Incident Reporting

Report, track, and investigate incidents and near misses

Status

Severity

Incident #	Title	Category	Severity	Status	Investigator	RIDDOR	Date	Actions
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Report New Incident

Complete the form below to report an incident or near miss

Incident Title *

Description *

Incident Date & Time *

Severity *

Department

Specific Location Details

Add anyone who was directly affected or injured in this incident.

Add anyone who witnessed the incident (optional).

Overall incident classification for RIDDOR reporting. Individual injury details can be added per affected person above.

Primary Injury Type

Total Days Off Work

Auto-calculated from affected persons

Immediate Action Taken