Forklift Accident Report Form
Incident Details
Date of Incident
Time of Incident
Location
Forklift & Operator Details
Forklift ID/Number
Operator Name
Operator License No.
Description of Accident
Describe what happened
Persons Involved/Injured
Names & nature of injuries (if any)
Witnesses
Names of witnesses
Property/Equipment Damage
Describe any damage
Immediate Actions Taken
What actions were taken after the accident?
Reported By
Name
Date