Accident Record Book

The accident report collects lots of useful information about each incident, broken down into the following sections:

• Accident date
• Accident time
• Location
• Date / Time reported
• person injured/involved
• Full name
• Address
• E-mail and Phone
• Details of incident/accident
• Nature and extent of injuries
• What action was taken?
• Witness: Name & Contact
• Actions which could have prevented the incident
• Form completed by
• Approved by
• Position
• Signature