Construction Site Accident Report
1. Site & Reporter Details
Date of Report
Time of Report
Project / Site Name
Location
Reported by (Name & Position)
Contact Information
2. Accident Details
Date of Accident
Time of Accident
Exact Location of Accident
Type of Accident
Describe How the Accident Occurred
Witnesses (Names & Contact Info)
3. Injured Person(s) Details
Name(s)
Position/Role
Nature of Injury
First Aid Given
Medical Attention Required
Yes
No
If Yes, Specify Clinic/Hospital
4. Equipment / Materials Involved
Details of Any Equipment or Materials Involved
5. Immediate Actions Taken
Describe Any Immediate Corrective Measures Taken
6. Additional Comments / Observations
7. Supervisor Review
Supervisor Name
Date