Incident Report Form

Form Template

This Incident Report Mobile App provides a simple way to log details about a workplace injury or to report an accident at a job site using a smartphone or tablet.

5,000 Companies save time and money with GoCanvas

Lumen Logo Post Consumer Brands Logo Saluda Hill Landscapes Logo Te3co Logo Two Men and a Truck Logo VIP Lighting Logo
Language: English
Country: United States of America



This workplace incident reporting template lets you capture details about work-related accidents right from your mobile device with specific details about the work-related injury, employer and injured employee name, date injury occurred, reporting process details, law enforcement investigation number and other details.

Promote health and safety through this helpful workplace accident report that tracks all details about the employee accident and work-related injury electronically. Use the work-related injury tracking app to add details about the injured employee and any witness to the accident. The incident report app also allows users to add photos of the scene and the workplace injury for insurance purposes.

Key benefits of this employee work injury app:.

Take snapshots of the scene and/or sketch details right in the app.

Customize the incident reporting form for a variety of needs, including worker compensation, location services, medical treatment and other important accident report and injury details.

Ensure your security incident details and data are not compromised.

Access your data from anywhere and anytime. A PDF is automatically generated once the app is completed at this scene, allowing you to instantly share it with others.

All our public safety forms and apps can be found on the apps category page.

If you need a form for the field services industry, check out our field incident report.

Features
  • Signature Capture
  • GPS
  • Image Capture
  • Submission Editing
Read More
Platforms
  • iPhone
  • iPad
  • Android
  • Windows
Read More
Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
Read More
*The Capterra SoftwareAdvice ​and GetApp logos are a service mark of Gartner, Inc. and/or its affiliates and is used herein with permission.*

Don't take our word for it...

“I’m not a tech guy and I was able to pick this thing up in probably an hour, and actually start to build apps. I’ve done them over lunch when I’ve gotten frustrated with a process that didn’t exist in our company. So for non tech people who’ve got a problem, the support here is awesome and I’d recommend it to anybody, not just in our industry.”

Dave Kramer, PennLine Service

Connect with one of our experts today.

We’ll help you put together the right solution for your needs.

Contact Us