How to complete an incident report: Incident report example

When you have an incident on-site, whether it’s a near miss, an injury, or a work-related illness, it’s important to document an incident report.

Incident reports don’t need to be time-consuming,  lengthy or use fancy health and safety terms, you just need to describe what happened in your own words so you have a record of the incident. You can use the incident report to help explain what happened to others, such as your direct team on-site, contractors,  other Employers, or the Main Contractor.  

What is an incident report?

An incident report is the process of recording incidents on-site, such as near misses, injuries, illnesses and plant/property damage. It involves documenting all the facts (known so far) related to the incident. 

Check out this blog on Managing and reporting incidents at work to learn more about what is considered an incident and why it’s both important and helpful to report incidents. 

How to complete an incident report:

Hit body on object example incident report

Hitting your body on an object is a very common example of an incident. For this incident report example, we will assume someone on-site has hit their body on a door frame and injured their shoulder.

Site Location

32 Dropsaw Lane, Wellington 6011

Date of Incident
2nd November 2024

People involved

Joe Hazard (injured)

Sam Small (witness)

Larry Large (witness)

 

Type of Incident

Damage ( equipment or property was damaged)

Security/Theft (site accessed unexpectedly or something was stolen)

Environment (Pollution or hazardous substance spill)

Near Miss (Something occurred but there was no harm caused)

✅ Injury (Someone was physically hurt)

Illness (Work-related illness)

Other (Something else happened)

Other (Something else happened)

 

Cause of Incident

This is where you select from the the list of causes what the main reason it happened was – In this case, it’s person vs object

Treatment received

First aid (performed on worksite)

✅ Medical Centre (Minor injury or illness)

Hospital (Major injury or illness)

Unsure (I’m not sure what treatment was given)

None (No treatment was required)

 

Type of injury

Select the category that best suits or select “other” to select your own, if you don’t know what type of injury happened you can also select “unknown”

Additional Information

Describe what happened –  List the facts that are known so far about the incident such as :

*what job or activity was being performed at the time.

*What plant, equipment or tools were being used

*What went wrong

*What was the injury or damage (or the potential)

*What happened immediately after the incident

Joe Hazard was carrying plywood through a doorway on-site when he hit his shoulder on the door frame. Joe felt immediate pain in his left shoulder and struggled to lift his arm above shoulder height. Joe informed Sam Small (Supervisor) immediately and agreed to go to the local medical centre for further assessment

 
Pictures speak a thousand words so don’t forget that you can upload scene photos or relevant information in picture form at this step in the app, and if there’s something that you don’t want forgotten you can also create a task.

This is an example of a simple incident report, find out more about what good incident reporting looks like. 

If you’re a HazardCo member, hit the Report an Incident button in the HazardCo App and follow the guided prompts to record the incident. Your membership includes 24/7 incident support, so if you need some extra help filling in the report, would like advice on if the incident is notifiable to the Regulator, or would just like to chat with an expert about how to communicate the incident to your team, we are here to help! 

Remember, when you have an incident on-site, writing an incident report is just one action you need to take. Learn more about what to do when you have an incident on site.