---
title: Restaurant Kitchen Accident Report Form Template | Paperform
description: Professional kitchen accident report form for documenting injuries, burns, cuts, equipment incidents, and workers' compensation claims in restaurant and food service environments.
url: "https://paperform.co/templates/restaurant-kitchen-accident-report"
type: static
generatedAt: "2026-03-28T00:45:03.656Z"
---

[← Back to free form templates](/templates/)    ![Restaurant Kitchen Accident Report](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/restaurant-kitchen-accident-report.png)
    [Preview](https://_preview.paperform.co/ai-template/restaurant-kitchen-accident-report) [Use this template for free](/create?ai-template=restaurant-kitchen-accident-report)    [Reporting & Incident Forms](/templates/category/reporting/)[Industry-Specific Forms](/templates/category/industry-specific/) [Hospitality](/templates/industry/hospitality/) [Manager](/templates/role/manager/)[Chef](/templates/role/chef/)[Restaurant Owner](/templates/role/restaurant-owner/)[Safety Officer](/templates/role/safety-officer/)     About this free form template
When kitchen accidents happen, accurate documentation is critical—not just for workers' compensation claims, but for health department compliance, insurance records, and preventing future incidents. This **Restaurant Kitchen Accident Report** template helps restaurant managers, shift supervisors, and safety officers capture everything needed in the immediate aftermath of a kitchen injury.

Built specifically for hospitality and food service environments, this form walks you through documenting the incident details, injury type and severity, equipment or hazards involved, witness statements, and immediate actions taken. You'll collect information that satisfies OSHA reporting requirements, supports workers' comp filings, and creates a clear record for health department inspections or insurance claims.

Paperform's conditional logic means the form adapts to the situation—fields for burn injuries appear when burns are reported, cut and laceration details show up for knife or slicer incidents, and equipment failure sections only appear when relevant. You can add photo uploads for injury documentation, incident scene photos, and equipment condition, ensuring nothing is missed in the heat of the moment.

Once submitted, use **Stepper** (stepper.io) to automate your post-incident workflow: notify your workers' comp provider, alert your health and safety officer, create a task for equipment inspection or repair, log the incident in your safety management system, and trigger follow-up check-ins with the injured employee. This automation ensures compliance steps aren't forgotten and that every accident is properly tracked and addressed.

Whether you're managing a quick-service restaurant, fine dining establishment, catering kitchen, or hotel food service operation, this template helps you respond quickly, document thoroughly, and maintain the safety standards your team and your guests depend on.
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