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Mitti by SafetyCulture
Template

Accident Incident Report Form

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An accident incident report form is used when someone got injured as a result of collision. This template can be used by fleet managers to document the details of the incident. Use this template to guide the inspector to perform the following: 1. Capture all contact details and verification information of the injured person 2. Describe full details of the injury and the accident 3. Take photo evidence of the surroundings 4. Record emergency services involvement (i.e. police, fire, paramedics), hospitalization information and witness statements 5. Capture electronic signatures from the relevant person involved and injured person

With Mitti you can

Digitize any process, procedure or policy
Eliminate mistakes made by paper-based processes
Create and share professional reports instantly
Confirm accountability and compliance with a digital log

With Mitti you can

Digitize any process, procedure or policy
Eliminate mistakes made by paper-based processes
Create and share professional reports instantly
Confirm accountability and compliance with a digital log

About author

Mitti (by SafetyCulture) is the operations system for every site, shift and standard. Trusted by over 80,000 organisations, Mitti brings your people, operational data and workflows into one operating picture. From the frontline to the boardroom, it gives everyone a clear understanding of what's happening, highlights what needs attention and recommends what to do next. Every inspection completed, issue raised and action taken becomes intelligence your teams can use to improve every day.