A good incident report is written within a shift, states facts in time order and finds the system cause rather than a person to blame. This template walks supervisors and safety leads through that order: incident details, a factual description, injury classification and care, witnesses, immediate and corrective actions, a five-whys root cause and sign-off.

The sample follows Lowmoor Group's report IR-2027-014: a picker slipped on condensation at Dock 4 on February 24, 2027, sprained a wrist and returned to light duty the next day. Replace the details with your own, write the description as a list of facts, change the injury classes to your regulator's, and give each action an owner and date.