Job Details

  • Date incident occurred

  • Job/Incident Number

  • Location

Engineer Details

  • Engineer

  • Tech Number

  • Team

Person completing report

  • Prepared by

  • Date of TM site visit

Nature of incident/allegation reported

Record of findings

  • We're there any witnesses?

  • Witness details if not the person reporting the incident

Photographs and drawings

  • Add media

  • Add media

  • Add drawing

  • Add drawing


  • Do we accept liability

What action is to be taken to resolve or repair

Corrective Action

  • Has the person reported been made adware of the incident

  • Has the Health and Safety department been notified?

  • Is further investigation required?

  • Who will carry out further investigation?

  • Has an incident report been completed on Solars

  • Manager signature

  • Engineer signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.