Workers - Incident Report Form Logo
  • Incident Report Form

  • At Infintree Workforce Solution, the safety and well-being of our workers are our top priorities.

    This Incident Report Form is designed to document any workplace incidents, including injuries, near misses, and property damage, to ensure a thorough investigation and appropriate corrective actions.

    Please provide detailed and accurate information to help us understand the circumstances and prevent future incidents.

    Your cooperation is essential in maintaining a safe working environment for everyone.

     

  • General Information

  •  - -
  • Personal Details of the Worker

  • Type of Incident

  • Describe the nature of the injuries.

  • Witness Information

  • Environmental Conditions

  • Equipment and Tools

  • Immediate Actions Taken

  • The first person to whom the accident was reported.

  • Documentation

  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Additional Comments:

  •  - -
  • Powered by Jotform SignClear
  • Should be Empty: