Accident Report Form

Try our free accident report form on your mobile device to inform union representatives of when a worker becomes injured on the job.

Record accident details and the state of the workplace with this convenient form. You can place in information about whether the employee sought medical treatment and unsafe working conditions as the details can be sent to company's office staff.

Try our accident report form for free on any mobile device with a free trial of IntouchCheck mobile form software. Sign up for a free trial today and ask your Intouch specialist to load this pre-built form into your account.

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Workplace accidents can cause significant injuries to employees. If the accidents were due to a hazard work environment that has been overlooked by the company, an employee can inform their union representative of the issues so action can be taken about this violation. Use our accident report form to gather information about the employee's injuries that can be later be placed into a report and sent to the company.

Form Details

This comprehensive accident report form is designed for mobile devices as information about workplace hazards can be placed directly into the template on your screen. Tap in answers in regards to the type of accident that occurred, if medical services had to be provided to the employee, and what the conditions are in the workplace that caused the accident. With our form template, you can input the required information that a union representative needs so they can better the employee and obtain a resolution on the employee's behalf from the company.
Fill in the appropriate categories so that accidents are not overlooked in the workplace. The information in this accident report form will also help to identify continued problems with workplace conditions that can affect the safety and health of other workers. You can place answers into the following pre-built template categories:
Basic company information
Accident date and time
Date that the employee reported the accident
Accident details
Injury description
Workplace conditions
Provided medical attention
Witness information
Worker's insurance provider notification
Building operations resolution for unsafe conditions

Customize Your Accident Report Form

We know that every business is unique, and your forms should reflect that. Our ready-to-use template is a comprehensive list of industry standard fields, but it is most useful when customized to reflect your own needs. The IntouchCheck platform makes it simple to quickly customize the mobile form template to meet the individual needs of your company and goals; questions, fields, or sections can be quickly removed, and new queries or fields can be added in the appropriate places to fit your project.

Create Your Own Accident Report Form Template

Already have processes and procedures in place? IntouchCheck’s straightforward interface makes it fast and easy to create your own forms, where you can customize the sections, categories, questions, and types of data/image capture fields. We’re here to help you get started! Try IntouchCheck for free, and see how easy it is to streamline your business processes.