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.

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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.

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

  • Signature Capture
  • GPS
  • Image Capture
  • Submission Editing
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  • iPhone
  • iPad
  • Android
  • Windows
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  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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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

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