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Incident Report Template

An incident report captures what happened, where, to whom and under what conditions, at the moment it is still recoverable. Everything downstream depends on it: the recordability decision, the regulatory report, the investigation, the corrective action and the trend. A vague first record cannot be repaired later, because the scene is gone and the memories have converged.

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Raise within
Same shift, before people disperse
Feeds
Recordability, regulator report, investigation, CAPA

Summary

In short

  • Under 29 CFR 1904, an injury is recordable if it results in death, days away, restricted work or job transfer, medical treatment beyond first aid, or loss of consciousness, or if a licensed health care professional makes a significant diagnosis.
  • Recording and reporting are different obligations: a fatality must be reported to OSHA within 8 hours, and an in-patient hospitalisation, amputation or loss of an eye within 24 hours, regardless of what happens on the log.
  • Recordable cases must be entered on the OSHA 300 log within 7 calendar days of learning of them, and the 300A summary must be posted from 1 February to 30 April of the following year.
  • First aid is defined by a closed list in 1904.7(b)(5)(ii), so treatment not on that list is medical treatment even if it feels minor, which is the most common recordability error.
  • Records must be retained for five years following the calendar year they cover, and the 300 log must be updated as new information changes a case.
  • A near miss with the same energy and the same exposure is the same event with a better outcome, which is why serious near misses deserve the same investigation depth as injuries.

What it is

What it is

What is a workplace incident report?

A workplace incident report is the first record of an unplanned event that caused, or could have caused, injury, illness, damage or loss. It documents the facts of the event rather than its causes, and it is the source record from which recordability, regulatory reporting and investigation decisions are made.

What makes an injury OSHA recordable?

Under 29 CFR 1904, a work-related injury or illness is recordable if it results in death, days away from work, restricted work or transfer to another job, medical treatment beyond first aid, or loss of consciousness. It is also recordable if a physician or other licensed health care professional makes a significant diagnosis such as a fracture or a punctured eardrum.

How quickly must a fatality be reported to OSHA?

Within 8 hours of the employer learning of a work-related fatality. An in-patient hospitalisation, amputation or loss of an eye must be reported within 24 hours. These reporting deadlines are separate from, and much shorter than, the recording obligation on the OSHA 300 log.

When to use it

When to use it, and when not to

The instinct is to reserve the incident report for injuries. That produces a record set that measures outcomes rather than exposure, and a trend line that improves whenever reporting gets worse.

Use it for

  • Any unplanned event causing injury, illness, damage or loss, however minor the outcome appears at the time
  • A near miss with the energy and exposure to have caused a serious injury, scored on potential rather than what actually happened
  • Property or equipment damage with no injury, which frequently shares a cause with events that do injure someone
  • An environmental release, spill or exceedance, which usually needs a regulatory notification of its own as well
  • A security or aggression incident affecting a worker, including events involving members of the public

Not for

  • The investigation itself, including cause analysis, which belongs in a separate record so facts and conclusions do not blur
  • A hazard nobody was exposed to yet, which belongs in the hazard register rather than the incident log
  • A quality nonconformance with no safety dimension, which follows the nonconformance route
  • Routine equipment faults found during inspection, which are maintenance work orders
  • Grievances or conduct matters, which have their own confidential process

Standards

What it is built against

This template is the source record. It does not itself make the recordability decision, but it must capture everything that decision depends on.

ClauseRequirementWhere it lands
1904.4Recording criteria for work-related injuries and illnessesInjury and treatment detail
1904.5Determination of work-relatedness, including the exceptionsCircumstances, location, activity
1904.7General recording criteria: death, days away, restricted work, transfer, medical treatment, loss of consciousnessOutcome and treatment
1904.7(b)(5)(ii)Closed list defining first aid, distinguishing it from medical treatmentTreatment given
1904.29Forms 300, 300A and 301, and the 7-calendar-day entry requirementRecordability outcome
1904.32Annual summary preparation, certification and posting 1 February to 30 AprilDownstream
1904.33Retention and updating of records for five yearsRetention
1904.39Reporting fatalities within 8 hours; hospitalisation, amputation or eye loss within 24 hoursRegulatory notification
WorkSafeBC OHSR 3.4Employer investigation of incidents, including preliminary and full reportsInvestigation handoff

What it does not cover

  • The investigation itself, including cause analysis, which belongs in a separate record so facts and conclusions do not blur.
  • The recordability determination, which is a decision made from this record and should be logged with its reasoning.
  • The OSHA 300 log and 300A summary, which are statutory forms with their own certification and posting rules.
  • Corrective actions, which need owners, dates and effectiveness verification of their own.
  • Workers compensation claim submission, which runs on the insurer's timetable, not the regulator's.

Filling it in

Filling it in well

The value of an incident report is set in the first hour. After that, the scene changes, people talk to each other, and recollection converges on a shared version that is tidier than what happened.

Separate what happened from why it happened

The report captures facts: time, place, task, equipment, people, conditions, sequence, outcome. Cause belongs in the investigation. Mixing them produces a record that leads the analysis and closes off lines of enquiry before anyone has looked. A first report that already names a cause is usually a first report that names the injured worker.

Capture the scene before it is cleaned up

Photographs, positions, guard state, housekeeping, lighting, the actual tool in use. Within an hour the spill is mopped, the guard is back on and the offcut is in the bin. Nothing recovers that later, and the absence of it is what makes an investigation two weeks later feel like archaeology.

Record work-relatedness deliberately, including the exceptions

Work-relatedness is presumed for events occurring in the work environment, but 1904.5(b)(2) lists the exceptions, covering things like eating personal food, personal tasks outside working hours, personal grooming, self-medication for a non-work condition, and motor vehicle accidents in parking lots during commuting. Record the facts that bear on which applies rather than the conclusion.

Treat serious near misses as the same event

An unguarded machine that nearly took a hand and one that did take a hand are the same failure with different luck. If your near miss reports are consistently thinner than your injury reports, the reporting system is measuring outcome rather than exposure, and the leading indicator you think you have is not one.

Audit findings

Common audit findings

Incident recordkeeping findings cluster around two things: cases that were never recorded, and records that were never updated.

FindingClauseWhat fixes it
Recordable case not entered on the 300 log, or entered outside the 7 calendar day window.1904.29(b)(3)Recordability decision triggered automatically from the report, with the seven-day clock started at first knowledge.
Medical treatment misclassified as first aid.1904.7(b)(5)Structured treatment capture checked against the closed first aid list rather than a free-text note.
Fatality or hospitalisation not reported within the 8 or 24 hour deadline.1904.39Severity flag on the report that raises an immediate notification task with the deadline visible.
300A summary not certified by a company executive, or not posted for the full period.1904.32Annual task with the certifying role named and the posting window tracked to closure.
Case not updated when days away or restriction counts changed.1904.33(b)Open case status until the outcome is final, with day counts maintained rather than entered once.
Records not retained for the full five years, or retained without the 301 detail.1904.33(a)Retain 300, 300A and 301 together for five years following the year covered.
Work-relatedness decision recorded as a conclusion with no supporting facts.1904.5Capture location, activity, timing and the specific exception considered, so the decision can be re-examined.
Privacy concern cases listed by name on the 300 log.1904.29(b)(6)Privacy case flag that substitutes the case description and holds the name on a separate confidential list.
First report already names a cause or a person at fault.ISO 45001 cl.10.2Separate the fact record from the investigation record, and remove cause fields from the initial form.
Near misses reported at a fraction of the rate of injuries, with no serious-potential cases.ISO 45001 cl.10.2Score potential severity independently of actual outcome, and route high-potential near misses into full investigation.

Worked case

The first hour decides what the investigation can find

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By jurisdiction

How the duty differs by jurisdiction

Every jurisdiction requires incident recording, but they disagree about what counts and how fast you must tell someone. Multinational operations get caught by the reporting deadlines rather than the recording criteria.

United States

29 CFR 1904

Prescriptive. Closed definitions of recordability and first aid, statutory forms, fixed deadlines.

Recordability turns on treatment and outcome rather than severity as felt by the worker.

Canada

Provincial OHS regulations; WorkSafeBC OHSR Part 3

Provincially enforced with employer investigation duties.

BC requires a preliminary investigation within 48 hours and a full report within 30 days, which is a materially different obligation from US recording.

United Kingdom

RIDDOR 2013

Reportable categories defined by injury type and absence duration.

Over-seven-day absence is the key threshold, reported within 15 days. Specified injuries and dangerous occurrences are reported without delay.

Australia

Model WHS Act Part 3

Notifiable incidents defined as death, serious injury or illness, or dangerous incident.

Notification is immediate on becoming aware, and the incident site must be preserved until an inspector directs otherwise.

International

ISO 45001 cl.10.2

Management system requirement to report, investigate and take action.

Certification auditors look for the thread from event to verified effectiveness, not just the report.

Definitions

Definitions and key terms

Recordable case
A work-related injury or illness resulting in death, days away, restricted work or transfer, medical treatment beyond first aid, or loss of consciousness, or involving a significant diagnosis.
First aid
Treatment appearing on the closed list at 1904.7(b)(5)(ii). Anything not on that list is medical treatment for recordkeeping purposes.
Work-related
An event or exposure in the work environment that caused or contributed to the condition, or significantly aggravated a pre-existing condition, subject to the listed exceptions.
Days away
Calendar days the employee was away from work following the day of the injury, capped at 180 days for logging purposes.
Restricted work
Where the employee cannot perform routine job functions or work a full shift, recorded separately from days away.
Reportable event
A fatality, in-patient hospitalisation, amputation or loss of an eye, requiring direct notification to OSHA within 8 or 24 hours.
Privacy concern case
Case types, including certain injuries and illnesses, where the employee name must be withheld from the 300 log.
High-potential near miss
An event with no injury but with the energy and exposure to have caused a serious one. Investigated on potential, not outcome.

FAQ

Frequently asked questions

What makes an injury OSHA recordable?+

Work-relatedness plus any one of: death, days away from work, restricted work or transfer to another job, medical treatment beyond first aid, or loss of consciousness. A significant diagnosis by a physician or other licensed health care professional, such as a fracture or a punctured eardrum, is also recordable even without those outcomes.

What is the difference between recording and reporting?+

Recording means entering a case on the OSHA 300 log, which must happen within 7 calendar days of learning about it. Reporting means directly notifying OSHA of a severe event: a fatality within 8 hours, and an in-patient hospitalisation, amputation or loss of an eye within 24 hours. The two obligations are independent and the reporting deadlines are much shorter.

Is treatment first aid or medical treatment?+

First aid is defined by a closed list at 1904.7(b)(5)(ii). If the treatment given is on that list it is first aid; if it is not on the list it is medical treatment, regardless of how minor it seems. Wound closure with sutures, staples or adhesive is medical treatment, while butterfly or steri-strips are first aid. Prescription-strength medication is medical treatment even at a single dose.

How long must incident records be kept?+

Five years following the end of the calendar year the records cover, under 1904.33. That covers the 300 log, the 300A annual summary and the 301 incident reports. The 300 log must also be updated during that period as new information changes a case, such as a change in days away.

When must the OSHA 300A summary be posted?+

From 1 February to 30 April of the year following the year covered. It must be certified by a company executive as correct and complete before posting, and it must be displayed where employee notices are normally posted.

Should near misses use the same report?+

Yes, with severity potential scored separately from actual outcome. A near miss with the energy to cause a fatality warrants the same investigation depth as a serious injury. Using a lighter form for near misses reliably produces lighter investigations, which is how the same event recurs with a worse outcome.

The agents

What the agents do with it

The report is easy. What fails is everything hanging off it: the recordability call nobody made, the eight-hour clock nobody started, the corrective action closed without anyone checking it worked.

KnowSafe

Captures the report at the point of the event on mobile, starts the recordability assessment, and raises the notification task with the regulatory deadline attached when severity crosses the threshold.

KnowHealth

Holds treatment detail against the closed first aid list and tracks days away and restriction as the case develops, so the log stays current rather than being entered once.

KnowTrain

Links the event to competency records for the task and surfaces whether required training was current at the time.

Ella

Keeps the case thread together from report through investigation to verified corrective action, and holds every write for approval.

This template lives in KnowSafesafety and compliance. Incidents, hazards, permits, inspections and the critical controls behind them.

Meet KnowSafe

Sources

Sources

  • 29 CFR Part 1904, Recording and reporting occupational injuries and illnesses
  • 29 CFR 1904.7, General recording criteria, including the first aid list
  • 29 CFR 1904.39, Reporting fatalities, hospitalisations, amputations and losses of an eye
  • WorkSafeBC Occupational Health and Safety Regulation, Part 3, incident investigation
  • RIDDOR 2013 and HSE reporting guidance (UK)
  • ISO 45001:2018 clause 10.2, incident, nonconformity and corrective action

KnowSafe

Also in Incidents

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Record

Near Miss Report

Records something that could have caused harm but did not. Raised straight away, while the detail is fresh. Completed by anyone who saw it. Near misses with high potential get the same investigation as a real injury, because the only difference was luck.

Record

First Aid Report

Records a minor injury treated on site with no further medical care needed. Completed at the time of treatment by the first aider. Captures what happened, the treatment given and the body part affected. Feeds the same trend analysis as more serious injuries.

Record

Medical Treatment Report

Records an injury needing treatment beyond first aid. Completed by the supervisor once the worker has been seen. Captures treatment, provider and time away from the task. Drives regulatory reporting and links to the health case that follows.

Record

Lost Time Report

Records an injury that keeps a worker away from work beyond the day it happened. Completed by the supervisor with HR. Captures days lost, restrictions and expected return. Requires a full investigation and links to return to work planning.

Record

Property Damage Report

Records damage to equipment, buildings or stock where nobody was hurt. Raised as soon as the damage is found. Completed by the supervisor of the area. Links to the asset affected and to any repair work order, so cost and cause sit together.

Record

Vehicle Incident Report

Records a collision or vehicle event on site involving forklifts, yard trucks or visiting vehicles. Completed by the driver and supervisor once the area is safe. Captures the vehicle, driver, conditions and damage. On road events use the fleet version instead.

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