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
Site and construction · SI-10
Near Miss Report Form
A free printable near miss form — what happened, what could have happened at worst, and the actions agreed, with reporting optionally anonymous.
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
Capture the things that nearly went wrong, in a form that asks what happened rather than who was at fault.
Who it is for
Sites, workshops, farms, warehouses, kitchens, care services and any workplace that would rather find out early.
How to use it
- Make reporting easy and make it clear it is not a disciplinary process.
- Write what happened factually and what could have happened at worst.
- Agree actions with owners and dates, and close them out.
- Review near misses together — patterns show up across reports, not within one.
- Leave the reporter's name optional if that is what gets them filled in.
What is on the sheet
The layout is fixed at a size that fits both A4 and US Letter, so the A4 and Letter files are visually identical and print at full size on either. Rows are set at a height that an adult can actually write a date and a few words into with a pen — most printable tables are built in a word processor and never tested with one.
Related sheets
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
Toolbox Talk Record
Record a short on-site briefing and, more usefully, what the people listening raised in response to it.
SI-06 1 page
One new sheet, most weeks
We are building this library out steadily. Leave an address and we will send the new sheets as they are finished — nothing else, and no more than one email a week.
Sign-up is not live yet — we have not connected an email provider, so this form is switched off rather than quietly collecting addresses.