After an injury or near miss, the facts fade quickly and opinions take their place. This eight-page Google Docs template keeps the record factual: a summary, a timed sequence of events, the evidence, a root cause analysis, a corrective action list and the lessons for the team. Each section answers one question, so readers can check the account against the evidence without reading the whole file.

The sample is a fictional Sandpiper Logistics incident at Unit 4, where a loader fell from an unrailed dock step on 2 February 2027 and fractured a wrist. It includes the timeline, 41 logged near misses and six corrective actions with owners. Replace the facts, names and figures with your own, and check each date against the signed statements before the report is filed.