Incident report form blank 2025

1. Click ‘Get Form’ to open the incident report form blank in our editor.
2. Begin by checking all applicable boxes for the type of individual involved: Employee, Participant, or Volunteer.
3. Fill in the date and time of the incident, along with the name and date of birth of the injured party. Ensure you include their home address and phone number for follow-up.
4. Specify the facility name and provide detailed information about where on the grounds the incident occurred.
5. If there were witnesses, record their names and phone numbers in the designated section.
6. Describe the injury by indicating which part of the body was affected and providing a brief description.
7. Detail any actions taken post-incident, such as notifying a parent/guardian or administering first aid. Include specifics like EMS involvement if applicable.
8. For property damage or theft incidents, list what was damaged or stolen, including inventory or serial numbers if available.
9. Complete your personal information at the bottom, including your title and work location before submitting it promptly.

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