Internal accident report
Records what happened in a workplace accident or near miss, who was involved and what follows – for internal follow-up.
For: Businesses, workshops, sites
Every copy starts empty. The template is created in your browser; we store none of your entries.
Preview
Who fills in what
Fill in before sending (you)
- Name of the person involved · required
- Department
- Date · required
- Time
- Place · required
- Type of event · required
- Witnesses
- Description of events · required
- Injury / damage
- First aid given by
- Further treatment
- Work stopped
- Resumed on
- Signature reporter · required
Supervisor
- Actions to prevent a repeat
- Carried out by
- Due by
- Signature supervisor · required
Does the other side need to sign? Send the filled-in form with Signovoza.
These templates are operational structures for day-to-day work – not legal advice and not reviewed contract wording. Adapt them to your situation where needed.