Incident Report Format  

· What happened?  

· When did it happen?   

· Where did it happen?  

· Why did it happen?  

· To whom did it happen?  

· What activities were occurring in the area at the time of the incident?  

· The time the incident occurred.  

· Include photographs, drawings, and diagrams.  

· Include witness statements.  

· What were the weather conditions at the time of the incident? 

· Was the weather a contributing factor and if so how?  

· Were all persons involved in the incident drug tested, and if not, why not?

Corrective action required: Identify those factors (relating to people, premises, or equipment) that should be considered for correction or additional attention, to prevent a recurrence or the incident.   

Placement of responsibility for corrective action: Describe any immediate action taken after the accident to correct the circumstances leading up to, or to prevent a recurrence of the accident. List any actions that need further attention. State or recommend the person or organization to which responsibility for further corrective action should be assigned. If practical, set a target date for completion of that corrective action.