10+ Free Sample Incident Report Form

Life is unpredictable. But one thing is certain, something bad is going to happen to someone any time now. For some people, they make a living by handling these incidents and reporting it. To make their job easier, they need a form that can live up to the expectation. Our sample incident report form can do exactly that.

What Should be Inside a Sample Incident Report Form

Incidents needs to be reported the right way. that is why there are several aspects that must be inside a sample incident report form. Those aspects are:

  1. Small details about the incident
    The first thing you need to fill in are small details about the incident. You’ll need to take note of when and where the incident happened. You’ll also need to write about the detail of the person that is the main actor in the incident. Write down their name, date of birth, and contact.
  2. Explanation of incident
    Then, you’ll be asked to explain the incident in one or two paragraph. You could talk about what kind of accident it was, why it happened, and the aftermath.
  3. Details of injury
    If there is a person that is injured in the incident, write it all down. Write what kind of injury the person suffered. if the injury requires a trip to the hospital, write details of the hospital down.
  4. Information on incident handler
    Then, write a short information about you, the incident handler. Write down your name and employee ID if you have any.
  5. Name of authorizer of the form
    After you write it all down, you’ll be asked to submit it to your boss. Your boss will then authorize the report. They will need to write their name on the bottom of the letter.
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Aviation Security Sample Incident Report Form

Aviation Security Sample Incident Report Form

Employee Behavior Incident Report Form

Employee Behavior Incident Report Form

Generic Medical Incident Report Form

Generic Medical Incident Report Form

Hospital Facility Incident Report Form

Hospital Facility Incident Report Form

Information Security Incident Report Form

Information Security Incident Report Form

Workplace Sample Incident Report Form

Workplace Sample Incident Report Form

Tips On Filling The Report

The report is useless if you do not know how to use it the right way. We’re here to give you some tips on how to fill the report:

  1. Notice the time
    Always fill it right away. The maximum time you should report it is 12 hours after the incident. If you write it down quickly, chances are you’ll still have the details vivid in your mind. Better yet, you could fill it down as you handle the incident.
  2. Fill it with detail
    Make sure to be detailed. For parts that requires information like the name of the injured or the hospital they are sent to, pay extra attention. If you can, ask your partner to double check the form for you.
  3. Make it concise
    Though you need to be detailed, make it concise. Your boss does not have time to read through four paragraphs of explanation. Neither do you have the time to write a lengthy elaboration. Because the sample incident report form is usually one page, make your writing short.

How To Prevent and Solve Incidents

Some extra tip you might need in your line of work is how to prevent and solve incidents. We’ve got your back:

  1. Train yourself
    Train yourself to handle the incident well. Know the equipment to use. Learn the appropriate way to respond to different cases. Educating yourself according to your line of work will literally save lives.
  2. Educate other people
    Then, share your knowledge about incidents problem solving to other people. They might be able to prevent incidents with your knowledge.
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Make life a bit more predictable by using this reliable sample incident report form. it is comprehensive and easily used for any type of incidents. By using our tips on filling the report and how to act on incidents, you’ll do your job perfectly.