What's on it
- Date, time, place and who is reporting
- The kind of incident
- What happened, who was involved and who saw it
- Injuries or damage, and any first aid given
- Action taken, how to prevent it, and signatures
One page, US Letter. The picture shows example details; yours opens empty.
Good to know
- It is a general-purpose form, not legal advice. Rules on what you may ask differ from place to place, so check the ones that apply to you.
- Write it the same day, and stick to what was seen and done; leave blame and guesses out.
- Some injuries must also be reported to an authority or an insurer within a set time.
How to use it
- 1
Press the button. The template opens in the editor, empty.
- 2
Type into the boxes and tick what applies. Click any wording to change it, and add your logo or signature.
- 3
Download the finished PDF, or save it to your account to reuse.
