Customer Injury Incident Report Form

Track incidents of injury and other accidents in your facility to ensure staff members can follow up and resolve issues as needed.
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Simplify your workflows

No matter how many preventative measures you take, accidents happen. When incidents arise, it's important to be ready to track issues as they unfold. Use this customer incident report form template to ensure your staff is prepared to document accidents as they happen.

Avoid future mistakes

A log filled with descriptive information on incidents in your organization is an invaluable resource. Tracking the time, location, and other conditions surrounding an accident can help your organization quickly follow up and resolve problems. Use this customer injury incident report to get started!

Keep important records

Accidents can be frustrating and chaotic. Capturing information as soon as an incident happens is critical to ensuring issues are dealt with appropriately. Use the Date, Time, and Name fields on this form to capture crucial info on conditions, on-site staff, and witnesses.

Track incidents on the go

Collect information on an incident without having to be stuck at your desk. This customer incident report form template is mobile-friendly so you can complete reports no matter where you are. Quickly gather details from customers and staff on a laptop, mobile phone, or tablet.

Automate your communication

Several members of your staff may need to review an accident report. Use Formstack's Approvals tool to create a seamless review process for your team. Easily set up automated notifications and get reports in front of the right people.

Formstack saves us tons of time on data entry and analysis and makes it simple for us to see, use, and share data across departments.
Lindsay Anderson
Project Manager at National Geographic Society

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