Mobile plant incident report template
Short answer
A mobile plant report identifies the machine, the operator, the route and who was nearby. It records speed, load and what the operator could see from the seat. This page lists the fields, with a free PDF and Word template for forklifts, loaders and excavators, and a voice version.
Writing up a mobile plant
Mobile plant incidents involve a machine, a person and a gap between them. The gap is the story: the mirror that doesn’t cover it, the spotter who stepped away, the aisle with no separation. A good template asks about the gap up front.
Fields to capture
These fields help an investigator rebuild what the operator could see and where everyone stood.
- Plant type, ID and registration, and the attachment fitted
- Operator, and whether they were licensed or ticketed for the machine
- Route and travel direction, with a sketch or photo of the area
- People nearby and their distance from the machine
- Visibility from the seat: mirrors, cameras, load height and lighting
- Speed, load carried and surface condition
- Spotter or traffic control in place, and where they stood
What a good record looks like
A strong report has a sketch of the area with the machine’s path and each person’s position marked. It records what the operator could see, which is not the same as what was there. It notes the machine’s condition after the event, since defects turn up later.
Where reports go wrong
Reports often blame the operator and stop. They miss the layout, the pedestrian path and the visibility, which were set up long before the shift. A near miss with a forklift goes unreported because nobody was hurt, and the same aisle is hit again.
Serious injuries and the regulator
Where plant strikes or crushes someone, or nearly does, the notifiable incidents page explains which events reach the regulator. It links to each state’s number. If you’re unsure, ring the regulator rather than guess.
Where Haznote fits
Haznote lets the operator, a witness or the supervisor record the event by voice with a photo and a location. A manager confirms the category and priority. It doesn’t read plant data or telematics. The report holds what people saw and when.
Download the form.
A free example to print or edit. It’s general information, not legal advice, and it asks for no email.
Plain answers.
Should a near miss with plant be reported?
Yes. Plant near misses are common and the layout fix is often cheap. The near miss template covers them.
What if the operator is the one injured?
A witness or supervisor can start the report, and the operator adds their own account when they’re able.
Does it cover vehicles on the road?
No. Use the vehicle incident template for road vehicles.
Where this comes from.
This page describes how Haznote works. It makes no claims about the law, so it cites no regulator.
Record a mobile plant by voice. A manager confirms it.
Run it on one site and see the first report land in the manager’s list.