Form
Incident Report
What this is: A written record of any incident, injury, theft, fire, equipment damage, near-miss, filed the same day, feeding directly into Volume 10's risk response cycle and, where relevant, Volume 23's mistake log.
Used in: Volume 10, Chapter 6: Building a Risk Response Plan
Date/time of incident: ______________________ · Reported by: ______________________ · Location: ______________________
Incident type: Injury Theft/Security Fire Equipment Damage Near-Miss Other: ______________
What happened (facts only): ______________________________
Immediate action taken: ______________________________
Risk category (per Volume 10's risk map): Physical People Financial External
Follow-up action required, with owner and date: ______________________________