An easy to follow form for recording details of a workplace accident or incident.

Topics covered include:

• Incident description
• Who, what, where, when
• Action taken
• Causes, contributing factors

It is strongly recommended that the P-SA-002 HSE Reporting and Investigation procedure be purchased and implemented in addition to this form if your business / company does not already have one in place.

Note: Remember we can customise any form to suit your needs!