Incident reporting checklist
This checklist covers what to record and who to tell after an injury or near miss. Tick each item at the point of work and record any failure.
1Check people and area
- Injured person receives appropriate immediate help [VERIFY]MUST
- Area is made safe [VERIFY]
- Incident time and place are written
- Supervisor is notified
2Check controls and equipment
- Witness names are recordedMUST
- Evidence is preserved without delaying care
- Injury details are recorded privately
- Reporting obligations are checked [VERIFY]
3Act on findings
- Immediate action has an owner
- Investigation reference is assignedMUST
- Affected worker follow-up is arranged
- Closure approval is recordedMUST
Check before you rely on it. These need a check for your site or with the official source: Injured person receives appropriate immediate help; Area is made safe; Reporting obligations are checked. This is a practical starting list, not a legal or safety certificate.
When to use it
The incident reporting lead uses this list each time this job or event occurs. Allow about 12 minutes for the checks, plus time for any problem found. Work from the site inspection register and the marked work area. Look at the actual item before ticking it. Mark No when evidence is missing and explain why.
Its scope is specific: what to record and who to tell after an injury or near miss. First confirm injured person receives appropriate immediate help, then examine the relevant work before approval or handover. The person named at the top should complete the checks as the work happens. Do not sign a page from memory later.
If an item is a "No"
For a failed (must) check, hold the affected work at its current stage. The incident reporting lead records the item, current job or lot, time and a clear note. Tell the person authorised to release that work. Do not tick Yes after simply sending a message. Recheck the item and record who accepted it before proceeding.
For this checklist, pay particular attention when witness names are recorded cannot be confirmed. Check the supporting record or the actual material. A photo alone may not prove a measurement or approval. Note missing evidence.
For other failures, name an owner and due date. Escalate safety, compliance or customer risks before release.
Common mistakes
- Ticking area is made safe without looking at the actual item or source record.
- Writing "done" when evidence is preserved without delaying care has not been checked.
- Closing the sheet even though immediate action has an owner is still unknown.
- Filing the page with no name, no date or no owner for failed items.
Make it your own
Print this on A4 or keep it in a shared sheet. Add a column for the person clearing each failed item. In a engineering business, adapt the references to the part, lot, machine or delivery document your team actually uses. In garments, name the local register and sign-off owner. Remove a check only if it truly cannot apply, and write down why. Do not remove critical safety or statutory checks without qualified review.
Try the list on a real job, then ask the incident reporting lead which records were hard to find. Keep one approved version with a revision date so the team uses the same checks.
Review required: This is a practical starting list, not a legal or safety certificate. Check the current rules and get a qualified person to review it for your site. Items marked [VERIFY] need a site-specific or official-source check before use.
A checklist only works if someone ticks it, every time, and someone reads it.
Questions people ask
Who should sign the incident reporting checklist?
The incident reporting lead who performed the check signs it. If a different person approves release, capture that name too. Do not use another person’s signature.
What if injured person receives appropriate immediate help cannot be confirmed?
Mark No, describe what you looked at and hold the affected work if it is a critical item. Ask the authorised owner to decide the next action. Keep the result in the same record.
Can we use the short version instead of the full checklist?
Use the short version for a quick reminder. The full list has the remaining checks, failed-item notes and signature. Keep it for the actual decision and review.
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