detailed guides, related templates, and real-world use cases.

Topic guides

Read in-depth guides covering key topics related to this article.

How to write an incident report: Your complete guideEffective risk assessment: Key steps and best practicesIncident management: A deep diveTake 5 safety: Your detailed guide for an incident-free workplace
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Template collections

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4 free workplace incident report templates6 must-use employee incident report templates for freeCollection of 21 free incident report templates for every industryTop 3 free fire incident report forms
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Incident report softwareSafety Incident Reporting SoftwareIncident management softwareOccupational health and safety software
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Other resources

Explore all the additional resources we offer to assist you in mastering this topic.

5 types of incident reportsHow to perform safety inspectionsHow to write a workplace safety policyHow digitization improves construction safety

Frequently asked questions

How can I encourage employees to use the incident report template?

Create a non-punitive reporting culture where employees understand reports help prevent future incidents rather than assign blame. Provide training on how to properly complete the template, make the form easily accessible, acknowledge those who report incidents, and regularly share how report data has led to safety improvements in your workplace.

What’s the difference between an incident report and an accident report?

An incident report covers a broader range of events, including near-misses and situations that could have caused harm but didn’t. Accident reports specifically document events that resulted in injury, property damage, or loss. Using incident reports for all situations creates a more comprehensive safety program that addresses potential hazards before they cause accidents.

How can I use incident report data to improve workplace safety?

Regularly analyze completed incident reports to identify patterns and trends in incident types, locations, or contributing factors. Use this data to prioritize safety interventions, update training programs, modify work procedures, or improve equipment. Share summary findings with your team to demonstrate how their reporting contributes to a safer workplace.


This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.
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