Workplace Injury Incident Report Template
Every workplace injury needs to be documented for OSHA compliance, your liability insurer, and HR tracking. This template covers severity, medical treatment, and days away from work.
What this template includes
Every field below is part of the free template and the mobile version — nothing is locked behind a paywall for filling out a single report.
- Report number and date/time of the incident
- Location or site
- Reporter's name and role
- Severity (minor, moderate, or critical)
- Person(s) involved — name, role, contact
- Witness(es) — name, phone
- Description of events
- Immediate action taken and root cause (if known)
- Up to 3 timestamped photographs
- Reporter signature
- Witness or supervisor signature
Common use cases
- Slip, trip, or fall
- Machine or tool-related injury
- Musculoskeletal disorder
- Injury requiring medical care
Frequently asked questions
What makes an incident "OSHA recordable"?
Per OSHA recordkeeping rules, an incident is recordable if it results in death, loss of consciousness, days away from work, restricted duty or job transfer, or medical treatment beyond first aid.
What's the difference between OSHA Form 300 and 301?
OSHA Form 300 is the running annual log of all recordable injuries and illnesses at a site. OSHA Form 301 is the detailed incident report filled out for each individual case, within 7 calendar days of learning about it.
For the federal recordkeeping rules referenced above, see OSHA's recordkeeping requirements.
Go digital: signature, photos, and archiving included
The Pro plan at $49/mo includes OSHA 301 export, 5-year legal archiving, and unlimited users on 1 site.
See pricing