Title Page

  • Department/Unit

  • Short description

  • Reported by

  • Responsible supervisor

Where did the location occur

  • Location

  • Use GPS to locate

  • Add location
  • Specific location

  • Pictures of location

  • Add media

When did the incident occur?

  • Date/Time Occured

  • Date reported

Enter a full description of the event

  • Event Description

  • Describe by drawing

  • Add photo/video

Immediate corrective actions

  • Any corrective actions taken.

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.