Accident and Near Miss Report

Download our free accident and near miss report form

Recording accidents and near misses helps you find out why they happen and stop them happening again. Our free Word form covers:

• what happened, when and where
• the person involved and any injury or ill health
• witnesses
• a RIDDOR check, so you know whether the incident must be reported to HSE
• a no-blame investigation, with immediate and underlying causes
• an action plan and sign-off

Download the accident and near miss report (Word)

Completed forms contain personal information, so store them securely.

Need help investigating an incident or deciding whether it’s reportable? Talk to us or call 01869 222 144.