Templates / IR-01 Incident Report Rev 2026.05
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Template / IR-01

Incident / Accident Report

Free to fill in and print in your browser. A printable, OSHA-aligned incident and accident report with injury details, witnesses, root cause analysis, corrective actions, and supervisor sign-off. Need to save your data, add your logo, or reuse across projects? Get the template pack ↓

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Safety Document · IR-01

Incident / Accident Report

Report №
Date
§01

Project & Location

§02

Injured Person

§03

Description of Incident

§04

Medical Treatment

§05

Witnesses

§06

Root Cause Analysis

§07

Corrective Actions

§08

Notifications

§09

Signatures

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BBuildwise Consulting · projects@buildwise.construction IR-01 · Rev 2026.05

About the Incident / Accident Report template

An incident and accident report documents injuries, near misses, and property damage on the jobsite. This template captures the who, what, when, and how needed for OSHA recordkeeping, insurance, and preventing a repeat, while creating a timely, factual record.

What's included

  • Injured party, witnesses, and supervisor
  • Date, time, and location of the incident
  • Description, cause, and contributing factors
  • Injury type and treatment provided
  • Corrective actions to prevent recurrence
  • Delivered in Word, Excel, and fillable/printable PDF

How to use it

  1. Record the incident details immediately and factually
  2. Identify witnesses and the supervisor on duty
  3. Describe the cause and contributing factors
  4. Assign corrective actions to prevent a recurrence

Frequently asked questions

What is an incident report used for?

It documents injuries, near misses, or property damage on site for OSHA recordkeeping, insurance, and root-cause analysis to prevent recurrence.

Should near misses be reported?

Yes. Recording near misses helps identify hazards before they cause an actual injury, which is a core part of a strong safety program.