Actual event incident a situation that did occur either with or without harm or injury to the individuals. The doctor will need this to assess the patient and the incident, so that they can do a proper diagnosis, prepare a proper treatment plan and provide an appropriate prognosis. This helps us to identify and correct hazards before they cause serious injuries. Incident reporting to record accidents and injuries in the workplace. Noninjury and nearmiss incident reporting form instructions. The victim here could either be an employee, client, vendor or just about anyone visiting the office. Free injury incident report form template pdf word. Employees shall use this form to report all work related injuries, illnesses, or near miss events which could have caused an injury or illness no matter how minor. If personnel were injured during the incident, do not use this form, use supervisors injuryillness report. Injuryincident report form mcmaster hr mcmaster university. The security incident report template helps you to present the report template to the relevant department so that they keenly assess the situation. Sample form for your own use not for reporting to worksafe. Incidents involving a crime or traffic incident should be reported.