SignMeUp / Free event resources

Accident report form

Record an incident, the immediate response and the next steps in one confidential form.

Event and person

Organisation and eventReport reference and event locationIncident date and timeAffected person name and contact or secure record reference

What happened

Facts including activity and circumstancesInjury or harm observed or reportedWitness names and contact or secure record references

Response and review

Immediate action and assistance given including by whom and whenFollow-up action owner and due dateReporting decision reason reference and decision makerRecorded by and date then reviewed by and date

An internal report does not submit a RIDDOR report or notify your insurer. The responsible person should check the relevant requirements. Restrict access and apply your organisation’s retention policy.

Free to use and adapt within your organisation. Template instructions