Accident Report Form Template UK

The Accident Report Form Template UK is offered in multiple formats, including PDF, Word, and Google Docs, making it easy to edit and print as needed.


Sample

Accident Report Form Template UK

Editable – Printable



Accident Report Form Template UK

1. Reporting Individual Information



2. Incident Information


3. Individuals Involved

4. Description of the Incident

5. Witness Information

6. Immediate Action Taken

7. Follow-Up Actions Required

8. Preventative Measures

9. Signatures and Acknowledgments

10. Declaration and Signatures




PDF


WORD

Examples


Accident Report Form Template UK (1)
Date of Incident:
[Date of Incident]
Time of Incident:
[Time of Incident]
Location of Incident:
[Exact Location of Incident]
Name of Injured Party:
[Name of Injured Party]
Contact Details:
[Phone Number]
[Email Address]
Details of Incident:
[Description of what happened, including sequence of events leading to the accident. Be detailed about the circumstances surrounding the incident.]
Injuries Sustained:
[Details of any injuries, including severity and treatment received. Mention if medical attention was sought.]
Witness Information:
[Name(s) of any witnesses]
[Contact details of witnesses]
Actions Taken:
[Outline any actions taken immediately after the incident, such as first aid administered or if emergency services were called.]
Signature:
[Signature of the person reporting the incident]
[Printed Name]
[Date]
Accident Report Form Template UK (2)
Date of Incident:
[Date of Incident]
Time of Incident:
[Time of Incident]
Location of Incident:
[Exact Location of Incident]
Name of Injured Party:
[Name of Injured Party]
Contact Details:
[Phone Number]
[Email Address]
Details of Incident:
[Comprehensive description of the incident, including factors that led to the accident. Include any information regarding weather conditions or equipment involved.]
Injuries Sustained:
[Specifics about injuries incurred, how they were treated, and if further medical help was necessary.]
Witness Information:
[List any witnesses to the incident]
[Their contact details]
Preventive Measures:
[Suggestions on how to prevent similar incidents in the future. Include any safety protocols that may be necessary.]
Reported by:
[Signature of the person reporting the incident]
[Printed Name]
[Date]

Printable



Accident Report Form Template UK