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Incident Form Template

Report an incident such as an accident, near miss, or theft in the workplace or at school or church.

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Date / Time of incident
Name of person reporting the incident
Was anyone injured during the incident?
Actions taken
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Do you need to report an incident in the workplace, school, church, or other settings? This incident form template offers an efficient way to record important information after an accident, medical situation, damage to property, criminal activity, or other incident.

Incident reports are critical for documenting incidents for legal reasons, mitigating the effects of the incident by identifying actions to take, and reducing the risk of similar incidents happening again.

How Do I Create an Incident Form?

When any type of incident happens, it’s vital to document what caused it and how it was responded to.

An incident form provides a clear structure for documenting the most important information after an incident happens. Often, details about what happened or the people involved can be forgotten quickly, so an efficient process for collecting this information can be very helpful.

When filling out an incident form, try to be clear and include as much detail as you can. Make sure to include the name and contact details of all the people involved in the incident, as well as any witnesses.

Our incident form template includes fields for critical information, including:

  • The time, date, and location of the incident
  • The name and email of the person reporting the incident
  • Whether the incident caused injuries
  • Initial response actions (medical treatment or notifying police)

There are also free text fields for including more detailed information describing the incident and the follow-up actions that will be taken.

Of course, this template just includes the basics, and you can customize it to suit your needs better.

For example, you can customize the Type of incident field to make it more relevant to your needs. For example, a school incident form might include options such as bullying, violence, threats, or prohibited activities on school property.

You can also add more fields, such as:

  • A file upload field: Allow users to upload photos, medical notes, and other evidence or documentation relating to the incident.
  • A signature field: Get the signature of the person reporting the incident.

You can also set up the email notifications of the form to automatically notify relevant people when it is submitted. For example, you could email the HR department, insurance company, and legal department with details of the incident.

Get started with WPForms today to use and customize this incident form template. Signing up with WPForms gives you access to this incident report form and hundreds of other pre-built templates.