Incident Report Form

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.

Industry: Public Safety General Public Safety

  • Apple
    iPhone, iPad
  • Android
  • Window

Why Customers Love GoCanvas

Reduces paperwork
Tracks jobs & expenses
Shows real-time data
Affordable plans
How It Works
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

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