Oil & Gas Rig Safety Incident Report
Incident Details
Date of Incident
Time of Incident
Location (Rig/Platform)
Area/Section
Type of Incident
Near Miss
Injury
Equipment Damage
Environmental
Other
People Involved
Name(s)
Job Title/Position
Witnesses (if any)
Incident Description
Describe the Incident
Immediate Actions Taken
Injury/Impact Information
Nature of Injury/Impact
Equipment or Material Involved
Root Cause Analysis
Possible Causes
Recommendations/Corrective Actions
Report Prepared By
Name
Date
Signature