Incident Report Form
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.
IN-03 2 pages
Incident and first aid records · IN-10
Spill and Clean-Up Record
A free printable spill record — date and time, what was spilled and roughly how much, where, how it was contained and disposed of, who was told and who wrote it up.
Download Free · no sign-up
One page. 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
Keep a written trail of spills so a recurring one is visible as a pattern rather than forgotten as a bad afternoon.
Who it is for
Workshops, garages, kitchens, labs, farms, cleaning teams and anyone who handles chemicals, fuel or oil.
How to use it
- Fill in the site and who keeps the record at the top of the sheet.
- Work from the safety data sheet for the substance before starting the clean-up.
- Record the date and time, what was spilled and an honest estimate of how much.
- Write how it was contained and how the waste was got rid of, and by whom.
- Note who was told, and carry anything outstanding onto a follow-up.
What is on the sheet
One page, top to bottom:
Printed under the title: What was spilled, where and how much, how it was contained and got rid of, who was told, and whatever had to happen afterwards.
The substance's own data sheet comes first. Before anything is cleaned up, work from the safety data sheet for the substance itself — it is the thing that says what to wear and how to deal with it. This sheet is the record of what was actually done.
Write-on lines: Site / building · Record kept by · Sheet started
Spill record
Table, 13 rows: Date & time · Substance · Amount · Where · How contained · Disposed of as · Who told · Recorded by
Questions
Why does the sheet not say how to clean each substance up?
Because the substance's own safety data sheet does, and it is specific to that product. Printing generic advice here would risk contradicting it. This sheet records what was actually done.
Is an estimate of the amount good enough?
Yes — nobody measures a spill while it is spreading. A rough figure written honestly, with a note of the container size if that helps, is more useful than a blank column.
When does a spill also need an incident report?
If anyone was hurt or could have been, it is worth filling in the incident report form as well and cross-referencing the two. This sheet is about the substance and the clean-up.
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