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Templates / Health and safety

Incident report

Form · Each incident

Records an accident or incident as soon as it happens. Kept private to the project's managers and the person reporting it, and shows RIDDOR's reporting deadlines.

Use it in Sitro: add it to a project and fill it on a phone, free for 14 days.

The law and guidance behind it

  • Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2013 (RIDDOR), Regulations 4–7, 12
  • Social Security (Claims and Payments) Regulations 1979, Regulation 25 (accident book)

The questions

When and where

  1. Date of the incident
  2. Time
  3. Where on site
  4. Person injured or involved
  5. Their company

What happened

  1. What happened
  2. Outcome
  3. Photos of the scene
  4. Witnesses (names and how to reach them)

Action

  1. Action taken straight away
  2. What will stop it happening again
  3. Reported by
  4. Signature

A template to adapt to your site, not legal advice.

More health and safety templates

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