Incident report template for Australian worksites
Short answer
An incident report records what happened, to whom, in what order and what was done straight after. Download the free PDF or Word template below, or pick the incident type for a version with the questions an investigator asks about it. A serious injury has a separate route, explained on the notifiable incidents page.
What an incident report should hold
An incident report is for the person who reads it later: an investigator, an insurer, a manager closing out actions. That reader wasn’t there. The report needs to answer their questions without a phone call. That’s why the fields start with the plain facts: the time, the place and who was there. Opinions about the cause come later.
- Report number
- Date and time of the incident
- Person involved: name, role and employer
- Witnesses and how to reach them
- Account in the person’s own words
- What they were doing just before
- Medical help given, and by whom
- Area made safe, and how
Write it the same day
Memory moves fast. Within a day people merge two events, lose the order and forget who stood where. A report written the same shift is worth far more than a tidy one written on Friday. It has the person’s own words and photos taken before anything was moved. A rough sketch of the scene with distances marked often beats a page of description.
Own words, then a manager’s view
The worker’s account and the manager’s conclusions are different things, and the record should keep them apart. In Haznote the AI’s draft, the worker’s original words and the manager’s edits are stored separately. The manager confirms the classification.
Pick the incident type
A fall asks about height and surface. A chemical spill asks about the product and the drain. Each type page below lists the extra questions that type needs, with its own template.
Serious injuries
A death or serious injury goes through the regulator, not just an internal form. The notifiable incidents page explains the triggers and links to each state. This template is for your own record.
Download the form.
A free example to print or edit. It’s general information, not legal advice, and it asks for no email.
Pick the incident type.
- Fall from height incident report templateAn incident report template for a fall from height: the height, the surface, what stopped or failed to stop the fall, and who saw it. Free PDF and Word.
- Electric shock incident report templateAn incident report template for an electric shock or burn: the equipment, supply, isolation state and symptoms. Free PDF and Word, with a voice version.
- Mobile plant incident report templateAn incident report template for forklifts, excavators and other mobile plant: plant ID, operator, route, people nearby and visibility. Free PDF and Word.
- Chemical spill incident report templateAn incident report template for a chemical spill or release: product, quantity, containment, exposure and clean-up. Free PDF and Word, with a voice version.
- Manual handling injury report templateAn incident report template for manual handling injuries: the load, posture, distance, task and onset of pain. Free PDF and Word, with a voice version.
- Silica dust exposure incident report templateAn incident report template for crystalline silica dust exposure: material, task, controls, duration and symptoms. Free PDF and Word, with a voice version.
- Near miss report template for Australian worksitesA near miss report template: what almost happened, what stopped it, how bad it could have been and what to change. Free PDF and Word, with a voice version.
- Vehicle incident report template for work vehiclesAn incident report template for work vehicles, utes, trucks and quad bikes: vehicle, driver, road, speed, load and injuries. Free PDF and Word.
Plain answers.
Is the template free?
Yes. It’s a PDF and a Word file with no email needed. Edit it to suit your workplace.
Does this report notify the regulator?
No. It’s your internal record. Check the notifiable incidents page and ring the regulator if you’re unsure.
What about a hazard nobody has been hurt by?
Use the hazard report form. This template is for something that has already happened.
Where this comes from.
This page describes how Haznote works. It makes no claims about the law, so it cites no regulator.
Record an incident by voice. A manager confirms it.
Run it on one site and see the first report land in the manager’s list.