Accident Incident Report Form

Structured incident record: people affected, narrative, witnesses, severity, root cause, and corrective actions.

HSE managers and site supervisors use this check across construction sites, plants, camps, hotels and workshops. It walks through Persons involved, Description & immediate response and Causes & actions.

Site teams in Ghana, Nigeria and similar markets use it when the inspection is still a clipboard, a WhatsApp photo or an Excel sheet rebuilt after the shift.

This PDF is a sample for inspections done by hand. AuditDAT does not work with paper checklists. We digitise the form. Your team then does the check on a phone or tablet, even with no signal. Photos, notes and a signature stay on the inspection. A fail becomes a job card before you leave site. Learn more

Preview of the Accident Incident Report Form

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On the form

What this inspection covers

Structured incident details for investigation follow-up.

  1. 01

    Persons involved

  2. 02

    Description & immediate response

  3. 03

    Causes & actions

When a line fails

Each line is marked pass, fail, or not applicable. In AuditDAT, a fail becomes a job card with an owner and a due date before you leave the site.

FAQ

What does this Accident / incident report check cover?

What does this Accident / incident report check cover?

It covers Persons involved, Description & immediate response and Causes & actions. HSE managers and site supervisors use it across construction sites, plants, camps, hotels and workshops. The PDF is a sample for teams still inspecting by hand. AuditDAT does not use paper checklists. The check runs on a phone, and a fail becomes a job card.

Does AuditDAT use this Accident / incident report checklist on paper?

No. The PDF is a sample for teams still doing inspections by hand. AuditDAT does not work with paper checklists. We digitise the form. Your team then inspects on a phone, tablet or the web, even with no internet. A fail becomes a job card with an owner and a due date.

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