Health & SafetyTemplate

Accident and Incident Report Form

A practical form for recording what happened, any injury or damage, investigation findings and corrective actions.

Prepared by Morgan Compliance Group · Published 23 October 2026 · Updated 23 October 2026

Who it's for

Employers, managers and supervisors reporting accidents, incidents and near misses.

How to complete it

  1. Record who was involved, when and where the event happened and what work was taking place.
  2. Describe any injury, damage, first aid, hospital attendance and witness information.
  3. Record what you did immediately to keep people safe.
  4. Investigate the underlying causes and assign actions with named owners and completion dates.
  5. Check whether the event is reportable under RIDDOR, then arrange manager review and retain the record.

Some injuries and incidents must be reported to HSE under RIDDOR. Check the official reporting guidance.

Some injuries and incidents must be reported to HSE under RIDDOR. Check HSE's RIDDOR reporting guidance.

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This resource is general guidance. Adapt it to your own business, activities and risks.