Worksite Incident / Injury Report Form

Every workplace should have a Worksite Incident / Injury Report Form available for employees and contractors to use to report an accident or mishap.

• A report should be filled out whether or not the incident resulted in an injury. Recording near misses is crucial to developing good workplace safety policies.
• A witness filling out the form must report whether there was an injury, what the extent of the injury was, and what treatment was administered onsite (if any).
• The employer also completes part of the form with respect to time at work missed by the injured person, the results of the incident investigation, a risk assessment, and actions taken to prevent a recurrence.

Keep your employees aware of work-related safety issues, and make sure that everyone knows how to fill out and submit the Worksite Incident / Injury Report Form. Download a free copy for your workplace.