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Witness statement

Form · Each witness to an incident

A witness's own account of an incident: what they saw and heard, where they were, in their words, signed and dated. Facts only, no blame. Kept private to managers and the person filling it.

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

  • HSE HSG245, Investigating accidents and incidents

The questions

The witness

  1. Name
  2. Company
  3. How to reach them

What they saw

  1. Date and time of the incident
  2. Where they were
  3. What they saw and heard, in their own words
  4. What was happening just before
  5. What happened after
  6. Photos or sketches

Signed

  1. This is a true account of what I saw and heard
  2. Signature
  3. Statement taken by

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

More incidents templates

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