Accident Report Form

Accident Report Form Template

Depending on your industry, your company might be obliged to keep track of any accidents that might be happening with its property or employees.

Reporting such incidents online is much faster and more convenient than on paper. Anyone in your organisation could fill out that simple online form providing details like what type of an accident when it happened, and where. You might also add more fields to collect additional details.

Check out another accident report form template here: Incident Report Form Template.

To learn more about the best practices for creating incident reports, check out this guide on Paperform's blog: How To Create An Incident Report (Best Practices & Templates) .

[FAQ]

How to fill out an accident report form

When filling out an accident report form, you’ll need to gather essential details about the incident, such as date and time, the affected individuals, and the type of accident that occurred.

There are 6 elements that you must include within an accident report form:

1. Type of incident: Include the type of incident and the accident class in the report form.
2. Address: The location of the incident.
3. Date and time of the incident: if exact timing is unknown, provide a range.
4. Name of affected individual: Provide details of the affected person and any witnesses.
5. Description of the incident: Include a succinct but detailed statement describing the events that led to the incident. You can include the type of work at the time of the event, any hazards involved, any personal protective equipment (PPE) used, and the license plate if a vehicle was involved.
6. Signature: Include the full name and signature of the person for company records. You can use our e-signature field to provide a legally binding signature from any location.

What are the 4 types of incident reports?

There are 4 types of accident report forms:

1. Near Miss: A near miss report is where there was no personal injury, but someone could have been hurt. It's essential to note any safety issues and report such events to help management take corrective action. Injury or lost time: this kind of report documents non-life-threatening injury. It’s essential to report whether or not you wore PPE, followed procedure, or if other variables came into play - even if they seem minor.
2. Exposure Incident Report: This report is used when someone may have been exposed to harmful substances. Safety professionals must report and record such incidents to prevent future harm in similar incidents and for insurance companies.
3. Sentinel Event Report: Sentinel events reports are used in extreme cases where events have resulted in a death or severe and permanent injury, and the police department or any law enforcement agencies may need to be notified.

Do I need an incident or accident report?

While often used interchangeably, there are a few critical differences between an incident and an accident report. An accident is an event that has unintentionally happened that results in damage, injury, or harm. On the other hand, an incident is an event that didn't necessarily result in harm but could have.

Can I customise my accident report form template?

Paperform's form builder is fully customisable, allowing you to choose how your form looks and behaves. Using the theme section, you can customise your text font, colour, headings, background images, question fields, and more. You can also change the general styling of questions and other UI elements, including adding custom CSS.

Is this not the right template for you?

Paperform also has over 700 templates to choose from, including for near-miss incidents, first aid, workplace and a motor vehicle crash form

Are all accident report form features free

You have unlimited forms, submissions, and integrations for Essential plan holders. However, you will not have access to our e-signature field, which is currently only included within our Pro and Agency plans. If you want not to include an e-signature field, please remove it from your form and include a yes/no field for authentication.

Key Features

This template is designed to help you collect information efficiently and professionally. It includes carefully crafted questions and fields that gather all the essential details you need.

Why Use This Template

• Save time: Start with a pre-built structure instead of creating from scratch
• Professional design: Looks polished and trustworthy to respondents
• Easy customization: Modify fields, colors, and branding to match your needs
• Mobile-friendly: Works seamlessly on all devices

How to Use This Template

1. Click "Use this template" to import it into your Paperform account
2. Customize the questions and fields to match your specific requirements
3. Adjust the design and branding to reflect your organization
4. Share the form link or embed it on your website
5. Start collecting responses and managing submissions

Customization Options

Paperform's visual editor makes it easy to:

• Add or remove questions
• Change colors, fonts, and images
• Set up conditional logic to show/hide fields
• Configure email notifications and integrations
• Accept payments if needed

Get started today and create a professional form in minutes.