The Safety Group - Accident Report Form

Incidents and hazards need to be reported and recorded. This easy to use and comprehensive 2 page Accident Report Form allows the worker to follow a step by step process for reporting workplace incidents.

The accident report form also has provision for the Supervisor to complete and nominate action to be taken and what improvements could be made. The information recorded on the accident report form can be used to analyse the incident, which is vital in ensuring similar accidents do not occur in the workplace.


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This accident report form is available for download in PDF format.