Risk Assessment Form
Record a risk assessment you have carried out yourself, in a layout that captures the part people forget: who is doing the further action, by when, and when it gets reviewed.
IN-02 2 pages
Incident and first aid records · IN-03
Incident Report Form
A free printable incident report form — what happened, to whom, witnesses, immediate action and follow-up, recorded while it is still fresh.
Download Free · no sign-up
2 pages. Choose your paper size — both versions are laid out identically, so neither one gets shrunk to fit.
Print it and write on it
Fill it in type and save
The fillable versions have real form fields — open them in any PDF reader, type into them and save. Printing help.
What this sheet is for
Capture an incident properly on the day, in the affected person's own words, with the witness details and equipment notes that become impossible to gather later.
Who it is for
Workplaces, clubs, halls, sites, schools and any premises where something can go wrong and someone will later ask what happened.
How to use it
- Fill it in the same day. Detail you are certain of now is detail nobody has next month.
- Record what was said and seen rather than what you concluded.
- Take witness contact details before people leave, not afterwards.
- Note whether equipment was kept, and where — it is the first thing anyone asks for.
What is on the sheet
2 pages, in this order:
Page 1
Printed under the title: A blank form for recording what happened, when, to whom, and what was done about it — written down while it is still fresh.
Reporting duties differ — check yours. What must be reported, to whom and within what time differ by country and by the kind of premises or work. This sheet names no scheme and sets no threshold. Check what applies where you are, and keep this alongside whatever report that requires.
How to use this sheet
- Fill it in the same day. Detail you are sure of now is detail you will not have next month.
- Record what was said and seen, not what you concluded. Opinions can go in the notes.
- Get the account in the affected person's own words where you can, and let them read it back.
The incident
Write-on lines: Report reference · Date of report · Date of incident · Time · Exact location · Activity at the time
Person affected
Write-on lines: Name · Role or relationship · Contact · Injury or damage · Taken to hospital
What happened — in their words where possible
Page 2
Ruled lines
Response
Write-on lines: Immediate action taken · Machine or area stopped · First aid given by · Emergency services called · Time · Equipment involved · Kept for inspection · Where
Witnesses
Table, 4 rows: Name · Contact · What they saw
Follow-up
Write-on lines: Reported to · Date reported · Reference given
Ruled lines: Action taken to stop it happening again
Signature strip: Completed by · Signature · Date
Questions
Does this replace an official report?
No. What must be reported, to whom and within what time differ by country and by the kind of premises or work, and this form names no scheme. Check what applies where you are and keep this alongside whatever that requires.
Why is there so much space for the account?
Because a two-line summary written from memory is worth very little, and a full account written on the day is worth a great deal. Let the person affected read it back before anyone signs.
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