Incident Witness Statement



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How to create a Incident Witness Statement Report Form? What are examples of incident reports? An easy way to start completing your form is to download this Incident Witness Statement Report template now!

This Incident Witness Statement report template is created after an incident happens, which means when something that happens, possibly as a result of something else, has to be reported, because it did damage. A commonly used incident, is for example of an incident is noticing an airplane in the sky, while taking a walk (a particular occurrence, especially one of minor importance to the person). However, the incident (accident) that this report type is referring to, has more to do with a violation of the law, for example the incident where someone is going to jail after being arrested for shoplifting. Something incident to something else. This sample Accident Incident Report template can help you find inspiration and motivation. This Sample Accident Incident Report covers the most important topics that you are looking for and will help you to structure and communicate in a professional manner with those involved. 

Accident/Incident Witness Statement 
Witness Supervisor 
Name 
Describe the incident Date of Incident 
Time of the incident 
Location of the Incident 
Specific Location of the incident (e.g office, mechanical room, shop) 
Did the incident involve property damage Affected body Part:  Yes  No  Head/face  Eye  Neck/shoulder  Fingers  Chest/lower trunk  Other  Arms/elbow  Hip Shift Was a motor vehicle involved in this incident  Right Hand  Back  Left Hand  Leg/knee  1st  2nd  3rd  Yes  No  Wrist/Head  Foot/ankle  Rib  Toes Describe, step-by-step, how the incident occurred: What would you recommend to prevent this accident from recurring

Feel free to download this intuitive report template that is available in several kinds of formats, or try any other of our basic or advanced templates, forms or documents. Don't reinvent the wheel if an accident/incident happens for the first time, that is worth recording. Make sure the information is logged well in the report, so it can be a point of reference in the future if needed.

Download this Incident Witness Statement Report Form template and save yourself time and effort! You will see completing and submitting your incident form just became a little easier.




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