Accident Report (Investment Builders Ltd)

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Report Time

  Date

Contractor Details

• Company

Reporting Requirements

• Accident, Near Miss or Safety Incident

  Yes

  No

  N/A

• Environmental Incidents

  Yes

  No

  N/A

Accident Description

• Description here.

• Add media

  Media

Care Report

• Has a recent Safty audit been completed.

  Yes

  No

  N/A

Report Completion

• Signature of Contractor/Safety Co-ordinator

  Sign