Screen Shot 2017 10 10 at 9.20.07 AM 1040x650 - Incident Report

Incident Report

  1. Incident Type
  2. Outcome/Result
  3. Body Part(s) Affected
  4. Equipment/Tools Involved
  5. People Involved
  6. Contributing Factors (Behaviors)
  7. Contributing Factors (Conditions)

This checklist can be used to document most incidents (Medical/First Aid Injuries, Property Damage, Vehicular, Near-Misses, etc.).  This checklist is customizable.

iPhone 6