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Accident and incident report form

A free accident book template for UK workplaces. Use the report form for each incident (one page per person, so entries stay confidential), and the log page as a running register with reference numbers instead of names. Print it or save it as a PDF.

Reference no: ____________ CONFIDENTIAL: contains personal data. File securely once complete.

1. Person involved Details
Full name
Job title / department
Employee, contractor, visitor or member of the public?
Contact phone or address
2. What happened Details
Date and time
Exact location
What happened and how (short, factual)
Injury or illness, and part of the body
Witnesses (names)
3. First aid and outcome Details
First aid given, and by whom
Then: back to work / sent home / GP / hospital / ambulance
First aid kit items used (to restock)
4. Completed by Details
Name and role (if not the injured person)
Signature and date
5. Manager follow-up Details
RIDDOR-reportable? (death, specified injury, over 7 days off or on light duties, disease, dangerous occurrence) Y / N
If yes: date reported to HSE and reference
Action taken to stop it happening again
Manager name, signature and date

Free template from kitcompliance.com. Guidance, not legal advice. Keep records for at least 3 years.

How to use this accident book template

Frequently asked questions

Is an accident book a legal requirement in the UK?

Yes, if you have 10 or more employees, under the Social Security (Claims and Payments) Regulations 1979. Smaller employers aren't strictly required to keep one, but it is strongly advised: RIDDOR and the first aid regulations assume injuries are recorded, and the record is your evidence if a claim is made.

What should an incident report form include?

Who was hurt and their role; the date, time and place; what happened; the injury and body part; witnesses; the first aid given and by whom; what happened next; who completed the form; whether it is RIDDOR-reportable; and what will be done to prevent a repeat. The form above covers all of these.

How do you keep an accident book GDPR-compliant?

Don't let one person's entry be read by the next person writing in the book. Use one form per incident, file completed forms securely, and keep any shared log free of names by using reference numbers.

How long should accident book records be kept?

At least three years from the date of the entry, including RIDDOR records. Many employers keep them longer to cover possible claims.

Prefer a digital accident book?

KitCompliance keeps a RIDDOR-ready accident book with photos, witness details and follow-up tracking, and only the people you choose can edit entries. Try it free for 14 days.

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