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Worksite Incident Report Checklist

Use this construction worksite incident checklist to document site incidents and make sure employees follow safety protocol.

Question

Response Type

1.

Is this a serious emergency requiring immediate medical attention? If yes, call 911.

Yes No N/A

2.

What is the name(s) and title(s) of the person(s) involved?

Text Answer

3.

Has anyone involved sustained any injuries?

Yes No N/A

4.

If yes, please provide a description of the injury or injuries.

Text Answer

5.

Where did this take place?

Text Answer

6.

Provide a brief description of what happened.

Text Answer

7.

Was any property, material or equipment damaged?

Text Answer

8.

If yes, please provide a description of the damage.

Text Answer

9.

What could have been done to prevent this incident?

Text Answer

10.

Has anyone notified the general contractor of this incident?

Yes No N/A

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Download our worksite incident report checklist

Need an easy way to make sure you capture all the relevant details of a safety incident? Fill out the form to download our worksite incident report checklist as a workable PDF. We’ll also email you a copy. Then, work through each checklist item to document the incident and make sure your team follows proper reporting procedures.

Download this worksite incident checklist

construction hat and tools on the ground.

What is a worksite incident in construction?

In construction, the definition of a worksite incident is any occurrence of injury or near miss of injury on the jobsite.

OSHA strongly encourages construction companies to investigate all worksite incidents to identify the cause and determine what avoidable hazards or safety violations contributed.

Incident vs. accident

While the word “accident” is often used interchangeably with worksite incident, these terms are not equal. OSHA defines accidents as unplanned events that cannot be consciously avoided.

Most worksite incidents, however, can be prevented by following proper safety procedures. Using the term incident instead of accident reinforces the idea that the construction company must proactively work to improve safety standards and reduce the risk of injury moving forward.

Reportable incidents

Incidents that lead to death or serious injury must be reported to OSHA within a specific time period—between 8 to 24 hours after the incident occurs depending on the severity.

Incidents that must be officially reported to OSHA include those that result in:

  • Fatality

  • Hospitalization

  • Amputation

  • Eye loss

  • Loss of consciousness

While there is no legal obligation to report less severe injuries like minor cuts or sprains, construction companies should still document these incidents internally as a best safety practice. Thoroughly documenting incidents helps you identify safety concerns and take corrective action that greatly reduces the risk of recurring injury.

Help your crew learn the importance of incident reporting with our incident and near miss reporting toolbox talk.

How to document a construction worksite incident

When a worksite incident occurs, follow these steps to make sure you document it properly:

  • Notify emergency services

  • Document the details

  • Describe the worksite incident

  • Identify contributing factors

  • Notify stakeholders

  • Use a worksite incident checklist

1. Notify emergency services

If an injury has occurred and immediate medical attention is required, notify emergency services. Providing first aid or securing medical attention for the injured individual(s) is always the highest priority after a worksite incident.

2. Document the details

Record the names and job titles of all individuals involved in the worksite incident. This includes the names of any injured individuals as well as those who were simply present in the general work area.

List any injuries that were sustained and note who sustained them. Document the exact location, time, and date of the incident, and record any equipment that was involved.

3. Describe the worksite incident

Describe the incident and the events that led up to it in detail. If multiple individuals were involved in the incident, interview each of them to gain more perspective.

Attach any job photos or video documentation that were captured of the work area prior to the incident or during the incident itself. Consider taking photos or videos of the work area after the incident occurred if appropriate.

4. Identify contributing factors

Take a critical look at the information you’ve collected. Identify any safety violations or hazards that contributed to the incident.

Define action items to correct safety issues and prevent similar incidents from occurring in the future.

5. Notify stakeholders

Inform your crew and any outside stakeholders of the incident. Communicate the corrective action that will be taken and reinforce the importance of following safety procedures.

6. Use a worksite incident checklist

When a jobsite injury occurs, it’s easy to go into panic mode. But, if a near miss happens, it’s easy to shrug it off and keep moving along with the work day.

Following a worksite incident checklist helps you make sure you are not missing crucial steps in either case. This helpful safety tool takes the guesswork out of incident reporting.

See how this checklist works in the app

Download our construction safety management app for access to toolbox talks, daily reports, and more on the go, right from your phone or tablet. You'll also find this checklist and more with our digital library of construction safety checklists.

construction checklist shown on Raken’s web and mobile app.

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