Free Downloadable Incident Report Form | Business Growth Club

Capture incident details, witnesses, actions taken & follow-ups with our interactive Incident Report Form—save progress & export a PDF report.

📋 Incident Report Form

Name Role/Title Department Contact Info Date & Time Reported

Date & Time of Incident Location Type of Incident Description

Person 1 Name Person 1 Role Person 2 Name Person 2 Role

Witness 1 Name Witness 1 Contact Witness 2 Name Witness 2 Contact

Injury Occurred? Injury Details Property Damage? Damage Details

Actions Taken

Follow-Up Steps

Status

Name Title Date Signature

Progress saved!

Enter Reporter Details
Provide your name, role, department, contact info, and report timestamp.
Document Incident Details
Fill in date/time, location, type of incident, and a detailed description.
List People Involved & Witnesses
Record up to two involved parties and two witnesses with their contact info.
Record Injuries & Damage
Indicate whether injuries or property damage occurred and describe each.
Log Immediate Actions
Note any first-response steps taken to secure the area or assist victims.
Plan Follow-Up & Recommendations
Outline next steps, assign responsible personnel, and set due dates.
Update Incident Status
Select “Open,” “Under Investigation,” or “Closed” to reflect progress.
File & Sign
Enter the filing staff’s name, title, date, and digital signature.
Save Progress
Click Save Progress to store your entries in the browser—no login needed.
Download/Print PDF
Hit Download/Print PDF for a clean, submission-ready report.
Reset Form
Use Reset Form to clear all fields and start a new report.