Standard 'Incident report form' suitable for any organisation.
Aids in compliance with health and safety legislation
About this document
This document should be completed every time there is an incident or accident in your organisation. It is proof that the accident occurred and a record of the details surrounding it. It also shows that you, the employer, have high health and safety standards regards your employees and therefore helps you to comply with health and safety legislation.
Ensure all employees know where to find this document and that it is completed even if the incident or accident seems relatively small at the time.
When to use:
• Use this form every time there is an accident within your organisation, no matter how small. It is proof that the accident occurred and records the details surrounding it. It also shows that you, the employer, have high health and safety standards regards your employees and therefore helps you to comply with health and safety legislation
• Ensure all employees know where to find this document and that it is completed even if the incident seems relatively small at the time
Application
and features
Model form for any organisation
Comprehensive form – you add industry specific paragraphs
In plain English with explanatory notes
Contents
Names and details of the injured person
Details of the incident, including witnesses names and addresses
A concise statement of the incident to be written by the victim
Investigation notes regards the reason for the incident / accident (to be completed by the Line Manager)
Space for sketches of anything relevant
Recommendations to prevent reoccurrence
Word
Count (approximate):
Document: 520
words
Explanatory notes:
140
words
Draftsman
This document is drawn and maintained by Net Lawman. It is real law in plain English.
