The Employee Incident Report Form is a crucial document required under English and Welsh law for recording and reporting workplace incidents. It serves as an essential tool for compliance with health and safety regulations, including RIDDOR 2013 and the Health and Safety at Work Act 1974. The form should be completed promptly following any workplace accident, injury, near-miss, or dangerous occurrence. It captures vital information needed for internal investigation, regulatory reporting, and implementing preventive measures to avoid future incidents.
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1. Incident Details: Date, time, location, and type of incident
2. Personal Information: Details of affected employee(s) and witnesses
3. Incident Description: Detailed account of what happened
4. Immediate Actions Taken: Response measures and first aid provided
5. Reporter Information: Details of person completing the report
1. RIDDOR Reporting Section: Additional section for incidents that meet RIDDOR reporting criteria requiring HSE notification
2. Medical Assessment: Section for recording details of medical examination or treatment when medical attention was required
3. Equipment Involved: Section for documenting details of any machinery or equipment involved in the incident
1. Witness Statements: Additional detailed accounts from witnesses
2. Photographs/Evidence: Visual documentation of incident scene or injuries
3. Risk Assessment Review: Updated risk assessment following incident
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